1. Reshaping Care and Housing for an Older Population Claire Ritchie AHP Rehabilitation Consultant NHS Lanarkshire Anne Hendry Joint Improvement Team Associate

2. 21% rise in 65+ from 2006 – 2016 62% rise by 2031 38% rise in 85+ by 2016 144% rise by 2031 1 in 3 aged 75+ have two or more Long Term Conditions Headline Projections

3. Dementia

4. Health, Care and Housing Drivers for Change Ageing population Long Term Conditions Health Inequalities Workforce Challenges Sustainability Quality and Value Experience Outcomes

5. Talking Points - user defined outcomes Quality of life Process Change Feeling safe Having things to do Seeing people Staying well Life as want Dealing with stigma Listened to Having a say Treated with respect Responsiveness Reliability Improved confidence and skills Improved mobility Reduced symptoms

7. Scotland Health and social care expenditure aged 65+ 07/08 = £4.5bn

8. Making the Shift

9. Shift from a focus on care to prevention, early intervention and enabling independence & wellbeing We know what works Physical Activity Participation and Social Interaction Peer support Preventing falls and fractures

10. Reshaping Care A programme for Change Vision ‘Older people in Scotland are valued as an asset, their voices are heard, and older people are supported to enjoy full and positive lives in their own home or in a homely setting.’ Hanover Mission Statement Nov 2009 ‘We will provide a range of affordable housing and a choice of related services to enable people to have as full and independent lives as possible in their own homes.’

11. Reshaping Care £ 70 million Change Fund for 2011/12 Expectation of ~ £300 million to 2015 Catalyst to lever change in totality of 65+ budget Partnership Change Plans for 2011/12 – agreed by NHS, council, third sector and independent sector partners About the what and the when Wriggle room for details of the how to emerge this year

12. Reshaping Care Implementation 3 workstreams – co-production and community capacity building; housing and care settings; effective care pathways Improvement network and support from JIT Develop Joint commissioning plans by 2012 Core set of measures of success

13. Assistive Living and Technology

14. Community Capacity Building Building Third Sector capability Volunteering Peer Mentors / Buddying Self Management support Community led health Participation / Day opportunities Life long Learning Community Leisure Housing

15. Reshaping Care Pathway

16. Workforce – NHS Education for Scotland and Scottish Social Services Council

17. Opportunity to be bold and ambitious