These slides show how over the last 100 years the profile of Scotland has changed. 100 years ago – a pyramid with few older people and large numbers in work to fund support and care. In 20 years time – we will have more older people than people in work. This shift means we need to shift the way we organise and deliver and pay for care.
And while the impact is gradually building over the next 20 years – we are feeling it now, and will feel it every year going forward. So, in 6 years time a 25% increase in demand for services – it doesn’t seem viable under the current arrangements.
The growth in demand due to demographic shifts needs to be seen alongside the financial projections for the next few years. So, is it realistic to think we can find an additional 22% of budget for health and social care for older people while at the same time public sector finances are set to fall by at least 10% - and probably more
Issues faced by HIV positive older people and older people are the same in many instances, however the pressure are much more acute on issues such as (i) care (ii) money and employment (iii) failing physical health (iv) mental health, loneliness and support (v) discrimination
Growing Older with HIV in Scotland
Positive Ageing: Growing Older with HIV in Scotland Callum Chomczuk, Senior Policy Officer, Age Scotland 19 th April 2011 ID9383
ID9383 The changing shape of Scotland’s population
ID9383 <ul><li>More of the same results in </li></ul><ul><li>2016 +22% (£1.1 billion) </li></ul><ul><li>2031 +74% (£3.4 billion) </li></ul><ul><li>At the same time …. </li></ul><ul><li>2016 -10%-14% reduction in public expenditure </li></ul><ul><li>_____________________________________________ </li></ul><ul><li>This means: </li></ul><ul><li>A new 600 bed hospital every 3 years for 20 years! </li></ul><ul><li>A new 50 bed care home every 2 weeks for 20 years! </li></ul><ul><li>£2.8 billion investment in ‘care housing’! </li></ul><ul><li>Virtually all school leavers to join the care workforce ! </li></ul>Financial pressures:
ID9383 Scotland 2000-2010 Persons aged 50+yrs at time of earliest known HIV positive diagnosis
ID9383 Total cases aged 50+ (alive and not known to have left Scotland): 1009 as at 31 December 2010
ID9383 Current Legislation and policies affecting older people with HIV Legislation Strategies Consultations The Community Care and Health (Scotland) Act 2002 Towards a Mentally Flourishing Scotland: Policy and Action Plan 2009-2011 Self Directed Support Bill
ID9383 Risks of Getting Boxed In – In our Thinking Doing it right – getting it wrong!!!
ID9383 What concerns people had about growing older with HIV What help they felt they wanted in addressing these concerns Age Scotland response to a national Study of ageing and HIV (50 plus) Financial Difficulties 79% Difficulties with Self Care 76.3% Mental Health/ Depression 72.9% Inability to get healthcare 69.5% Social Stigma/ discrimination 66.3% Loneliness 61.0% Employment 57.6% Finding a Partner 43.2% Information about health and treatment issues 86.3 Social Care 77.6 Social support/ networking opportunities 76.3 Physio Therapy 75.4 Counselling/ Emotional Support 73.4 Financial Advice/ Debt Management 62.9 Housing advice and support 55.9 Employment 45.9
ID9383 Age Scotland response to a national Study of ageing and HIV (50 plus) <ul><li>Recommendations </li></ul><ul><li>Older people with HIV need support on money and benefits entitlement issues, including the understanding that such help is available to them. </li></ul><ul><li>Services which support the mental health and well-being of people with HIV over 50, including counselling, peer support and other emerging strategies within long-term condition management, should be prioritised for development, evaluation and funding. </li></ul><ul><li>Social care providers for older people and those for people with HIV should work together to address knowledge gaps and service gaps on each side, ensuring quality services for all. </li></ul>
ID9383 <ul><li>Age Scotland: HIV and Ageing- How to overcome barriers and Stigma </li></ul><ul><li>Over 400 local member groups across the Country including community groups, charities and social enterprises. They work across many sector such as healthcare, housing, social care, sport, transport, and welfare services. </li></ul><ul><li>Quarterly Publication read by 10,000 older people </li></ul><ul><li>Four Regional Assemblies all across the country </li></ul><ul><li>Policy and Influencing work </li></ul>