Hugh O’Connor

Age Friendly Ireland1st April, 2014

Population structure is changing: more older people; fewer younger people. (Eurostat 2011)

More people living longer, living better

65+population will increase

250%By 2036 (CSO 2007)

1in4Newborns will live to 100

7Newborns will live to over 60

8OUT OF

80+ population will increase

400%By 2041 (CSO 2007)

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Challenge our understanding of ageing

or

3

• Led by World Health Organisation

• Framework for developing age friendly communities

• Hundreds of cities and communities in a WHO global network

• Ireland’s national programme started in 2009 in Louth

• Dublin Declaration signed 2011 / 2013

A global effort to make a real difference

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How we get there:common structure; local strategy

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CountyAlliance

Statutory Agencies

Key local bodies

Leaders & Influencers

Older People’s Council

Service Providers Forum

Business Forum

Participation

Strategy

Age FriendlyExecutive Support Group

Collaboration

Age FriendlyCity/County

Informed

Local Particip-

ation

Respected &

Included

Healthy & Active

Mobile

Safe Spaces

Living at Home

Innovation -Implementation

The World Health Organisation Themes

1. Outdoor Spaces & Buildings

2. Transportation

3. Housing

4. Social Participation

5. Respect & Social Inclusion

6. Civic Participation & Employment

7. Communication & Information

8. Community Support & Health Services

What does Age Friendly Mean?

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-- Fingal Health Pilot Route

-- Age Friendly Business

-- OPRAH

-- Cúltaca

-- Crime Prevention Ambassadors

-- Great Northern Haven

-- Preventative -Intergenerational Health Projects

-- Men’s Sheds -Positive Mental Health

-- Parlours Initiative

-- Age Friendly Universities7

So what’s happening…Just a flavour:

• Programme now adopted and

operational across 16 Local Authority areas• Its success has owed much to the

leadership, buy in and commitment demonstrated by front runner locations such as Louth, Fingal and

Kilkenny • Commitment now in place for the programme to be adopted across

a further 9 Local Authority areas across 2014• Ambition is for all Local

Authorities to have adopted the Programme by end 2015

Galway City &

County

Clare

Kilkenny

Fingal

Kildare

Meath

Louth

Monaghan

Cavan

Dublin

WaterfordCity

South Dublin

Leitrim

Westmeath

Carlow

Mayo

Limerick City &

County

Sligo

Cork City

Offaly

Donegal

Longford

Waterford County

The Story so far inIreland

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WHO Global Network of Age Friendly CitiesAge Friendly Ireland National Implementation & Integration Group

Age Friendly Ireland Board / Executive CommitteeCounty & City Managers Association / Dublin City Council

Expert Advisory Group

Supporting policy context: Programme for Government, National Positive Ageing Strategy, Healthy Ireland

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Supporting structures – Key aspects

Age-Friendly Environments … ready for implementation science ?

• Some perspectives on the challenge – changing paradigms> Economics of longer living> Public sector reform> Personhood – and citizen empowerment

• Some Implementation considerations> AFE and the implementation triangle> AFE and intermediaries> Innovative practice and pilots – sustaining innovation

• AFE Implementation Globally> Mobilisation, transfer & scale – The EIP-AHA EU/WHO programme> The dimensions of change – quality impact

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Learning Productive Leisure

0 10 20 30 40 50 60 70 80 10090

0 10 20 30 40 50 60 70 80 10090

A changing lifecourseEconomics of longer living

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Public Service Reform

Resource

Reconfiguration

Service quality

Front-line Empower

organisational

edge (client) for

greater self-

managementEquitable access Financial balance

Shifting the edge

Based on Tony O’Brien slide (HSE)

at Trinity Sumer School 2012

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Personhood at the heart

Care & Cure

Private services

Family

1. Cross sectoral alignments

2. Pathway integration

Person

Public services

Community/Voluntary

empower

and connect

the citizen

3. Convergence over time

Shifting the centre

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Programme:

Models and

Practices to be

adopted and /

or adapted

LEADERSHIPTechnical Adaptive

Training

Coaching

Data/Decision

support

Collaborative

culture

Systems

intervention

PERFORMANCE

IMPROVEMENT

CITIZEN OUTCOMES

Involved

people

The implementation triangleAFE and implementation

Built into collaborative

structure of CDB – but what

for new LCDCs ?

Anchored in LA/CM but

high dependency on

multiple buy-ins including

OP Fora ?

Lots of ad-hoc data but

systematic cross-agency data

needed at neighbourhood

resolutions ?

Tool-kits, case-studies and

development support to

LA/AOs?

Developing support

networks for chairs,

regional officers etc ?

What it is: a CQI framed in

a common delivery

structure, common agenda,

common goals and local

resources ?

Initial energy directed at process

outcomes – Citizen, service and

environment outcomes emerging

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IntermediariesPractitioners

Users

Research /

Evidence

Policy

development

Quality of implementation

Replicability

Scalability

Adaptability

Fidelity

Programme fit.

adaptation

Organisational fit.

transformation

Art or science !AFE and intermediaries

Complex policy landscape –

health, local government, justice, education,

enterprise, welfare/employment, culture

Trans-disciplinary – mixed/conflicting

methods, levels of evidence, ?

Better - or better than what else ?

Significant dependency on

intermediary services in

the short to medium term ?

Practice change or culture change ?

Multiple layers of practice across

multiple organisations – common

seeds / common DNA ?

End-u

se

rs o

r co

-de

sig

ne

rs ?

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Pilot phase Roll out phaseInnovations funded by:

EU programmes

National programmes

Foundations

Other.

(Temporary)

Need to embed innovations in structural financing

systems, to gain clear relation between investments

and revenue/savings

Ref: Erwin Van Leussen – Achmea Health Innovations (Holland)

AAL Policy workshop Sept.. 2008

Transformational culture

Scaling / replicability / growing

Internal pull as much as push

Implementation roadmap

Sustaining innovationPilots: promise and problems

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Network/sharing

Practices Repository

Regions / cities / providers

Implementing AHA Practices

Networking to promote

Integrated EU & national policies

Research & evidence for

Innovative AHA practices

Implementation mediation

CorePrinciple

s

Accelerate, replicate and

scale the adoption of

evidence-informed practices in

regional and city development

throughout EU

OUTCOMES FOR

CITIZENS

Strengthen the effectiveness of EU,

national and regional stakeholders

when aligning policies, programmes

and funding to support AHA- EU2020

Broaden and intensify the applied

research and development base to

increase take-up of evidence-

informed practices and service-

oriented innovation,

SERVICE EFFECTIVENESS INNOVATION / COMPET.

The EIP-AHA AFE Agenda European innovation

New WHO AFE Guidelines

for Europe ?

EU Covenant / Declaration

for mobilisation ?

Measures / indicators ?

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Individual & family’s

Quality of Life

(QOL)

Home,

neighbourhood

& city

Quality of Environment

(QOE)

Public / private

& voluntary

Quality of Service

(QOS)

The dimensions of improvement Implementation impact

Continuous quality

improvement and

sustainability of services ?

Continuous spatial

improvement and

environmental sustainability ?

Personal empowerment,

health and well-being ?

Measures of access,

connection, engagement,

and fitness for purpose ?

Impacts are in the domains

but focus of activities are in the

overlaps ?

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Thank you!

Hugh O’Connorwww.agefriendlyirealnd.ie

Age

Friendly

Ireland