1 Prevention, Reablement & Integration

2 Background We are at an historic time for social care. We have a health and care system too focussed on crisis intervention and this is not sustainable. The Care Act will be the foundation stone of a new care system for this and future generations. We are shifting from a system that is essentially paternal and reactive to one that is preventative, personalised and proactive in its care approach In developing the legislation we have listened to those with experience of care and support, those with needs for care and support, their families and friends and the professionals and organisations delivering those services. Currently in the middle of the consultation process, working hard to get the statutory guidance right for all stakeholders. Prevention, Reablement and Integration

3 What are we trying to do? Create a system that intervenes early to prevent the needs for care and support or delays deterioration where possible. Not just about service provision – need to engage in a dialogue with individuals and carers about “what does a good life look like for you?”. Help individuals take more responsibility for their health and take early action to prevent or delay illness. Develop local approaches to prevention. Prevention, Reablement and Integration

4 What is new Preventing, reducing or delaying needs Prevention and early intervention is one of the key principles of the Care Act. We should do everything we can as individuals, professionals, and as a Government to prevent, reduce or delay the need for “formal” care and support. Too many people admitted to hospital or care service that could be avoided. Prevention, Reablement and Integration

5 Prevent: primary prevention – promoting wellbeing, aimed at those who have no particular health or care needs e.g., promoting healthy active lifestyles and reducing isolation. Reduce: secondary prevention / early intervention. More targeted interventions aimed at those with an increased risk of developing needs, to slow down any further deterioration and prevent other needs from developing. Delay: tertiary prevention. Interventions aimed at minimising the effect of disability or deterioration for people with established health conditions, complex care and support needs or caring responsibilities, including intermediate care and reablement. Defining Prevention Prevention, Reablement and Integration

6 For people to receive high quality health and support, local organisations need to work in a more joined up way – bringing together services provided by NHS organisations, local authorities and others. Disjointed care is a source of huge frustration for patients and staff. Achieving integrated care and support would be the biggest contribution that health & social care services could make to improving quality & care. What is new Focus on Integration Prevention, Reablement and Integration

7 What are we trying to achieve? Promoting wellbeing Maintain independence Reduce care costs Reduce dependancy Putting people in control of their care Meeting needs Prevention, Reablement and Integration

8 How will we do it Pioneers – a number of local areas have been moving towards more integrated working. The drive now is to scale up these efforts nationally. The Better Care Fund – providing the biggest ever financial incentive for local areas to integrate services, providing a real opportunity for radical change at scale and pace, so that patients receive the right care in the right place at the right time. Prevention, Reablement and Integration

9 Reablement: At the heart of integration At the interface between health and care -Helping people to do things for themselves -Learning or relearning the skills needed for independent living -Keeping people as independent for as long as possible Prevention, Reablement and Integration

10 Key Challenges Evidence of the benefits of preventative spend Investment in prevention and evidence for cost effectiveness Suitably trained workforce and the key role of OTs Prevention, Reablement and Integration