BtiBEYOND tHE iMMEDIATE’

A project designed by older people for older people

Purpose of Bti

• To INVOLVE older people– In developing and delivering the

research and beyond

• Ascertaining needs, concerns and aspirations now and for the future– Feedback; involvement; promotion

• influence key planning and delivery of services

How Bti was undertaken

• 2001 Census data and local information / previous research

• Depth interviews and group discussions (37 interviews in total). Wide range of participants.

• Mailing test surveys (50 pages!) to over 3000 older people in Wiltshire: over 200 helped

• Mailing the final 20 page version to over 5,400 people: over 1,100 responded1,100 responded

How Bti was undertaken

• Promoted in local media

• Incentives offered• Business support

• Translation help• 4 languages• BME and traveller engagement sought

• Completion support (volunteers)

Survey coverage

• Leisure and recreation

• Family and friendship networks

• Local community• Local environment• Independence• Health and ability

• Care and support• Health and social

care• Work and

retirement• Communications

and IT• Education and skills• Future planning• Profile

INVOLVING OLDER PEOPLE

• Older people:– Told their stories– Shaped content– Reviewed and tested documents– and answered their questions– Contributed to project planning and execution– Attended major conference with providers and

stakeholders– Developed outcomes from workshops– Presented survey findings to wide range of audiences– Became ‘ambassadors’– Became an active resource for further engagement

IMPACT Bti response

• More NHS dentists (66%) – £1.4m extra allocated over 2008/10

• Easier access to GPs (32%)– 95% practices offer extended opening hours– New generation of primary care buildings

• More locally delivered services (31%)– Neighbourhood teams deliver more care at

home

Primary Care

IMPACT Bti response

Secondary Care

• Clean hospitals (69%)– Lower MRSA rates

• Shorter waiting times (64%)– 13 week maximum wait this year

• Better hospital management (27%)– Improving Health check ratings

IMPACT Bti response

Key challenges• Maintaining independence

– Health screening as part of general practice – Increased support at home– Rapid access to cataract surgery

• Improving prevention services– Falls prevention plans in place– Good uptake of influenza jabs– Developing plans for early treatment of

cvd/stroke

Challenging issues

• How to help with loneliness and isolation• Better recognition of depression and

dementia• Finding more effective ways to support

carers• Joining up the different strands of care and

support • Meeting rising expectations • Getting better at sharing priorities

IMPACT Bti

• County Strategic Board for Older People

• Older People’s Strategy • Joint Strategic Needs Assessment• Independent Forums• Specialist groups

Outcomes of Bti

• Shaping thinking and planning • enabling development of services• influencing delivery• Informing a new strategy for older

people’s services• recognising and engaging older

people!

Outcomes of Bti

• On-going research among older people through setting up of:– Consultation panel of over 50’s:

– Research & Consultation team to facilitate discussion groups

Future opportunities

• Wiltshire Older People’s Strategy:‘Ultimately, thousands of older people across this very rural

county will benefit if providers of services base their decisions on identified needs and what older people

themselves say they want in the future, not on assumptions made on their behalf’

• Age Concern Wiltshire has made a significant difference in connecting older people with a wide range of providers, and enabling their voices (of needs and preferences) to influence development, delivery and direction

• Imperative that funding and resourcing are provided to enable this work to continue