1. What else? Other deliverables to support DFG work Robert Cornwall – DFG Co-ordinator - Cumbria Foundations DFG Workshop - Riverside Liverpool 28 th June 2012

2. In the Past Old Couple by the Cottage

3. What does old age look like? Standard Life Pensions website SAGA Dating Scottish Widows Active Lifestyle

4. Growth in Over 65 Households – Cumbria and Manchester Comparison Cumbria Manchester City Similar Populations – 500,000

5. Ageing Well in Cumbria Importance of involving older people and creating a partnership approach Key issues for us Tackling social isolation Better partnerships and engagement Developing community assets Improved advice and information Intergenerational work Listening is key – encourage and respond Help older people to be active in their communities – improving engagement – good examples already

6. Adaptations stuff Traditional Grant funded Based on expectations – promises What if nothing was there? Assumptions – Growing older people population will be the same as now – It is inevitable that we will be overwhelmed Interest Groups – e.g. Suppliers, Social Care, Politicians, Providers Personalisation

7. Health Incentives, obligations and reality – NHS Outcomes Framework Preventing Hospital Admissions – Readmissions and Falls Hip Fracture costs £30k in Health and Social Care Cold damp home – link between Housing and Health Social Isolation Health and Wellbeing Agenda

9. Self Help Leveraging someones assets Families - responsibility Preparing for growing old – in your 50s – Keeping active – Adapting your home when you have income Creating resilience in yourself and your family, home and community Digital resources - telecare

10. Community Led If your neighbour was unsafe in their home, unable to have wash, trapped on the ground floor, sleeping on the sofa, what would you do? Asset Based Community Development – Social Enterprise – Employment and Training Projects

11. Housing Solutions Moving to a more suitable home Homeshare Offering an alternative to staying in the same house all your life Creative use of equity – holy grail HMG No Lifetime Home standards

12. Prevention Strategies Offering services which increase activity and opportunities for reducing social isolation Targeting prevention at whole population – Cultural Shift – Clinical Commissioning Groups – Health and Wellbeing Strategies Technology

13. Barriers to Change Attitudes and habits – weve always got by No Reality check – Promises – a safe and secure old age Consumer culture – Are you a producer? Legislative changes – Welfare reform

14. On the Horizon Draft Social Care Bill – Cap on Residential Care costs - £35k -£50k – Making DFG expenditure allowable in the cap Make staying at home first choice – Some Hospitals offering straight to Residential Care as an option – this will have to stop – More Integration Localism and Place based budgets