1. Older Adults within Clackmannanshire Jane Menzies, Assistant Head of Social Services Norrie Moane, Operations Manager, Signpost / CHL

2.  Why are we having this discussion?  The vision  The challenges  The role of services in achieving  Why do this?  What difference the community can make  What we can do in relation to current picture  Outcomes Introduction

3.  Reshaping Care for Older People  Christie Report  Health and Social Care Integration  Joint Commissioning Plan for Older People Why are we having this discussion?

4. A joint Approach?

5.  Empower Older Adults and provide opportunities  Provide safe environments that promote independence not dependence  Allow choice of high quality responsive services Our Vision: To enable older people in Stirling and Clackmannanshire to live full and positive lives in their own homes or when this is not possible, within homely settings within supportive Communities To achieve this:

6.  Ensuring older adults are at the heart of decisions  Value community assets  Supporting independence  Collaboration across the partnership  Communication The challenge?

7.  Working in a whole systems approach  Agreeing key outcomes and a shared direction  Understanding of roles  What will this look like and feel like in reality? The role of services in achieving this

8. A whole systems approach? Inputs Older adult/ Service Needs/ Problem Analysis Decide Goals and Priorities Identify, Assess & Select Means & Options ImplementOutputs Outcomes Evaluate At all stages incrementalism and value judgements Systems Model (Modification of Thomas, 1988)

9.  Changing demographics  Working together we can achieve more and have greater success  We want to ensure services are fit for purpose  To make sure that services are ‘Right’ Why do this?

10.  Community support can reduce institutional care  Inadequate care will put people at risk of ill health, isolation and stigma  There is increasing evidence that chronic illness is strongly related to networks and communities. Well- being is particularly dependent upon relationships (Foot & Hopkins, 2010) Foot, J., & Hopkins, T., (2010). A glass half-full: how an asset approach can improve community health and well- being, London: Improvement & Development Agency. What difference can the community really make?

11.  Our Asset Map  Build a greater sense of community locally  Support an appreciation of older adult needs  Shared responsibility?  Consider hidden/vulnerable groups  We need a shared strategy! What can we do to help?

12. Asset Map

13.  What is happening already?  Are we using good practice to best effect?  Collaborative working  Do our networks make best use of our assets? Understanding the current picture

14.  What do we mean by outcomes?  A definition: ‘impact, effect or consequence of help received’ (Nicholas et al., 2003).  How do outcomes effect our work?  What is the impact of what we do and what is the effect of our actions? Nicholas, E., Qureshi, H., & Bamford, C., (2003). Outcomes into Practice: Focusing practice and information on the outcomes people value - a resource pack for managers and trainers, Social Policy Research Unit, York: University of York. Outcomes

15.  Vision  Attitude  Impact Conclusion