four times more healthcare resources than an average adult, as they have complex ‘co-morbidities’ (that's a number of illnesses), in addition to being frail and, in some cases, disabled. So our older population has the highest complexity, activity, spend and it uses multiple services. This is not a criticism – it's simply a fact of life.
The good news is that Jersey is already acting to meet these challenges. In 2012, the States backed the redesign of health and social care services as set out in the document ‘Health and Social Services: A New Way Forward’, often referred to in short as P82, which is the number of the proposition passed by the States.
We have been putting in place what is called an ‘out of hospital system’. This means that significant numbers of patients who would otherwise occupy hospital beds can be cared for in the community. This is what most of those who took part in the consultation leading up to P82 told us they would prefer. That would allow them and their carers to live productive and independent lives in their own homes for as long as possible. Therefore we are supporting people in the community to help them remain well, manage crises, recover from acute illnesses and look after their mental wellbeing. We are moving from a high-cost, reactive and bed-based system of care, to care that is preventative, proactive and based around people’s homes. That focuses on wellness as much as responding to illness.
In effect we are taking some of the care out of the hospital and into people’s homes, where personalised packages of care – including reablement – can help older people regain their confidence and get back on their feet. These initiatives are undertaken in partnership with colleagues in primary care and in the voluntary, community and private sectors. Without this, there would be a need for many more beds in the future hospital, adding substantially to its scale and cost.
In Jersey we are fortunate that we have an integrated health and social care system which makes it easier to introduce such new models of care which cross the professional and
organisational boundaries between health and social care. ial car THIS IS ALLOWING US TO:
- support the most vulnerable in our community, targeting the hard to reach;
- support individuals to maintain their independence by providing care in their own home;
- delay or reduce the need for entry into long-term care;
- promote a person-centred approach to integrated care that is coordinated and delivered by professionals within multi-disciplinary teams;
- respond promptly in a crisis; and
- support families and carers, improving their experience and quality of life.
An Ageing Island
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