Independent living supported by the City of Tampere Ms Essi Mäki-Hallila, Planning Officer and Mrs Mari Lahtinen, Project Planner Independent living, housing, domotics, UDINE 1

About Tampere -population (1/2015) -largest inland city in the Nordic countries -Strategic priority in the elderly’s services: Help and care provided in home or home-like settings have reduced the need for institutional care

Living in Tampere People over 75 years old live at (2013): own home, regular home care 12 % own home, carer 2,9 % 24/7 service housing 5,3 % long-term institutional care 4,1 %  90,6 % of over 75-year-old people live at home  75,7 % of over 75-year-old live independently and don’t need home care services provided by the city

Goals of living People over 75 years old live at: own home 92 % 24/7 service housing 6 % long-term institutional care max 2 % 4

Older people’s council Older people’s council in Tampere since statutory since must be included in the planning, decision making and evaluation of older people's issues in all fields -presenting secretary -elderly ombudsman (part of the guidance and monitoring group) 6

Budget for Senior Citizens’ service purchase 2014 (1000 €). Total 192,2 M€

Population forecast in Tampere, people over 65 years

The structure of the services The National Framework for High-Quality Services for Older People sets quantitative targets concerning the structure of services for senior citizens Clients receiving regular home care on 31 st Dec. Those aged 75 years or over as a percentage of the population in this age group Clients receiving informal care support aged 75 or overon 31 st Dec, as a percentage of the population in this age group Clients aged 75 or over in sheltered housing for older people on 24-hour basis on 31 st Dec, percentage of the population in this age group Those aged 75 or over in old people's homes or in long-term institutional care at health centres on 31 st Dec, percentage of the population in this age group National target –14 %6–7 %*6–7 %2–3 % Tampere ,9 %2,3 %7,2 %2,6 % Tampere %2,9 %5,3 %4,1 % Tampere ,4 %2,7 %4,1 %4,7 % Tampere ,3 %2,5 %3,8 %5,3 % Tampere ,9 %2,6 %3,1 %5,8 % Tampere ,6 %2,8 %2,3 %6,8 % Tampere ,1 %2,6 %2,1 %8 % 10

The structure of the services (people +75 years in Tampere)

TampereSenior – Ageing society as a possibility -strategic project -one main objective is to change the way of thinking about old people to positive, involving and appreciating -seeks new approaches which help the elderly to be active members of the society and policy-making  Involvement of senior citizens along with other age groups in the city is the key to success

TampereSenior, city strategic goals The primary objective of promoting senior citizens’ welfare is to make living at home possible through preventive and rehabilitative services and by providing round-the-clock services and care at home as required An increasing number of residents live at home or in a homely environment  reconstructing the service and care system Changing the attitude  employees go to clients’ home not vice versa

Services supporting living at home -Service Centres (10) -free for all aged persons living in Tampere -access to certain facilities including meals, hygiene, physiotherapy, foot care, barbering and hairdressing -various free time and recreational activities -Lähitori -service stop (2 at the time) -service stop concept which offers preventive client guidance and daily welfare services in a local context -main purpose is that a client always gets a solution to her or his questions or needs. -offers daily social contacts, clubs and other activities -collects together at one place different operators and service providers of the local area, in a local charasteristic way

Financial support -Subventions for renovations, financial support -subvention by the government e.g. to bathroom renovation for people over 65 -reliefs by the city to smaller alteration work (e.g. handles, slope) -accessibility campaign: elevators to apartment buildings

Home Care Home care facilities are available to the aged who are living at home and need assistance due to reasons of limited mobility, sickness or some other reason Home care facilities cover services and nursing provided at home (cooking, washing, laundry and ironing in addition to medical care) as well as other support services (facilities related to meals, shopping, cleaning, sauna bath, safety telephone and transport) Home Care in numbers clients ca personnel ca. 580 persons (530 nurses, home aids etc.)

Kotitori – Home care service integrator -innovative home care service integration solution for ageing people since integrates services provided to elderly people living at home, both public and private -information office for elderly people where one can find help from how to get cleaning services to how to apply to sheltered housing -also produces home care in one district (ca. 300 clients) -service is purchased by the city and a new agreement period starts in the fall 2015 (new: e.g. well-being technology rental-shop)

The Kotitori -integrator ties together needs, services and service providers Senior citizen and family User and purchaser / orderer of the services Part of the funding come from the municipality, part is paid by the elderly people themselves services Contract & SLA Service and care plan Contract & SLA Municipality as purchaser Defines objectives such as quality, coverage and functioning Defines the role of the municipal service production Answers for services designated municipal responsibility (such as official decisions or funding) Kotitori – service integrator Maintains and manages a service network Client guidance Assessment of service needs Develops services and processes Kotitori – service integrator Maintains and manages a service network Client guidance Assessment of service needs Develops services and processes Producer network Produce services in compliance with jointly agreed rules (quality) and practices Municipal service production is part of the service network. Municipal home care Other producers SLA = Service Level Agreement; service description, quality requirement annual auditing 18

Developing Distance Health Care Services The development aims at providing reliable, combined day centre and health care services to senior citizens to support their socially rich, independent living at home. The services are based on interactive communication means using video and voice. Client specialists are involved in developing the services and testing different devices at the pilot projects

At the moment there are two distance health care solutions in use IkäLinja (SeniorLine) at customers of Geriatrics Polyclinic SmartVisio TV at Service Centres (music, photos, quizs and recordings from different events) A pilot last year at home rehabilitation Pieni piiri (small circle) tablet solution

Development of home rehabilitation Development of lasting procedure of home rehabilitation as part of the geriatrics polyclinic Co-operation over organisations and with the client, next of kin and home care own nurse or family nurse Enhancement or maintenance of physical, psychic and social ability to function with services at home or near home Home visits by physiotherapists, occupational therapists and practical nurses Taking advantage of wellness technology

ERP (Enterprise Resource Planning) and electric locks in home care Enhancement of work processes, more client visit time Smart phones as tools for ERP and for opening electric locks The nurses have immediate and safe access to up to date information about the client, regardless of their location Entries and logs of the visits and tasks will be done immediately at the client’s home  no more double entries Different reminders of home visits  no need to carry notebooks, things will get done on time, better communication No need to pick up the keys  possible to start and finish the work day at a client’s home

New services supporting independent living at home More services brought to home detoxification, dental hygienist, extension of geriatric services brought to home distance care solutions for home rehabilitation with tablet solutions well-being technology rental-shop Increasing the personnel’s immediate working time with clients mechanical dose-distribution of drugs - an automatic medicine dispensing service (Evondos-pilot spring 2015) expanding the functional steering-system and electronic door-opening service to whole home care of Tampere 24

Thank You