1. Care and support workers for health and social care in 2010: Sustaining and developing the workforce and wider implications 17 November 2008 Judy Curson, WRT Joan Munro, IDeA

2. ‘The missing workforce’ - endoscopy

3. Observed pathway Agenda for Change Christmas tree for observed adult hearing difficulty pathway

4. Best practice pathway Agenda for Change Christmas tree for best practice adult hearing difficulty pathway

5. Thatcham Advertiser 22/10/08

6. Thornford Park: Medium secure hospital

7. New nursing home: Thatcham Court

8. West Berkshire Community Hospital

9. Objectives for the day To explore and reflect on the options available for supporting people with social care needs, given the ever increasing demands for these services and the potential lack of sufficient staff/funding to fulfill this To consider the potential implications for local strategic partnerships’ place shaping role, including for housing, planning, community development To identify what additional information gathering/research is required to better understand the issues and the options To agree next steps and actions

10. Andy Knapton The demographic ‘time bomb’ Ageing Migration and family patterns

11. Demography Andy Knapton Data Modelling Manager

12. What is demography? The study of human populations: their size, composition and distribution as well as the causes and consequences of changes in their characteristics Joseph A McFalls, Population : A Lively Introduction

13. What is demography? …or its about: »Sex »Births »Marriage »Occupations »Mobility »Retirement »Death (Basically the plot story for all soaps!)

14. 1981 Source: ONS 2008

15. 1986

16. 1991

17. 1996

18. 2000

19. 2001

20. 2002

21. 2003

22. 2004

23. 2005

24. 2006 Source: GAD 2008

25. 2011

26. 2016

27. 2021

28. 2026

29. 2031

30. 2031 and 1986 and 1986

31. Migration per year 2007 Source: GAD 2008

32. Migration per year

33. Dementia prevalence Source: Dementia UK, Alzheimer's Society, 2007

34. Dementia 2007: –683,500 people with dementia –1 in every 88 (1.1%) of UK population 2021: –940,110 people with dementia –Increase of 38% in 15 years Source: Dementia UK, Alzheimer's Society, 2007

35. Summary Less new workforce entrants More in grey community Increase in degenerative illness

36. Workforce implications We need to change how we use workforce to reflect these changes

37. CONTACT www.wrt.nhs.uk Andy Knapton andy.knapton@wrtnhs.org 01962 814951

38. Peter Gilroy How Kent is addressing its long term social care workforce issues?

39. Peter Gilroy OBE Chief Executive Kent County Council

40. KENT Largest local authority in England Largest local authority in England Population 1.4million+ Population 1.4million+ One of only two peninsular regions in UK One of only two peninsular regions in UK Largest coastline of any English county Largest coastline of any English county Busiest port of entry – Dover Busiest port of entry – Dover Top performer – 4 stars Top performer – 4 stars 30,000 staff 30,000 staff Turnover £2billion+ Turnover £2billion+ Approx. 60 businesses Approx. 60 businesses Highly devolved management system Highly devolved management system Commercial operations with £600m Commercial operations with £600m turnover turnover

41. CUSTOMER BACKGROUND  Knowledge-based customer  More articulate, more litigious  FOI  Personalisation of public services!  Technology changes Independence, Well-Being & Choice Our Health, Our Care, Our Say Putting People First Transforming Social Care National Carers’ Strategy Valuing People Now Independent Living Improving the Life Chances of Disabled People

42. CITIZEN GLOBAL - LOCAL Demographics: Increased Volumes Health & Education Economy Modernisation Public Access: Service Information Employment: Age-related Cost – Who pays? The Economy Design: Friendly Towns & Cities Rural Communities Housing: Flexible, Adaptable Transport Migration Applied Technology Leisure

43. DID YOU KNOW ?

44. The number of text messages sent and received every day exceeds the total population of the planet…….

45. 1 out of 8 couples married in the US last year met online

46. There are over 2.7 billion searches performed on Google each month

47. There are over 106 million registered users of MySpace

48. If MySpace were a country, it would have the 11 th largest population in the world (between Japan and Mexico)

49. Telehealth 300 people now – target 1000 300 people now – target 1000 Reduced hospital visits/admissions Reduced hospital visits/admissions Increased confidence and quality of life for service users and their carers Increased confidence and quality of life for service users and their carers Alongside the Kent Card this is a journey that is starting to shape the future in Kent Alongside the Kent Card this is a journey that is starting to shape the future in Kent Fundamental implications for Social and Health Care over the next decade nationally and internationally for remote care and clinical management Fundamental implications for Social and Health Care over the next decade nationally and internationally for remote care and clinical management

50. The Kent Card Developed with the Royal Bank of Scotland Developed with the Royal Bank of Scotland New to the banking world New to the banking world Preloaded with an agreed amount Preloaded with an agreed amount Simplifies Direct Payments Simplifies Direct Payments No need to apply for or manage a bank account or keep detailed records No need to apply for or manage a bank account or keep detailed records

51. The Kent Card Puts people in control and makes a reality of choice Puts people in control and makes a reality of choice Simplifies back office processes, and saves time and money Simplifies back office processes, and saves time and money Developed for Social Care but potential applications right across local government and the Health Service Developed for Social Care but potential applications right across local government and the Health Service Agreed to trial use for Continuing Agreed to trial use for Continuing Care, Patient Transport, Care, Patient Transport, Specialist Equipment Specialist Equipment

52. Web-Based Self-Assessment Available 24/7 with 24/7 helpline via Contact Centre Available 24/7 with 24/7 helpline via Contact Centre Completed online by applicant OR by carer, friend or family on their behalf, when convenient to them Completed online by applicant OR by carer, friend or family on their behalf, when convenient to them General Needs and Carers Assessments General Needs and Carers Assessments Instant confirmation of eligibility Instant confirmation of eligibility Less complex cases go straight to menu of services to choose from Less complex cases go straight to menu of services to choose from Assessment validated - services start Assessment validated - services start More complex cases advised to have more in-depth assessment More complex cases advised to have more in-depth assessment

53. Gateways Customer focused Customer focused Cross-agency: central & local government, voluntary sector, business community (eg Lloyds Pharmacy) Cross-agency: central & local government, voluntary sector, business community (eg Lloyds Pharmacy) Modern, retail concept and setting: high footfall, convenient, friendly environment, customer first mindset Modern, retail concept and setting: high footfall, convenient, friendly environment, customer first mindset Takes traditional “one-stop shop” concept further Takes traditional “one-stop shop” concept further Complementary to web, telephone and traditional home visiting Complementary to web, telephone and traditional home visiting Mobile Gateway – bringing services to rural communities Mobile Gateway – bringing services to rural communities 7 Gateways by the end of the year – 13 by 2010 7 Gateways by the end of the year – 13 by 2010 Central to office transformation strategies Central to office transformation strategies

54. Fixed Gateway Mobile Gateway

57. KENT TV 24/7 broadband community channel, not just news 24/7 broadband community channel, not just news Promoting the best of Kent Promoting the best of Kent Transforming communications & embracing digital age – iPod, mobile downloads Transforming communications & embracing digital age – iPod, mobile downloads Tourism, politics, leisure, education, public health Tourism, politics, leisure, education, public health Tackling gritty issues – bullying, social exclusion Tackling gritty issues – bullying, social exclusion “How To” channel “How To” channel New “What’s On” channel New “What’s On” channel 1 Million visits by the end of the year 1 Million visits by the end of the year Truly interactive Truly interactive Impacting on the “glue” that creates communities Impacting on the “glue” that creates communities and community cohesion and community cohesion Just a click away – www.KentTV.com Just a click away – www.KentTV.comwww.KentTV.com

58. Why Are We Doing This? Public Access in the 21 st Century and our behaviour is changing Public Access in the 21 st Century and our behaviour is changing Needs are inter-related Needs are inter-related Telephonic access needs to be simple – single numbers Telephonic access needs to be simple – single numbers Web access needs to be interactive Web access needs to be interactive Footfall complementary Footfall complementary Multi-agency linkages and connectivity Multi-agency linkages and connectivity

59. Why Are We Doing This? The conflict which concerns citizens and care professionals is how to maintain and increase independence and reduce public costs against a background of demographic change The conflict which concerns citizens and care professionals is how to maintain and increase independence and reduce public costs against a background of demographic change As citizens we are becoming more articulate and more demanding and we like to handle things ourselves As citizens we are becoming more articulate and more demanding and we like to handle things ourselves Public services are moving inexorably into partnership services and services that give choice and increase quality of life Public services are moving inexorably into partnership services and services that give choice and increase quality of life Citizenship means influence – that means transforming the way we interact and engage Citizenship means influence – that means transforming the way we interact and engage

60. This is not about restructuring – it is about transformation This is not about restructuring – it is about transformation Promoting independence and choice, and personalisation of services Promoting independence and choice, and personalisation of services Shift of power from systems and practitioners to service users Shift of power from systems and practitioners to service users Technology is just a tool. Dramatic change will continue and we should not underestimate the massive shift in all areas of our lives with regard to applied technology. There will be more change in the next ten years than Technology is just a tool. Dramatic change will continue and we should not underestimate the massive shift in all areas of our lives with regard to applied technology. There will be more change in the next ten years than in the last seventy in the last seventy CONCLUSION

61. But the real challenge…… The real challenge is not whether the public will want these services - we know they will - but whether professionals in all disciplines are prepared to let go and embrace the change

62. David Hallways and Jill Mortimer The caring workforce of the future: Skills for Care Local government analysis and research

63. Questions to think about What key issues do we need to focus on? What information do we need to know about these? What are the options for addressing them? Who needs to be alerted or involved in addressing them?

64. Contact Judy Curson, Director, NHS Workforce Review Team judy.curson@wrtnhs.org 01962 814970 Joan Munro, National Advisor - Workforce Strategy, Improvement and Development Agency joan.munro@idea.gov.uk 0207 296 6192