1. Smart & Health Aging Promoting Empowering Systems
SHAPES
Smart & Health Aging Promoting Empowering Systems

2. Possible Demonstration Sites/Countries
Ireland
UK – Northern Ireland
Portugal
Finland
Czech Republic
Italy
Spain
Greece ?

3. Possible Composition of Sites
Service Providers
Housing Associations
Ageing Associations
SMEs
Product Manufacturers
Civil Society
Researchers
Users Organisations

4. Citizens in a rapidly ageing European population are at greater risk of cognitive impairment, frailty and multiple chronic health conditions with considerable negative consequences for their independence, quality of life and for the sustainability of health and care systems.
Countries will be selected as comparative case studies related to dependency ratio, population pyramid and special circumstances – cross boarder, contested identities, migrant populations (including some Reference Sites).
Early detection of at-risk or prodromal symptoms of impairment related to ageing; using established and new tools (e.g. WGQs, RATA++) and perhaps wearable technology in naturalistic environments – physical, neurological, psychological, community and QoL perspectives. 
An approach that incorporates provision for impairment associated with ageing and impairment from other causes – one inclusive system for all, “leaving no one behind”. Addressing the SDGs re gender, disability, ethnicity – intersectionality of ageing. 
A life-course approach with care-pathway planning into the future, anticipating needs, resources and opportunities, decades ahead.
Increasing duration of productive (new meaning) work, leisure, cultural life, new enterprises; positive ageing and living a good life with impairment.  Embracing fitness, nutrition, cognition etc for healthy ageing in general. Using technologies to supplement (decreasing) intrinsic capacity and increase functional capacity.
Promote resilience through sense of coherence, role and purpose. Spill-over effects - how the system add value to other members of the community.
Integrate health and social care systems, keep people connected to them but anchored in communities (Kobe) triaging skills across professionals, volunteering, peer support, community networks. 
Embrace different settings – independent living, sheltered communities, residential.  
Address duty of care re State vs duty of service users, in user-empowered models of service provision, as well as other models - for-profit, charity, PPPs. 
Promote sustainability by addressing structural barriers (Pillar of Social Rights, UNCRPD, heath as a consumer right) and providing inclusive and equitable pathways to policy development and revision is required. 
Adopt market-shaping to ensure provision of services to all groups (especially marginalised groups) and maintain incentives for product and market innovation for the full range of stakeholders. 

5. The challenge is to foster large-scale deployment of integrated digital solutions which will bring improved quality of life to citizens while demonstrating significant efficiency gains in health and care delivery across Europe.
Demonstration projects must be scalable, and therefore a methodology for scaling good practices is required.  This requires understanding how context patterns possibility.  It does not require uniformity but the capability to adapt to diversity and difference. 
These good practices must be systemically integrative – of all technologies that can promote smart and healthy living  - and must manage and then use the information intelligently.
The ‘system’ here must be the ‘system-as-experienced’ form the user’s perspective – across sectors (health, welfare, employment, education).
Intelligence here means learning and adapting both for the individual’s technology (assistive, sensors, ICT) and for the system that mediates it.
Specific foci may include and should highlight aspects of commercial assistive living robots, wearable sensors, AI and biophotonics. 
Intelligence also embraces morality and ethical use and development of technologies. A code of practice or ethics protocol, protecting individual rights, and identifying service provider obligations and identifying State responsibilities is needed. 
Efficiency gains may require users to develop a level of health or technology literacy to avoid technology abandonment.
The economic cost-saving from demonstration projects is required.

6. SHAPES Workshop Provisional date: 16/16th May
Recruiting Researcher to support this via EI.