A national perspective on information and technology in adult social care Charlotte Buckley DH

Challenge and opportunities

3 Major challenges facing health and care system Ageing population Over the next 20 years, proportion of population aged 85+ is set to more than double Rising numbers of people with multiple long term conditions People with LTCs accounts for 70% of all health and care spending As of 2011 – 52% of over 65s had a limiting long-term health condition or disability – a rise of 50% in the decade since 2001 Over the next 30 years the number of people living with dementia is set to double Public services are under financial pressure Funding gap from rising demand set to be £30bn by 2021 (Nuffield/ NHS) LGA projecting a funding gap for local government of £16.5bn by 2020 (largely because of rise in social care costs) Pressures on services Over the 5 years to 2013, the number of over 80s attending A&E rose by 65% NAO suggest 20% of emergency admissions are for existing conditions that primary, community or social care could manage. DH – Leading the nation’s health and care

4 Supported …and around 6 million people caring for a friend or family member. …around 400,000 people in residential care, 56% of whom are state-supported …around 1.1 million people receiving care at home, 80% of whom are state-supported …1.5 million people employed in the care and support workforce Social care impacts on a large number of people across England

5 Older people are the core user of acute hospital care - 60% of admissions, 65% of bed days and 70% of emergency readmissions. 72% of recipients of social care services are older people, accounting for 56% of expenditure on adult social care. Three quarters of people aged over 65 will need care and support in their later years

6 To tackle these challenges, there is a wide range of policy initiatives across health and care… DH – Leading the nation’s health and care Care Act – delivering the most significant change in the legal framework, funding and provision of adult social care for over 50 years Integration – Better Care Fund and Pioneers accelerating joint working and new models of care between primary, acute, community and social care Personalisation – increasingly putting the citizen at the heart of the system, in control of their health and their care and support Quality – seeking continuous improvement in the quality and experience of health and care services, including greater transparency and use of data (MyNHS transparency hub) Prevention – exploring ways to reconfigure services to manage increasing demand better across health and care Plus local authorities are also: Delivering wider policy policies - e.g. children’s services, troubled families, Undertaking wider transformation programmes to drive efficiencies and manage pressures

Information and technology can be a key enabler of change

8 Investment in technology and information is a key part enabler…. DH – Leading the nation’s health and care Help put the citizen and communities at the heart of the system, support design and delivery of services which really meets individual and carer needs and support self-care Support information to be more easily shared across multi-disciplinary team, and with citizens themselves, to improve the quality and experience of care Deliver new systems which integrate data and records held by different organisations to improve care packages and enable early and more effective interventions Drive continuous improvement through increased transparency and participation in our health and care system, and supporting sector-led improvement Help support new delivery models to develop and process improvements to increase efficiency, reduced delay, elimination of duplication and offer more cost effective services

9 …but we know our current infrastructure, processes and practices prove a challenge DH – Leading the nation’s health and care Citizen focused health and care We need to clearly understand the levels of intervention and insure alignment: What must happen nationally? Once for all? Where do we need collaboration and agreement across the system? Where can local innovation flourish? How can we support cultural change?

Roadmap for change

11 Our national priorities DH – Leading the nation’s health and care 1.Focus on delivery of the core social care national programmes and influencing broader national policy where appropriate 2.Working in partnership with other national and local agencies to develop the underpinning work that will enable future change and progress across the whole system 3.Supporting complimentary initiatives in which DH Social Care has strong interest but does not have the direct levers

12 Integration & interoperability - Pioneers Information Governance Transparency & Comparative Data Delivery of core priority programmes Economic case Citizen-focussed technology Market development Achieving broader strategic objectives Current state Target future state Capability & leadership Integration & interoperability - Standards Integration & interoperability – IDCR & Tech Fund Care Act implementation Our national work programme focused on two broad areas – 1) delivery of key programmes, and 2) how we can start to develop a wider consensus around investment and change in this area? Infrastructure and systems