Health Services Executive

Services for Older People

Ann CoyleNational Planning Specialist for Older People

Services for Older People

• To support Older People to remain in their own homes and communities

• Support family/informal carers

• Provide high quality person centred residential care

Priorities

• Hospital Avoidance• Accelerated Discharge• Residential Care Avoidance• Improved Quality of Care• Improved Quality of Life

Home Support Services

• 360 million spent in home care• Increase of 131 million since 2006• 10 million additional in 2010• 8million additional in 2011

Main reasons for residential care admission

• Dementia

• Falls

• Stroke

•

HSE StructureClinical Strategy and Programmes• 20 Clinical Care Programmes

– To improve the quality of care – To improve access to all services – To improve cost effectiveness

Clinical Strategy and Programmes

Care of the ElderlyDiabetesCOPDAcute Coronary SyndromeRheumatologyStroke

Objectives of the Elderly Clinical Care Programme

• Quality– Improve the management of acutely ill frail

older people in acute hospital– Increase independence in the home– Reduce the number of falls in older people– Improve education

Access

• Every patient has quick access to right care

• Integrate acute and community services for older people

• Integration with the private sector

Cost

• Overall reduction in – ED attendances– Readmissions– Hospital Bed Days– Nursing Home bed days

Falls

• Falls Strategy• Environmental Sub Group –telecare

identified as an enabler• Implementation of the Falls Strategy is a

key priority for the Elderly Medicine Clinical Care Programme

Interagency working group on Telecare

• Driven by the HSE• Connected to the Housing Aid Grant

process• DOHC,DEHLG,HSE and user

representatives• Home Solutions Report

Recommendations

• Should be a substantive part of Home Care Services

• HSE and DEHLG should develop Assessment processes for Telecare

• Training and Support for staff• Effective commissioning processes

Challenges

• Cost containment• Return on Investment• Integration• Change Management• User involvement

Challenges

• No new monies. Any new initiatives must show clear return on investment in hard evidence

• i.e. reduction in home help hours, reduction in attendances in out patients

Integration

• End to end solutions• Any new systems would need to address

the whole pathway i.e. provide monitoring systems plus alert follow up

• Collaborative solutions

User Involvement

• Simple devices

• Multipurpose

• Continuous feedback on compliance, ease of use

Governance

• All projects including pilots need to– Involve all relevant stakeholders– Ensure compliance with relevant legislation

and international standards– Ensure Procurement Protocols are adhered to

Ageing Challenges

• Demography• Image of ageing• Encouraging innovation at a time of

shrinking resources• Balancing Health and Social Care• Fragmentation

Ageing Opportunities

• Innovative solutions to our problems

• Opportunities for collaboration

• Culture Change