Title:
1WALK IN OUR SHOES ACT ON OUR ISSUES
- Reshaping Care for Older People in Argyll and
Bute - Intergenerational work with communities
2Stop 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
3Global 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
4Co-production
- ' one of the most talked about themes in public
services and public policy around the world' - Assets based approach
5Coproduction - 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
6Action 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
7Falls 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
8Intergenerational 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
9Intergenerational work in Argyll and Bute
- Utilise the Age Scotland Pack
- Replicate across Argyll
- Identify difficulties
- Interaction and understanding
- developed between
- generations
10Lochgilphead
- 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
11Lochgilphead 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, thats 6
each way!!
12Campbeltown
- 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
13Dunoon
- 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
14Dunoon 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
15Helensburgh
Generations working together in Helensburgh
16- 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
17-
- Results reported into Area Planning Group
meeting and to Jo Cowan from Age Scotland for
Visual Impairment Group meetings
18Oban
- AVA 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
19The young people hadnt considered issues when
people have mobility problems A regular
intergenerational soup group has now been
established
20The concerns will be raised at the Senior Forum
to decide on actions required
21What 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
22Participants
- 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