Reshaping Care for Older People

9th November 2011

Almost 100 delegates from voluntary groups, carer support groups, independent care providers, NHS Highland and The Highland Council met last week (2nd November) in Inverness to plan how older people can be better cared for in their communities in the future.

The event had been arranged by the Highland Third Sector Partnership, a group of local organisations funded by the Scottish Government to support voluntary activity and volunteering. Its aim was to bring together people to consider how to implement the Change Plan for Reshaping Care for Older People.

The event was opened by Elaine Mead, Chief Executive of NHS Highland, and Bill Alexander, Director of Social Work for The Highland Council.

Elaine Mead explained that the way care is currently organised is not going to meet the needs of people of Highland going into the future.

She said: "We now need a real focus to understand different approaches as to how we keep people independent and in their own homes for as long as possible. We want to reduce the amount of times people are admitted to hospitals as emergencies, but when they do have to be admitted we want to reduce the time they need to stay in hospital.

"There are thousands and thousands of beds in Highland - in people's homes - and that is where we would like to keep them. But that poses many challenges not least how we make sure the right care is in place.

"Over the next few years we will use the money available to us from the Change Fund to think and work in different ways. This will include supporting communities to support themselves."

At a strategic level, NHS Highland and the Highland Council are in the process of carrying out a consultation to integrate health, social care and education services. This will deliver a more co-ordinated and responsive care.

Bill Alexander explained the Change Fund is not there to fund new services but to change how services are provided.

He said: "The £3.4 million available to Highland is not for funding new services but to really shift the balance of care from acute hospital settings to more local settings and ideally in their own home. This will mean we need to look quite differently about what support is in place to provide responsive services and ideally to support people in their own homes."

The Change Plan forms part of Highland's modernisation of community care services. It will build on existing work such as anticipatory care planning, work on reducing falls in older people and making sure we carry out regular reviews of what medicines people are taking. Getting these things right have all been shown to reduce the amount of time people spend in hospital.

Neil Sutherland, a member of the Highland Third Sector Partnership, who chaired the meeting, said: "This was a most successful day and we were delighted with the number of people who came and the range of organisations they represented.

"We asked for ideas about how they could work together as partners with NHS Highland in delivering care and other services for older people in the community.

"During the course of the afternoon, over 20 practical initiatives for specific services such as community transport, falls prevention and local care networks were identified. These will be developed over the coming months and the network of contacts made during the day strengthened."

During the day, the delegates heard from a range of speakers including those involved with work in Assynt (North West Sutherland) where communities are actively engaged in looking after their own people.