Partnerships for Older People Projects (POPP) An overview of the programme & expectations Raj Kaur

.  Overview of aims, objectives & key outcomes  The policy context  Round 1 POPP pilots – key features & support  National Evaluation of POPP  National POPP Programme Steering group  Next steps  Key challenges & opportunities  Questions.  Overview of aims, objectives & key outcomes  The policy context  Round 1 POPP pilots – key features & support  National Evaluation of POPP  National POPP Programme Steering group  Next steps  Key challenges & opportunities  Questions POPP Programme

POPP Programme – An overview  3 year programme of work ( )  £60m ring-fenced funding for council-based partnerships to lead locally innovative pilots projects for older people.  Overall aim is to improve the health, well-being and independence of older people through:  promoting better coordination of care so that provision is person- centred and integrated and  encouraging investment in preventative approaches and thereby preventing or delaying the need for higher intensity or institutionalised care.  Led by councils but a holistic approach with health and other partners.  Must include local older people in a continuous & meaningful way.  3 year programme of work ( )  £60m ring-fenced funding for council-based partnerships to lead locally innovative pilots projects for older people.  Overall aim is to improve the health, well-being and independence of older people through:  promoting better coordination of care so that provision is person- centred and integrated and  encouraging investment in preventative approaches and thereby preventing or delaying the need for higher intensity or institutionalised care.  Led by councils but a holistic approach with health and other partners.  Must include local older people in a continuous & meaningful way.

POPP Programme – An overview (2)  Pilots to be launched in two phases:  Round 1 operational by 1 st May 2006  Round 2 operational by 1 st May 2007 (guidance due this month)  Dedicated implementation support through the Care Services Improvement Partnership (CSIP).  National Evaluation of entire POPP programme.  Identifying and disseminating nationally best practice and lessons learnt.  Pilots to be launched in two phases:  Round 1 operational by 1 st May 2006  Round 2 operational by 1 st May 2007 (guidance due this month)  Dedicated implementation support through the Care Services Improvement Partnership (CSIP).  National Evaluation of entire POPP programme.  Identifying and disseminating nationally best practice and lessons learnt.

Key outcomes POPP pilots aimed at delivering improved outcomes in 3 key areas:  providing more low level care and support in the community to improve the health, well-being and independence of older people, preventing or delaying the need for higher intensity and more costly care.  reducing avoidable, emergency admissions and/or bed- days for older people  supporting more older people to live at home or in supported housing such as sheltered or Extra-care housing as opposed to in long-term residential care. POPP pilots aimed at delivering improved outcomes in 3 key areas:  providing more low level care and support in the community to improve the health, well-being and independence of older people, preventing or delaying the need for higher intensity and more costly care.  reducing avoidable, emergency admissions and/or bed- days for older people  supporting more older people to live at home or in supported housing such as sheltered or Extra-care housing as opposed to in long-term residential care.

Strategic aim of POPP ‘To test and evaluate different models of service delivery, financial and partnership mechanisms, which will create a sustainable shift from the focus on acute and high intensity care to investment in prevention work’ Our aim is to:  Identify a range of approaches which are potentially replicable in different health and social care communities.  Use POPP findings to inform future policy development across DH & wider government. ‘To test and evaluate different models of service delivery, financial and partnership mechanisms, which will create a sustainable shift from the focus on acute and high intensity care to investment in prevention work’ Our aim is to:  Identify a range of approaches which are potentially replicable in different health and social care communities.  Use POPP findings to inform future policy development across DH & wider government.

The Policy Context PARTNERSHIP FOR OLDER PEOPLE PROJECTS LOCAL AREA AGREEMENTS GP practice based commissioning Related pilot initiatives: Innovations Forum, Invest to Save, Supporting People etc DWP ‘Opportunity Age’ & Link Age programme ODPM SEU report: A Sure Start to Later Life WHITE PAPER – Your Health, Your Care, Your Say Implementation of ‘Choosing Health’ NSF FOR OLDER PEOPLE & forthcoming Next Steps document

. 19 pilot sites: Bradford, Brent, Camden, Dorset, East Sussex, Knowsley, Leeds, Luton, Manchester, Norfolk, North Lincolnshire, Northumberland, North Yorkshire, Poole, Sheffield, Somerset, Southwark, Wigan and Worcestershire.. 19 pilot sites: Bradford, Brent, Camden, Dorset, East Sussex, Knowsley, Leeds, Luton, Manchester, Norfolk, North Lincolnshire, Northumberland, North Yorkshire, Poole, Sheffield, Somerset, Southwark, Wigan and Worcestershire. POPP – Round 1 pilots

.  Bring together range of interventions - combined potential to provide a sustainable shift  Either extending existing partnerships or creating completely new partnerships.  Range of delivery mechanisms e.g pooled budgets, joint commissioning, Local Area Agreements etc.  Different circumstances and challenges e.g levels of deprivation, rural and urban environments  Involve older people, carers and staff in the delivery and evaluation of services..  Bring together range of interventions - combined potential to provide a sustainable shift  Either extending existing partnerships or creating completely new partnerships.  Range of delivery mechanisms e.g pooled budgets, joint commissioning, Local Area Agreements etc.  Different circumstances and challenges e.g levels of deprivation, rural and urban environments  Involve older people, carers and staff in the delivery and evaluation of services. Key features

Models proposed by pilots  Improved access: low level care services but also specialist services for chronic conditions, dementia etc, case finding those at risk, integrated needs assessment and case management & better information.  Improved delivery: new joint health & social care posts to integrate care pathways e.g LTC, recruitment of older people (community leaders, networkers etc)  Improved access: low level care services but also specialist services for chronic conditions, dementia etc, case finding those at risk, integrated needs assessment and case management & better information.  Improved delivery: new joint health & social care posts to integrate care pathways e.g LTC, recruitment of older people (community leaders, networkers etc)

Models proposed by pilots  New services – use of telecare, health promotion services, peer support to encourage healthy active living, complete redesign of older people’s mental health services, home safety and crime prevention work and broader initiatives to promote social inclusion.

Working with the pilots Partnership approach between POPP policy team & CSIP implementation team:  DH POPP policy team: Policy direction, communicate wider policy developments, resolve issues & remove barriers, lead national evaluation and report to Ministers & the Treasury.  CSIP implementation team: Supporting pilots with setting up and running projects, connecting with related initiatives and extracting and disseminating learning within the wider health & social care community. Partnership approach between POPP policy team & CSIP implementation team:  DH POPP policy team: Policy direction, communicate wider policy developments, resolve issues & remove barriers, lead national evaluation and report to Ministers & the Treasury.  CSIP implementation team: Supporting pilots with setting up and running projects, connecting with related initiatives and extracting and disseminating learning within the wider health & social care community.

National evaluation of POPP programme (1)  All 19 POPP pilots carrying out a local evaluation.  Will feed in to overarching national evaluation.  Nature of preventative interventions means impact likely to be realised over longer term, however:  Essential to capture early wins, trends & direction of travel.  Opportunity to feed in to CSR  All 19 POPP pilots carrying out a local evaluation.  Will feed in to overarching national evaluation.  Nature of preventative interventions means impact likely to be realised over longer term, however:  Essential to capture early wins, trends & direction of travel.  Opportunity to feed in to CSR 2007.

National evaluation of POPP programme (2)  DH has commissioned a two and a half year evaluation of whole POPP programme  Being led by Dr Karen Windle (University of Hertfordshire)  Evaluation to begin in April 2006, interim report (early findings!) Jan 2007 to feed in to CSR 07. Final report in October  Impact of preventative approaches AND effectiveness of mechanisms put in place for resource release & reinvestment.  DH has commissioned a two and a half year evaluation of whole POPP programme  Being led by Dr Karen Windle (University of Hertfordshire)  Evaluation to begin in April 2006, interim report (early findings!) Jan 2007 to feed in to CSR 07. Final report in October  Impact of preventative approaches AND effectiveness of mechanisms put in place for resource release & reinvestment.

National evaluation of POPP programme (3)  How effective are the partnership & financial mechanisms in ensuring sustained investment in prevention?  Does prevention lead to ‘improved wellbeing’- how can this be measured?  How effective is prevention in reducing/delaying the need for high cost health and social care services? Cost- effective or not?  Key factors & hindrances impacting on continuation or mainstreaming of pilots?  How effective are the partnership & financial mechanisms in ensuring sustained investment in prevention?  Does prevention lead to ‘improved wellbeing’- how can this be measured?  How effective is prevention in reducing/delaying the need for high cost health and social care services? Cost- effective or not?  Key factors & hindrances impacting on continuation or mainstreaming of pilots?

Bringing it all together……  High level, cross-government Programme Board for the POPP programme reporting to Ministers.  Aimed at ensuring comprehensive stakeholder engagement in the programme & appropriate linkage with key DH, cross government and other initiatives.  Is also a ‘sounding board’ for feedback from the pilot sites during implementation.  High level, cross-government Programme Board for the POPP programme reporting to Ministers.  Aimed at ensuring comprehensive stakeholder engagement in the programme & appropriate linkage with key DH, cross government and other initiatives.  Is also a ‘sounding board’ for feedback from the pilot sites during implementation.

Membership of National POPP Programme Board  HM Treasury  CSCI  BGOP & Help the Aged  Audit Commission  CSIP  ODPM SEU  IDEA  HM Treasury  CSCI  BGOP & Help the Aged  Audit Commission  CSIP  ODPM SEU  IDEA  LGA  ADSS  DWP  Office of SHAs  NHS Confederation (Federation of PCTs)  GOR representation (LAA Health Forum)

Next Steps: A summary  Expect to launch guidance on Round 2 application process by the end of this month.  National evaluation activity begins 1 st April  Round 1 pilot projects launched during May  Possibility of using the remaining funding (£20m) for a smaller number of large scale pilots (approximately 10).  Unsuccessful pilots are able to apply again.  Delivery priorities within the White Paper with regard to prevention?  Ensuring Round 2 POPP pilots add value – wider policy context?  Expect to launch guidance on Round 2 application process by the end of this month.  National evaluation activity begins 1 st April  Round 1 pilot projects launched during May  Possibility of using the remaining funding (£20m) for a smaller number of large scale pilots (approximately 10).  Unsuccessful pilots are able to apply again.  Delivery priorities within the White Paper with regard to prevention?  Ensuring Round 2 POPP pilots add value – wider policy context?

Key challenges  Getting buy-in from partners to ensure sustainability when improvements may not be visible during life-cycle of pilots.  Maintaining commitments during difficult climate of change – reconfiguration & financial constraints.  Getting buy-in from partners to ensure sustainability when improvements may not be visible during life-cycle of pilots.  Maintaining commitments during difficult climate of change – reconfiguration & financial constraints.

Key opportunities  Inform future performance assessment processes  Inform future bids for funding (CSR 07)  Align POPP with LAAs and other initiatives geared at promoting independence & well-being for older people.  Establish new or strengthen existing partnerships e.g greater role for community and voluntary sector, older people themselves.  Serving better the needs of local older people.  Inform future performance assessment processes  Inform future bids for funding (CSR 07)  Align POPP with LAAs and other initiatives geared at promoting independence & well-being for older people.  Establish new or strengthen existing partnerships e.g greater role for community and voluntary sector, older people themselves.  Serving better the needs of local older people.

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