In 2010-11, approximately £4.4 billion of public funding was spent in Scotland on health and social care for people over 65 years. Well over half of this was spent on care in hospitals and care homes, often towards the end of life. Yet 89.5% of older people use universal services and are ‘outside’ the formal care system. Just a marginal shift in this percentage has a huge impact on demand and finances. Helping older people to remain active and independent is good for older people and for the public purse, and is at the heart of our approach to Reshaping Care.
Reshaping Care for Older People: A Programme for Change 2011 – 2021 (RCOP) describes our shared vision of care and support and how this will be delivered. Co-produced with political, organisational and community interests, the aim is an ambitious shift towards care at home and in community settings supported by greater investment in preventative and coordinated care and support and the use of technology to empower greater choice and control.
This progress report gives details of the programme’s activities to date.