Health Services Executive

Services for Older People

Ann CoyleNational Planning Specialist for Older People

Policy

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

• Support family/informal carers

• Provide high quality person centred residential care

Where older people are

• In their own homes

• In supported housing in the local communities

• In Residential care

In their own homes

• 360 million spent in home care

• Increase of 131 million since 2006

• 10 million additional in 2010

In Supported Housing

• Underdeveloped

• Need for collaboration between agencies

• Need to develop a range of funding models to support a range of financial situations

In Residential Care

Legislation supports residential care but not primary/community care

While supporting 4.6% of older people consumes a significant portion of the budget

Recent legislation while more equitable could drive demand upwards unless acceptable alternatives are available

Residential care

• New models of care

• Person Directed

• Person Centred

• Innovation solutions including technological ones

Challenges for telecare/telehealth

• Hard to get on the Agenda

• Still seen as ‘add on’ to core services

• Reconfiguration rather than new monies

• How can we do more with what we have

• How do we change practice

• Culture transformation

What do we need

• Strong evidence of what works

• Incentivisation

• Connected agenda