Bti BEYOND tHE iMMEDIATE A project designed by older people for older people

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BtiBEYOND tHE iMMEDIATE A project designed by
older people for older people
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Purpose of Bti

• To INVOLVE older people
• In developing and delivering the research and
  beyond
• Ascertaining needs, concerns and aspirations now
  and for the future
• Feedback involvement promotion
• influence key planning and delivery of services

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How Bti was undertaken

• 2001 Census data and local information / previous
  research
• Depth interviews and group discussions (37
  interviews in total). Wide range of participants.
• Mailing test surveys (50 pages!) to over 3000
  older people in Wiltshire over 200 helped
• Mailing the final 20 page version to over 5,400
  people over 1,100 responded

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How Bti was undertaken

• Promoted in local
• media
• Incentives offered
• Business support
• Translation help
• 4 languages
• BME and traveller
• engagement sought
• Completion
• support (volunteers)

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Survey coverage

• Leisure and recreation
• Family and friendship networks
• Local community
• Local environment
• Independence
• Health and ability

• Care and support
• Health and social care
• Work and retirement
• Communications and IT
• Education and skills
• Future planning
• Profile

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INVOLVING OLDER PEOPLE

• Older people
• Told their stories
• Shaped content
• Reviewed and tested documents
• and answered their questions
• Contributed to project planning and execution
• Attended major conference with providers and
  stakeholders
• Developed outcomes from workshops
• Presented survey findings to wide range of
  audiences
• Became ambassadors
• Became an active resource for further engagement

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IMPACT Bti response
Primary Care

• More NHS dentists (66)
• 1.4m extra allocated over 2008/10
• Easier access to GPs (32)
• 95 practices offer extended opening hours
• New generation of primary care buildings
• More locally delivered services (31)
• Neighbourhood teams deliver more care at home

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IMPACT Bti response
Secondary Care

• Clean hospitals (69)
• Lower MRSA rates
• Shorter waiting times (64)
• 13 week maximum wait this year
• Better hospital management (27)
• Improving Health check ratings

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IMPACT Bti response
Key challenges

• Maintaining independence
• Health screening as part of general practice
• Increased support at home
• Rapid access to cataract surgery
• Improving prevention services
• Falls prevention plans in place
• Good uptake of influenza jabs
• Developing plans for early treatment of
  cvd/stroke

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Challenging issues

• How to help with loneliness and isolation
• Better recognition of depression and dementia
• Finding more effective ways to support carers
• Joining up the different strands of care and
  support
• Meeting rising expectations
• Getting better at sharing priorities

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IMPACT Bti

• County Strategic Board for Older People
• Older Peoples Strategy
• Joint Strategic Needs Assessment
• Independent Forums
• Specialist groups

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Outcomes of Bti

• Shaping thinking and planning
• enabling development of services
• influencing delivery
• Informing a new strategy for older peoples
  services
• recognising and engaging older people!

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Outcomes of Bti

• On-going research among older people through
  setting up of
• Consultation panel of over 50s
• Research Consultation team to facilitate
  discussion groups

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Future opportunities

• Wiltshire Older Peoples Strategy
• Ultimately, thousands of older people across
  this very rural county will benefit if providers
  of services base their decisions on identified
  needs and what older people themselves say they
  want in the future, not on assumptions made on
  their behalf
• Age Concern Wiltshire has made a significant
  difference in connecting older people with a wide
  range of providers, and enabling their voices (of
  needs and preferences) to influence development,
  delivery and direction
• Imperative that funding and resourcing are
  provided to enable this work to continue