1
WALK IN OUR SHOES ACT ON OUR ISSUES

• Reshaping Care for Older People in Argyll and
  Bute
• Intergenerational work with communities

2
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

3
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

4
Co-production

• ' one of the most talked about themes in public
  services and public policy around the world'
• Assets based approach

5
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

6
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

7
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
8
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

9
Intergenerational work in Argyll and Bute

• Utilise the Age Scotland Pack
• Replicate across Argyll
• Identify difficulties
• Interaction and understanding
• developed between
• generations

10
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
11
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, thats 6
each way!!
12
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

13
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

14
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

15
Helensburgh
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

18
Oban

• 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

19
The young people hadnt considered issues when
people have mobility problems A regular
intergenerational soup group has now been
established
20
The concerns will be raised at the Senior Forum
to decide on actions required
21
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

22
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