elizabeth mc positive change in ageing pop 070910
TRANSCRIPT
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Positive Change
Elizabeth MacDonaldScotland Policy Officer
College of Occupational Therapists
Drivers for change
• Ageing population,
• Growth in long-term conditions,
• Growth in emergency hospital admissions
• Health inequalities
• Changes in capacity of the workforce
• Developments in IT
• Vulnerability of rural healthcare2
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The changing shape of Scotland’s population
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Some headline projections
• Scotland’s 65+ population projected to rise by 21% between 2006 – 2016
By 2031 it will have risen by 62%
• For the 85+ age group specifically, a 38% rise is projected for 2016
And for 2031, the increase is 144%
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Demographic change for population aged 65+ Scotland
Potential impact on specialist care services 2007-2031
0
40000
80000
120000
160000
200000
Actual2007
2011 2016 2021 2026 2031
N of
peo
ple
1-9 hrsHome care
10+ hrsHome care
Care Home
Cont h/care (hosp)
Projection
26%
94%
P Knight Scottish Government
Projected Health and Social care expenditure for Scottish populatiion aged 65+
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
9,000
2007/08 Actual 2011 2016 2021 2026 2031
£m
NHS Social Work
22%
74%
Current service provision by service type
People aged 65 and over
hospital est
care home
home care
all others
Current service provision by age group
75-84
85+
65-74
97%
88%
60%
How can we prepare for the changing needs of the
population and to shape the future of health and social
care?
The policy context
Kerr Report - Building a Health Service Fit for the Future - a National Framework for Service Change
• (Delivering for Health) now Better Health, Better Care – Action Plan
• Changing Lives
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Key themes• Shift in balance of care
• Management of LTC
• Self management / personalisation / empowerment
• Anticipatory care
• People as partners
• Building community capacity
• Seamless transitions
• Integrated teams
• Prevention
• Carers as partners
• Proactive use of technology11
Government strategies etc• Coordinated, integrated and fit for purpose-A
Delivery Framework for Adult Rehabilitation in Scotland - Rehab Framework
• Guan Yersel!• Provision of Equipment and Adaptations• Reshape of Care for Older People• Dementia strategy
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Changing Lives, Changing Practice:
Occupational therapy in social work, enabling independent living
in Scotland
Dr Jill Riley
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What can you do?
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Be an active members of your professional body
Promote Occupation and Occupational Therapy
Enable and influence positive change
Get together with your colleagues
• learn,
• share,
• debate,
• contribute,
• Influence ...17
Hot topics ... ?• Integrated working across NHS and local authority• Making beset use of the OT resource• Skill mix• Loss of OT in your title - generic working – loss of
OT skills• Access to HNC in OT Support• Implementing Guidance on equipment and
adaptations• Community rehabilitation and re-enablement • Personalisation and self management
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Something positive ...
Form a
BAOT/COT
LOCAL GROUP
Speak to Anna, Lee, Chris-Elaine or me during the breaks for more information
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