The principles behind Reshaping Care emphasise the need for effective partnership working across all sectors involved in supporting older people. The independent sector is a major provider of health and social care services across Scotland. The appointment of a Development Officer was intended to achieve the following aims:
Ensure the sector were fully informed, engaged with, and represented in relation to the Reshaping Care agenda.
Identify and encourage relevant workforce development opportunities for the sector which will support the principles of continuous change and improvement.
Promote key Reshaping Care themes amongst the sector and their role in contributing towards these e.g. falls prevention, infection control, end of life care, dementia, medications, anticipatory and preventative care
To combat poverty and financial exclusion by improving take-up of older people’s benefits with particular emphasis on clients who have health problems, are housebound, or who live in remote areas.
The service aims to ensure that hard to reach older people are given an opportunity to claim the benefits and access the support that they require. Typically older people do not access benefits and support due to multiple barriers. The OPAS delivery model aims to overcome these barriers.
The project focused on Falkirk, Clackmannanshire, West Lothian, North Lanarkshire and Glasgow.
To improve entire patient pathways in the areas of Medicine of the Elderly, orthopaedic rehabilitation, stroke services and management of acute patients with dementia and delirium. Specifically to use lean methodology to:
Improve flow to ensure that patients get timely access to the appropriate services
Reduce lengths of stay for older people
Improve health and social care interfaces
Support the rebalancing of care towards care in the community
Improve the management of patients in acute settings with dementia and delirium.
 (Care Homes not in scope for the programme. MoE encompassed community & social care services (except Stroke, GORU & Dementia).
Development of a traditional care home environment towards a more reablement model of care which can be accessed by all professionals in the community and including hospital staff for rehab discharges prior to patients returning home.
One example was a lady with Dementia who was referred in order to consolidate support available and identify any areas that might require assistance. However, during preparation it transpired that this elderly lady was also a victim of financial abuse. The family knew this was going on and wanted it stopped but did not know what to do about it. The Family Group Meeting brought these concerns into the open. Social work was informed of these allegations but they agreed to wait for the outcome of the Family Group Meeting before pursuing their own enquiries.