The initiative was supported by the Partnership which wished to reduce levels of delayed discharge from hospital by eliminating or minimising waiting times for telecare installation to support older people living at home with a care package.
East Ayrshire Community Health Partnership have been working collaboratively with Council , Health Board, private and voluntary sectors colleagues over a number of years to reduce admissions and readmissions to hospital, encourage independence and support older people to remain at home. At the same time older people are telling us that they wish to stay in their own homes whenever it is safe and practical to do so, to be helped to be more independent; and to have choice and control over how they manage their lives. Intermediate Care and Enablement Services is recognised as a key approach to meet the challenge to re-shape health, care and support services for older people.
Users of the previous traditional home care service received a service that operated in a culture of ‘doing things for’ people that reinforced deficits and increased dependency. This ‘locked in’ resources with people who had the potential to improve their confidence, self esteem and independence while demand for the service was increasing because of the growing numbers of older people. In addition, there were financial pressures on the local authority.
East Dunbartonshire has the highest ratio of older people in Scotland. The percentage of population with dementia in the area is also greater than the national average and is expected to increase even further.
The clinic model contributes to a more efficient use of existing services through enhanced co-ordination of the existing resources of all of the partner organisations. They deliver flexibly and sensitively the type of advice and support that people with dementia have told us they need.