Promoting Independence

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Promoting Independence Learning the lessons from
the pilots Guy Robertson / Jane Gilliard
CSIP
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• From prevention to Promoting Independence
• Prevention
• Of what?
• How to prove a negative
• Narrow focus on health and social care
• Synonymous with low level services eg
  luncheon clubs
• Promoting Independence
• Positive framework
• Wider focus
• Outcome basis
• Potentially measurable

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HIGHLY COMPLEX USERS, MANY OF WHOM WILL BE
ADMITTED TO HOSPITAL MORE THAN ONCE
Timely discharge
CASE MANAGEMENT
Institutional avoidance
SUBSTANTIAL RISK
Community services
SPECIALIST DISEASE MANAGEMENT
INVOLVE-MENT CHOICE AND CONTROL
Enablement
LOW TO MODERATE RISK
Early intervention
Simple services
SUPPORTED CARE AND SELF CARE
Lifestyle
LITTLE IF ANY RISK
GENERAL POPULATION
Information
Citizenship

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• Early findings
• There are indications that POPP pilots are having
  a significant
• effect on reducing hospital emergency bed-days
• Improved access for excluded groups through
  proactive case finding, greater publicity and
  links with the voluntary sector
• Partnerships between statutory organisations and
  the
• community and voluntary sectors have improved
• older peoples involvement has increased within
  steering groups, commissioning, recruitment,
  provision and evaluation
• Older peoples health (including mental health)
  and well-being
• needs are becoming better integrated within the
  wider strategic agenda

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• CSIP Support
• Self assessment tool
• Website
• Newsletter