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  • 1. Service Solutions to Changing Lives Tracey Roose Chief Executive: Age UK Cornwall and the Isles of Scilly
  • 2. Overview
    • Context for Cornwall
    • Impact of reform
    • Opportunities for Changing Lives
    • Current innovations
    • Impact and outcomes
    • Lessons learned
  • 3. Understanding Cornwall
    • Increased older population
    • 56,000 carers
    • Over 23% of over 50s live alone
    • 46% of people in dispersed settlements less than 3,000
    • Two acute hospitals
    • 45,000 people fall every year
    • High levels of deprivation
    • 21% of over 75s live with long term conditions
    Produced by Cornwall Council
  • 4. Impact of reforms
    • Structural changes and new partners
    • Fragmentation in delivery
    • Professional boundaries
    • Prevention as a bolt-on
    • Dependency culture
  • 5. Experiences Age is just a label Always see the person, not the patient Older people are individuals, not a collection We have seen it all before, so ask us for solutions How do we change the view that the professional always knows best? Lets work together to find a better future We want to be listened to How do we bridge communication between generations? Why do so many people come up my garden path?
  • 6. Opportunities for Change
    • Increasing role of the Voluntary Sector
    • Repositioning of Age UK Cornwall and IOS
    • Searching for new solutions
    • Availability of some short term resources
  • 7. Changing Lives - Our Principals
      • Self management, self care and mutual aid
    Underpinned through the coproduction of services Mainstreaming prevention throughout Shared understanding of multiple outcomes
      • Identify network relationships
    Reshaping not layering policy design and delivery Build social capital, bonding and bridging Building a network of delivery “agents” Support emerging innovation from interactions
      • Underpinned by evidence
    Understand boundary dynamics, institutional and communities of place, interest, need and practice Adding value without adding layers
  • 8. Our Approach
  • 9. Practical Developments
    • What
    • Get Well, Stay Well
    • Steady-On
    • Maintenance Cognitive Stimulation
    • Practice based dementia support
    • VIVA
    • Pub is the hub
    • How
    • Co-production
    • First contact approach
    • Virtual community networks
    • Accredited training
    • Engaging forums and groups
  • 10. Making a difference
    • Reduced hospital admissions and readmissions
    • Stability in cognitive functioning
    • Increased take-up of exercise
    • Increased awareness of dementia; QOF register
    • Employment and volunteering opportunities
    • Local involvement
  • 11. Multiple Outcomes
  • 12. Lessons Learned
    • Talk the language
    • Be realistic about the impact
    • Never underestimate the importance of behaviours
    • You can’t do it alone
    • Find local solutions to national direction
    • So what!