1. Prevention and Commissioning Joint Services Jill Kearsley 10th June 2009

2. Reasons for change Nationally facing an ageing population Means a greater strain on health, social care and community services Choice agenda – growing expectations of people that residential homes are not the only, or desired option

3. Needs in our communities Building Community Services Acute Basic NeedsNeighbourhood Projects Life after stroke Rehabilitation Pathways Day Services Basic Foot Care Health & Well- being clinics Life line services Carers support services Primary Care Services Community Hospitals Intermediate Care Extra Sheltered Housing Falls Clinic Telecare Tai Chi Telehealth £305 ½ M spent on Acute Services 2005/06

4. Costs of Providing Acute Care Costs vary depending on complexity: Cost per person, per episode: Falls Between £1.8k & £3.6k Broken HipBetween £5k & £7k Diabetes Between £1.5k & £2k Unspecified / Between £1.2k and £4k off you legs

5. Investing for the future Move non acute rehab services away from costly acute care Investing in community facilities and services Further reductions can be realised across acute trust Greater investment in preventative & rehabilitative programmes increasing independence, wellbeing & choice

6. No One Organisation Can Deliver Service Users/ Patients Adult Social Care Neighbourhood Projects Acute Sector Primary Care Trusts Independent Providers Housing/ Extra Sheltered Housing Voluntary Services Health Care Providers

7. £10M Invested In Tewkesbury Extra Care Housing! In 2004 Gloucestershire County Council produced a successful partnership bid to the DoH for Tewkesbury to build a 75 unit Extra Care scheme to be located on the Bredon Road development site. DoH awarded £4M towards Extra Care development Hanover Housing are investing £6M in development Scheme will be a mixture of 1 &2 bed flats, bungalows and will include on site care services, therapy facilities, cinema, IT suite, onsite restaurant and infrastructure for SMART technology. Opened January 2008 Supports agenda to help people to live independently as long as possible

8. Marina Court - Therapy and Wellbeing Services Extra Care moving towards prevention agenda… Joint appointment by Health and Social Care of a personal trainer qualified in exercise and health to provide a range of activities on a 1-2-1 and group basis including: o Active balance o Reminiscence therapy o Nintendo Wii sessions o Organises events and trips o Health promotion events oTelehealth / Medicine

9. Physical Activity: A number of regular classes per week Proportionate attendance of people from Marina Court and the local community Regular sessions include: Healthy heart Seated Activity Active Balance Holistic therapies Tai chi Breathe Easy/Pulmonary Rehab Expert Patient Programme/Caring For Me Cardiac Rehab

10. History in the Making: Further Education Session 1: Restoration of Out of the Hat & history of retailing in Tewkesbury Session 2: Writings of John Moore and local wildlife Session 3: Local Romany talking on Tewkesbury’s largest ethnic minority. 14-16 people attended each session.

11. Health Promotion Excursions: Open Gardens Walks for Health Local Museums Awareness events Monthly HP Social Events are booked or displays coinciding with the national health promotion calendar: National Multiple Sclerosis Week Pamper Day for Breast Cancer Awareness event Oral Health Promotion in National Smile Month Look After Your Legs Breathe Easy Week National Falls Awareness Day

12. Costs of Providing Acute Care Costs vary depending on complexity: Falls Between £1.8k & £3.6k Broken HipBetween £5k & £7k Diabetes Between £1.5k & £2k Unspecified / Between £1.2k and £4k off you legs Compare this to £30k joint funding for Health and Wellbeing Coordinator

13. What has been really successful The partnership commitment to providing services that meet the changing need of individuals Flexibility and ability to be brave! – to think ‘outside of the box’ in terms of care, support and healthcare, crossing the invisible boundaries Are already seeing the benefits and positive feedback from people who live at Marina Court and in the local community Seeing a reduction in community care packages