Why did we originally focus on older people?
From the start we recognised that a variety of groups would benefit from integrated care, however the decision was taken to initially focus on older people.
There were a number of reasons for this.
- Older people accounted for a high use of health and social care services
- Older people often have long-term care needs and were therefore more likely to benefit from better care planning and coordination across health and social care
- There was good evidence that integrated care for older people could deliver better outcomes, improve experience and result in cost savings
Older people can be socially isolated with a reduced quality of life. Quite often, they receive fragmented care and are not supported to care for themselves.
Salford has some of the highest rates of emergency admissions and admissions to residential and nursing care with too many people receiving end of life care in hospital rather than at home.
A significant proportion of health and social care expenditure in Salford relates to older people and this will only increase as the population continues to live longer.
Currently in Salford there are more than 35,000 people aged 65 or older and this number is set to rise. It is expected that by 2030, there will be more than 43,000 older people across the city and a large number of these will have long term health conditions.
The current health and social care systems remain similar to those which have been in place since the NHS began. But, with an ageing population, increased demand and limited resources, changes need to be made to respond to local needs and help people to help themselves. That’s where the Integrated Care Programme came in.