walk in our shoes – act on our issues reshaping care for older people in argyll and bute...
TRANSCRIPT
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“WALK IN OUR SHOES – ACT ON OUR ISSUES”
Reshaping Care for Older People in Argyll and ButeIntergenerational work with communities
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Stop Falling Start Saving Lives and Money
Costs to the individual
• Injury • Loss of confidence • Primary cause of death and disability in people over 75 (Gillespie et al
2012)
Costs to health and social care
• £6 million per day• £2.3 billion per year
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Global Report on Falls the World Health Organisation (WHO, 2007)
• Awareness needs to be raised not only with older people but with health professionals, families and communities
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Co-production
' one of the most talked about themes in public services and public policy around the world'
•Assets based approach
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Coproduction - explicit commitment in UK healthcare policy• UK Government, Health and Social Care Act 2001, 2012• Scottish Executive, Public Involvement Framework, 2001• Department of Health, 2005, 2006• NICE 2008 • Assets based approaches, Scottish Government 2012
WHO 2012 • Exchange and application of knowledge by stakeholders will
strengthen health systems and improve health• Collaborative approaches accelerate benefits of global and
local innovation
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Action research - a useful methodology to investigate co-production?
Key features of Action Research: • Iterative follows uncertain cyclical and dynamic process• Collaborative and participative • Solutions to practical problems AND development of theory• Data and information drawn from different sources• Self-critical and reflective practice by researcher • Subsequent cycles of action must unfold from initial cycles• Context dependent• Community and Organisational change
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Falls Prevention – action research • Well established evidence base of effective evidence based
interventions for the prevention of falls in older people
• Evidence base has not been effectively transferred into practice
• Older people reject advice on reducing their falls risk
HEBS, 2003: NICE, 2004; Yardley et al, 2005; RCP, 2007; Gillespie et al., 2009; AGS/BGS, 2010; Goodwin et al., 2010; RCP, 2010; Gormley, 2011; Scottish Executive, 2012
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Intergenerational practice
• Case study of the Islay work was included in new Govt Guidelines: Bringing Together Local Authorities and Intergenerational Practice in a Scottish Policy context
• challenge was to replicate the benefits across Argyll and Bute
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Intergenerational work in Argyll and Bute• Utilise the Age Scotland Pack
• Replicate across Argyll
• Identify difficulties
• Interaction and understanding developed between generations
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Lochgilphead• Intergenerational work
identified many issues
• AVA working with Argyll and Bute council street scene team to have a bench supplied
• Repair of the kerb at the MS centre by roads department
AVA working with the Mid Argyll Multiple Sclerosis Centre
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Lochgilphead cont.
Case Study:COPD sufferer, severely restricted by lung capacity, some benches on street would increase his reach:
“It currently costs me 3 cups of tea in 3 different cafes to get to the chemist at the bottom of the street, that`s £6 each way!!”
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Campbeltown• “rain stopped play”!
Walk had to be stopped short due to a torrential downpour
• In the short walk and talk, it was felt that putting these points on to paper as well as discussing was worthwhile
• Outcomes passed to community council
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Dunoon
Issues identified:
•Potholes and kerbs•No seats in middle of town•No taxis at taxi rank in middle of town•Step in to Lloyds TSB•Bank of Scotland cash points
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Dunoon – residents of Cragroy
Area surrounding this sheltered housing complex, concerns raised:
•Traffic, around complex•Road signs highlighting elderly crossing•On main road, to access promenade•Bus shelter seating•Seats on housing side of road
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Helensburgh
Generations working together in Helensburgh
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Issues of concern raised in Helensburgh:•Uneven surfaces and pot holes•Broken and wobbly paving stones•Obstructions on pavements•Dog fouling•Weeds, which as well as being unsightly can be a slip hazard when wet•Misuse of disabled parking bays
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Results reported into Area Planning Group meeting and to Jo Cowan from Age Scotland for Visual Impairment Group meetings
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ObanAVA with Oban and District Seniors Forum Members and Oban Youth Café Members
A one mile walk through the town ending at the local health centre
Issues raised:•Potholes•Uneven cobbles•Loose paving slabs
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The young people hadn`t considered issues when people have mobility problems
A regular intergenerational soup group has now been established
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The concerns will be raised at the Senior Forum to decide on actions required
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What next?• On-going intergenerational walks
• A short film being made by Young Scot
• Addressing issues raised
• Maintaining links
• Age Scotland have launched the Walk in Our Shoes resource as an intergenerational tool
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Participants
• Lochgilphead: Antonia Baird AVA and MS Centre• Oban: Maggie Dougall AVA, Oban & District Seniors Forum
and Oban Youth Café• Helensburgh: Alison Gildea AVA, Morvein Martin
Community Development worker, some young Timebank members and Grey Matters group
• Campbeltown: Clare Mead AVA and volunteers• Dunoon: Gwen Harrison AVA, Cragroy Sheltered Housing
tenants and volunteers