Supporting Independence –Prevention and Early

InterventionSharon LongworthSenior Manager

Strategic Planning and Commissioning

Defining Prevention

• To prevent, reduce or delay the need for health and social care interventions

• With a clear focus on promoting independence through an enabling or re-abling approach

BUT not everything for everyone …

• Targeting our approaches where they are likely to achieve the best outcomes and will have most impact on maintaining independence – people at risk, but not yet eligible for social care support

Our approach• Building capacity – helping people make

informed choices and take responsibility for themselves

• Commissioning, or supporting access to short term support in response to life events – enabling people to get back to where they were before a crisis

• Commissioning or supporting access to services to avoid, reduce or delay the need for long-term health or social care support

Targeting

• Using evidence and information:– Demographic data; citizen and service user

views; demand / needs analysis; current provision; evidence of what works

• Understanding the trigger points or life events when short-term support will help

• Making better use of contact points and opportunities to identify risk or increasing frailty

Modelling interventions

Health

and

Well

Being

Increasing age

Death of a spouse

First fall

Courtesy of Institute of Public Care / Oxford Brookes University

Onset of Long Term Condition

Commissioning themes

– Information, advice and assistance – Carers– Community networks and development– Housing and accommodation– Independence at home services– Assistive technology and reablement– Hospital admission and discharge– Long term conditions

Housing and accommodation• Collection and use of information on housing

need / demand – whole community• Increased engagement with all sectors of

housing market• Working in partnership to:

• Identify where housing needs to be re-modelled or decommissioned

• Develop local offers and services to support independence• Ensure new developments meet strategic aims

Independence at home services

• An overarching approach to home-based support - whatever the housing type or tenure

• A ‘menu’ of interventions, based on holistic, person-centred assessment of need

• Removing fragmentation, duplication and ‘hand-offs’ of current approaches

Developing the options

•Befriending, social interaction •Practical support

shopping, housework, gardening

•Home maintenance, upkeep, adaptation

•IT and internet skills

•Assistive technologyTelecare and Telehealth

•Domestic / life skills

•Mobility and exercise

•Safety and security

•Advice and information

•Managing finances, maximising income

Questions and comments?

• The approach in general– Does it feel right?

• Turning a strategy into a delivery plan– Your thoughts on next steps?

Sharon Longworth

Sharon.longworth@essex.gov.uk01245 434967