Care and Support for Older People Bryan Healy Workforce Intelligence Manager

Backcloth and Drivers Integration Personalised Care / Person Centred Care Self Directed Support Carers and Young Carers Strategy Coproduction Backcloth and drivers Integration- structures-services-budgets-delivery Personalised/Person Centred – what does that mean-give examples –outcomes based care Self Directed Support – Individual Budgets – growth of Personal Assistants – many don’t want responsibility of budgets but do want more say what they receive and therefore an outcomes based approach is required Carer and Young Carer Strategy – significance of support given particularly –how do we ensure we are supporting them and not burdening them Coproduction- what does that mean for service design – at strategic level the Change Fund Plans- how should that vision of coproduction influence strategic direction- how will it impact at operational levels- how do we achieve coproduction at the level of delivery-the person and their carers at the centre asking for and receiving the care they want at the time they want it- this must apply to community health care as much as to social care

Joint Work Between the SSSC and NES SSSC/NES Strategy Group Reshaping Care for Older People Scotland’s Dementia Strategy Joint work on Leadership Joint Work Strategy Group- SG-Professional bodies-funding bodies- Common Core Skills for the Children’s Workforce and RCOP both report into this group Reshaping Care for Older People – Delivering our Ambitions, a 10yr transformation plan- Complex Care-Care Settings-Community Capacity Building- Supported by 2 further groupings one on Funding and Demographics the other on Workforce - We are jointly leading on the Workforce strand of this work- 3 areas- Skills Requirement- Learning Support and Supply- Demographics Dementia Strategy- Joint production of the Promoting Excellence framework that defines the knowledge and skill at 4 levels Dementia Informed Practice’ – baseline knowledge and skills required by all staff Dementia Skilled Practice’ -staff who have direct and/or substantial contact with people with dementia and their families and carers ‘Enhanced Dementia Practice’ –staff who have more regular and intense contact Expertise in Dementia Practice’ -for health and social care staff who by virtue of their role and practice setting play an expert specialist role in the care, treatment and support of people with dementia Leadership- Roll out of Action Learning Sets across ten CHPs/ CHCPs-bringing managers from the different sectors together to reach solutions to shared problems

Older Peoples Care Workforce Social Service Workforce Care Home workforce- 54150 workers Public 7,740 Private 36,400 Voluntary 10,010 Care at Home and Housing Support-63750 workers Public 19,930 Private 15,840 Voluntary 27,980 Challenge of delivering Knowledge and Qualifications Older Peoples Care Workforce Social Service Workforce –defined by the Regulation of Care (Scotland )Act 2001-comprises over 198000 workers – SSSC workforce regulator and workforce development responsibilities – we set the standards of conduct and the qualification requirements Care Home workforce- comprises more than 54000 people working in over 1300 registered services- Sectoral split-Managers, supervisors, practitioners and support workers- by September 2015 all will be required to register-phased approach Care at Home and Housing Support – there are just under 64000 people engaged in care at home and housing support-dual service registration- Sector Split- Currently consulting on the functional descriptors for these roles and the Ministerial direction is currently that all workers in this category will be required to register by 2020-again a phased approach – consultation currently underway ends in August Challenge-not only do we have the challenge of delivering knowledge and qualifications to 118000 staff but these staff work currently work across three different sector, public, private and voluntary sectors- the majority of these services having to be commissioned by the public sector- highly significant in the complexity it brings to interagated delivery and a standardised approach with common standards of practice in every part of the country

Going Forward Cultures Doing “with” not “to”! Commonality of skills requirement Accessibility of Knowledge Cultures Social Services and Health have developed in parallel for over 60 years sometimes closer together at others seeming to move further apart. This has led to a false sense of separation in the ultimate outcomes we seek to achieve. Best possible services for the people of Scotland. The culture in both services has determined how we deliver and in social services has led some to comment on how the financial climate has encouraged a “race to the bottom”. Neither of us can claim a monopoly in good quality service-we have all allowed our services to concentrate on doing to rather than with. We can and must turn that around Skills requirement- we need to better understand the common core skills required to deliver good care services-while the skill to perform specific functions is fundamental what people tells us is our deficit is in not listening, not responding, not personalising what we do. Much of that is around the common value base-but what is that?- dignity, choice, respect for the individual, enabling independence, supporting citizenship, empowering through lessening our grip, social inclusion, respect for diversity, care and protection for vulnerable people and confidentiality and trust. No-one would disagtree with these but each of them brings its own challenge and we must be prepared to address and debate what these are to improve what we do, and do it with confidence Knowledge- diversity of the workforce – dispersed nature of the social services workforce- the paradox that those at the bottom of the structures we have devised are often the most respected workers in our systems because of the face to face nature of what they do- how do we help them to do even better/ Knowledge must be appropriate and accessible- bite sized chunks (mobile apps) - relevant to task and qualifications requirements. The launch of this portal is the first step in the right direction