Professor Ian Philp looks at the future of care for the elderly and points to consider moving forward.

1. Elderly care conference 2017
The future of care for the elderly
Professor Ian Philp

2. The Future of Care for the
Elderly
Browne Jacobson
Elderly Care Conference 2017
Birmingham
Professor Ian Philp, University of Warwick

3. Populations are Ageing Rapidly
900 Million
1400 Millon
2100 Million
3200 Million
0
500
1000
1500
2000
2500
3000
3500
2015 2030 2050 2100
Year
Numbers of Older People

4. ∗ Evidence-based action to maximise functional
capacity 2016-2020
∗ Evidence and partnerships to support a golden
Decade of Healthy Ageing 2020-30
WHO vision: a world in which
everyone can live a long and
healthy life

5. ∗ National policy frameworks
∗ Build capacity for evidence to inform policy
∗ Combat ageism and transform understanding on
ageing and health
Action on Healthy Ageing in
Every Country

6. ∗ Foster older people’s autonomy
∗ Enable older people’s engagement
∗ Promote multisectoral action
Age Friendly Environments

7. ∗ Orient systems to functional capacity and ability
∗ Access to person-centred and integrated care
∗ Appropriately trained, deployed and managed health
workforce
Align Health Systems to Older
People’s Needs

8. ∗ Sustainable and equitable system
∗ Enhance workforce capacity and support caregivers
∗ Quality of person-centred and integrated long-term
care
Sustainable And Equitable
Long-term care

9. ∗ Methods to measure, analyse, describe and monitor
healthy ageing
∗ Increase research capacity and incentives for
innovation
∗ Research and synthesise evidence on Healthy Ageing
Measurement, Monitoring and
Research on Healthy Ageing

10. Segmenting the Older Population
Frail
At Risk
General
Specialist
Primary Care
Public Health

11. Public Health
Five areas to change behaviours:
Physical Activity
Social Networks
Self-esteem, distress and sleep
Diet
Alcohol and tobacco consumption

12. Primary Care
49 top risks across seven domains:
Communication
ADL
Mobility
Housing and Finance
Safety and Relationships
Mental Health and Well-being
Staying Healthy

13. Specialist Care
Five principles for redesigning services:
Choose to Admit
Early Specialist Assessment
Discharge to Assess
Recovery Before Placement
Every Moment Counts

14. Placed-based Integrated Community Care Vertically Integrated Acute Care Placed-based Integrated Community Care
Emergency
Community
Response
Acute
Hospital
Care
Early
Supported
Discharge
Preventative Care, Anticipatory Care and
Long-term Conditions
Management
Rehabilitation, Reablement, Advance Care
Planning and Transition to
Long Term Care
A Proposed Model of Integrated Care
Place-based Integrated Community Care and Vertically Integrated Acute Care

15. Benefits Realisation from Service
Redesign - Warwickshire
Indicator Improvement
Throughput, discharges per bed pa ↑31.5%
Average Length of Stay ↓33%
Proportion of admission prevention (step up beds) ↑12%
Use of medication : proportion of patients receiving sedatives and antipsychotics ↓60%
Use of medication : proportion of patients receiving antipsychotics ↓75%
Falls per 100 bed days ↓20%
Increase in numbers seen by Community Emergency Response Team ↑ 250%
Discharge directly from Medical Assessment Unit ↑7%
Mortality ↓15%
Readmissions from acute care ↓3%
Discharge to nursing homes of those previously living at home ↓15%

16. Changing the trajectory of later life
Ag
e
Successful ageing
Usual
Ageing
Pathological ageing
Progression of age towards
death
Healthy Ageing
Progression of age towards
death
Unhealthy
Ageing

17. Reflections
From a culture of welfare and
care...
... to a culture of capability and
empowerment