At what age do we become ‘old’?

Here’s the column I wrote for the EADT and the Ipswich Star newspapers last week:

 I’d like to begin this week’s column with a question.

At what age do we become ‘old’?

As language changes and adapts, we as a society are good at filtering out certain anachronisms. The use of the word “elderly”, for example, is less common now. But we frequently use such catch-all terms as “older people” which, after all, is so general as to be almost meaningless.

We are all ageing and I would claim with some confidence that we all want to age well. So, if we are not “older people” now, we will all fall within this category one day.

We know that more of us in Suffolk will be aged 65 years or over in the coming years as a proportion of the population. We’re also living longer, with the gap between male and female life expectancy closing.

In addition, Suffolk is a fantastic county, with incredible assets, so it is no surprise that many people enjoy living here, retiring here and ageing here.

Unlike many other parts of the UK, we are a county without a city. Many of our greatest strengths centre around rural, country living with the benefits this provides as we support one another and look out for our neighbours. We enjoy significant formal and informal networks of support that see old and young living and working together, bringing out the best attributes of supportive communities.

I would argue our rapidly ageing population can be viewed in one of two ways: as an insurmountable, growing threat to our health and social care services, or as a great opportunity to adapt, innovate and prosper as a county.

I see this as an opportunity to be a forward-thinking county that values and welcomes its growing older population.

No single authority, organisation or sector can create this environment alone. We must work together and engage our communities if we want to see meaningful, sustainable change.

The last 10 years have seen major change. We have seen a move from centralised control to more personalised support and care delivered in the community. The coming years will bring about increasing change to our health and care services.

Inevitably, we will be working later into life which means the nature and shape of the county’s workforce will change.

Our predominantly rural setting also provides a challenge to the way  we reach potentially isolated communities. But we are already seeing examples of this in abundance, from well established schemes such as the Debenham Project to emerging opportunities created by social prescribing.

Thanks to the foresight of our health and care teams, we are already seeing the benefits of  learning what works well elsewhere. In the west of the county, we are testing out the Buurtzorg model of integrated health and personal care delivered by small teams of self-managed nurses working in the community, based on an approach developed in the Netherlands.

One issue that is perennially in the headlines is housing; more specifically, the need for more housing that caters for the changing needs of the UK population. If we are to curb the trend of 30-40 year olds living at home because they cannot afford to join the property ladder at one end of the spectrum, and 80 year olds living on their own in a five-bedroom home at the other, we all have to act now.

But the need is wider than this: as we build and adapt our homes, we must ask ourselves if they are they hardwired for the needs of an entire population. Is the surrounding transport network responsive to the needs of an ageing society? Above all, are we providing affordable, shared space that encourages an active lifestyle at every stage of an individual’s life?

Ultimately, we need to provide support for those with more complex needs, while enabling others to remain active and independent, without the risks of becoming isolated.

When it comes to being connected, the myth of an older generation out of touch with modern technology is not borne out by the facts. Nationally, more than three quarters of 65-74 year olds and over 40% of those aged 74 and over used the internet in the last three months.

From open access at our libraries and other information points, to the investment in countywide broadband, our older population is more switched on to new media than ever. This is clearly not the case for all, but the many advantages this brings – from online shopping to connecting with family – are often a valuable antidote to social isolation.

Which brings me back to my question: what we mean by “old”? There’s the old cliché that you are only as old as you feel, and that age is just a state of mind; with people living and working longer, and the cultural changes that this entails, we may be moving  closer to a society in which we need to reconsider and redefine every aspect of what we mean by ageing.

Most of us enjoy better life chances, and a higher life expectancy, than previous generations. Though not without exceptions, this affords us the opportunity to think about ageing differently.

 

 

 

Letter from the CCN to the Secretaries of State for Health & Local Government

fullsizeoutput_1cbeLast week I attended the National Children’s and Adult Services Conference in Bournemouth.  On the way down as Leaders from across the Adult Social Care Councils including me, received an email with a letter attached from SoS DH Jeremy Hunt and co-signed by SoS DCLG Sajid Javid about Delayed Transfers of Care, these happen when a person is medically fit for discharge form a Hospital and we are unable to put in place a suitable package of home or residential care quick enough, this is known in Health and Local Government as DTOC.

As winter approaches and with one of the worse Flu epidemic in the Southern Hemisphere seen in recent years (if you have not yet had the flu jab, I would recommend it, I paid £10 at my local chemist and apparently ASDA are doing them for £5) the NHS is extremely worried about the stress on hospital beds over the winter months, as they are expecting significant numbers of admissions for this simple but dangerous virus to vulnerable groups’.  So the need to feed up beds is important and there are two areas where local government is involved preventing people going to A&E in the first place and how quickly we can facilitate those who need a care package when they are ready to leave hospital obviously the more effective the system the more beds the NHS will have free to cope this winter.

The letter were somewhat condescending and effectively suggest we alongside the other 80 or so local councils responsible for DTOC are failing.  However it was a step back from the threats made earlier in the year about fines and direction of budget if the situation did not get sorted out.  Very DoH, not very DCLG but in this repsect DCLG is very much the junior partner to the might DoH.  During the course of last Wednesday at the conference it emerged that there were in fact three different letters issued, and our was the middle one not praising us but not summonsing us to Department of Health (DoH) as about 32 Councils will find themselves having to go before a panel of experts at DoH, and for experts read people who work in Whitehall, or more precisely civil servants who work in DH in Whitehall who will want to see plans for a lower DTOC target in those areas or they will re-direct monies spent of Adult Social Care to hospitals which will not deal with the issues and probably make them worse.  Adult Social Care cannot be fixed by a summons from DoH, it needs careful partnership working on the ground in each area surrounding a hospital. .  At the conference, we referred to these as naughty step letter and which one you were on – a very flippant comment given the seriousness of the issue but given the patronising letters, as if our social work teams are not working hard to provide the care packages, which they are, its the right term to use.

The issues are complex and the impression you get from the letters is that its entirely Local Governments fault and so DoH can swoop in, divert money to hospitals and all will be right with the world, sorry but this is nonsense.   Fundamentally Local Government needs funding to provide the care, it’s as simple as that, and the threat is that if local Government does not improve then it will have funding withdrawn is worrying.  this is not about simply demanding more money for Local Government has stepped up and made the savings the Government has called for but there comes a point.  Across the county grown up discussion with Hospitals and Clinical Commissioning groups are building a long term system to handle discharge and withdrawing money will not improve that one bit, quite the reverse in fact.

So, on behalf of the County Councils Network on Friday I wrote to both Secretaries of State pointing out the position of CCN member Councils and our concerns.  In Suffolk we work closely with our Acute hospitals planning prevention, avoiding having to go to A&E and when people are admitted discharge planning starts straight away, in West Suffolk the hospital’s enlighten CE Stephen Dunn has contracted beds in a Care Home with nursing to provide people a different setting to recover, what used to be called Convalescence.  As our population ages we are going to need to see a return to this sort of step down care, from our hospitals.

EADT – A new weekly column

On Tuesday in the EADT and the Ipswich Star I wrote the first of a weekly Column as Leader of Suffolk County Council, well I say weekly it will be every other week as I shall alternate with SCC’s Cabinet Member for Ipswich Paul West who will write more about Ipswich issues as I concentrate on a pan-Suffolk approach.

These will be a mixture of the issues that are happening as the papers go to print and some of my thoughts about how we develop Suffolk as a place to live and work over the next 20 years.  Suffolk County Council is a large organisation delivering services to some of the most vulnerable people in our Community but it is but one players and how we work in partnership across the Public sector, with private businesses and voluntary organisations is key to how we build the place we all want to live.

“Yesterday in Lowestoft, as I witnessed the initial stages of the ground investigations that will shape the final design of the Lake Lothing Third Crossing, I saw the good of our democratic bodies working together.

The investigations, taking place on land behind the offices shared by Suffolk County Council and Waveney District Council, is another step in the right direction to getting the £90million project, funded by both central government and the county council, completed. The benefits will not only be reaped by those living in the town, but across the wider area too. We simply would not have funding for the project had this not been the case. The business case for this project, along with the Upper Orwell Crossings in Ipswich, was put together by people who work very hard and want the best for our county.

This also rings true for the senior bosses and directors who work on our behalf. They all, like the democratically elected councillors, work hard to make a difference to Suffolk and those who live and work here. Pay in the public sector has always been a fiercely-debated issue, and even more so in recent times. It’s not just politicians and those working in the public sector – we’ve all seen the furore over the salaries awarded to the highest earners at the BBC, as well as the gender pay gap.

Last week we published our accounts, as we do every year and are required to do so. As has been reported, the majority of our staff received the 1% pay rise, in line with other public sector workers up and down the country. However, a select few members of staff received honorariums as they stepped up to fill roles, either on a temporary or permanent basis.

Indeed, they are pay rises, but they are reasonable, considering they come with greater pressures and expectations. There is no hiding from the changes that will be coming to the United Kingdom in the next two years and these people will be there assessing and dealing with those challenges. Alongside that, as an organisation we are looking to save £56million over the next four years and, along with the cabinet, these people are key to making difficult but effective decisions.

Bringing in new people to the roles would have cost the council even more money. Not just for the roles themselves, but for the cost of advertising the position. Then there is the time element too, as staff will be taken away from working on policy and serving the community as they filter applications and sit in interviews.”

Our recently introduced priorities are based on three core principles; inclusive growth, health care and wellbeing, and efficient and effective public services. These are ambitious targets – but ones I know we can achieve during the term of the administration.

This is because of the hard work and commitment of our staff, regardless of pay grade, and our councillors – and not just those in control of the administration, as opposition provides checks and balances and the chance to challenge us on policies.

Sound financial management is needed, along with careful planning and the will to find new ways to deliver and protect our frontline services. One of these methods Suffolk is leading on nationally – inspired by the work of a Dutch community, using the Buurtzorg model of care (to deliver dedicated personal and healthcare to patients in a neighbourhood) in the west of the county with our partners in health.

The work we have been doing here is something I am proud to champion in my position of Health and Social Care Integration spokesman on the County Council Network. It is something I truly believe is a strong contribution to the national debate about how we re-shape the healthcare system to serve the ever-changing age profile of our communities. I’m sure there will be more of this to come in the weeks and months ahead as the trial continues.

We, and our partners, work extremely hard to provide the best for our residents. Despite the challenges we will come up against, our staff continue to excel every day in a concerted effort to make savings and provide a better life for those we serve.

Things have to change

Last Monday in my role as Chairman of the Improvement and Efficiency Panel of the East of England Local Government Association (EELGA) I chaired a conference at the Cambridge Genome Campus Conference Centre, probably the most impressive venue in East Anglia.  The conference was entitled Positive Ageing and co-convened by the Eastern Academic Health Science Network (EAHSN), which is an organisation within the Health system dedicated to new learning and bringing technology to the fore in the Health world, the other co-sponsors were NHS Confederation and Public Health England.

About 200 people from across the region’s Health and Social Care system gathered to hear speakers and life experiences of older age and how we, as a system, can help shape a positive vision and reality for people as they age in our communities.  An ageing population is often talked about but just living to a ripe of age is not enough it has to be a positive experience or what the point and that is the point I made in opening the Conference.

Here is conference brochure summary of what the day entailed:

‘With a significant ageing demographic the East of England is well positioned to be at the leading edge of accelerating the testing and scale up of self-care technology and health services in a way which can help make ageing work better for everyone.

This conference, led by Eastern AHSN, the East of England LGA, Public Health England and the NHS Confederation, will bring together NHS, local government, industry and academia stakeholders and aims to strengthen emerging solutions, new ways of working and shared plans for achieving healthier and happier ageing across the region.

In particular it will look to:

  • support the STPs to meet their ambitions on this agenda
  • identify opportunities to work collaboratively to further positive ageing agenda
  • position the region at the forefront of the UKs research and innovation communities.

The conference will be structured around six themes which include:

  • Defining successful ageing – What are the real demographics of ageing?
  • Sowing health habits – What can we do to ensure our own health and increase the chance of both a long life and a healthy life?
  • Rethinking work – How can society ensure the health and economic benefits of work for more people into older life?
  • Breakthroughs in technology – How can new research and innovations radically change our concepts of what old age means?
  • Connecting with others – How can we develop caring communities and multi-generational social networks?
  • Preserving purpose – How can health and social care systems focus on maintaining quality and purpose of life above the drive for extending life?’

And here is the link to the presentations from the day and if you have a look please look out for the Buurtzorg Health Care Model as that is a programme I am championing here in Suffolk and is a part of our contribution to the national debate about how we re-shape the healthcare system to better serve the changing age profile of our communities.

http://www.eelga.gov.uk/events/east_of_england_positive_ageing/

 

 

 

Locality Budgets

Each year I have the great pleasure to be able to help support various projects and community groups across Row Heath with my Suffolk County Council Locality Budget and in Lakenheath village with my Forest Heath District Council budget.

With both I try to work with community groups to build the capacity of our communities to get things done for themselves and support the network of groups who great volunteers’ commitment significant time to make them a success.

Wherever I go and whenever I speak about Local Government I speak of the great community sprint that existing in my Division and my home village, and how this impacts the lives of residents as much formal services provided by Councils.

For me this is more than just words, as I have in the past sat on the Think Local Act Personal National Board and represented Local Government on its Building Community Capacity Subgroup, which worked to share what community capacity is all about and how to enhance it.  I instigated the Suffolk County Council programme called Supporting Lives and Connecting Communities which at its heart is about understanding how communities are able to do things for themselves and how SCC can support them better. Councillor locality budgets should be a integral part of that stratergy and I work for mine to be.

Here is a list of those groups I have supported in the past year.  In the majority of cases my locality funding has been matched funding with the groups own fund raising efforts.

Current commitments:

  • Lakenheath Parish Council – matched funding for Speed Indicator device – £1,890.00
  • Cavenham Parish Committee – Post for play equipment – £320.00

In the past year I have been able to provide funding to the following groups:

  • Friends of Lakenheath Library – Let’s Read Campaign – purchase of IT equipment – £247.50
  • Lakenheath Community Speedwatch – Purchase of speedwatch equipment – £400.00
  • Lakenheath Silver Band – Community Event – £350.00
  • Brendan Fulham Centre – Assistance with disabled adaptations – £1,300.00
  • Lakenheath Sunshine Corner – Toy Bank – £300.00
  • West Row School PFA – Folding tables, cool boxes, etc for garden party event -£250.00
  • Bury St. Edmunds Scout District – Scoutfest 2016 – £2,000.00
  • West Row Primary School PFA – Static bus to be used as a library and learning resource by the school and community (Committed 2015-2016) – £5,000.00
  • West Row The Shed Wellbeing project – £350.00.00
  • Cancer Campaign in Suffolk – Sun Awareness Programme for Schools – £1,280.00
  • West Row Village Hall & Playing Fields Association – Renovation of the Tennis courts – £3,000.00
  • Lakenheath Angling Club – Otter-proof fencing around club waters – £1,000.00
  • Lakenheath Cricket Club – Contribution to new Roller – £1,500.00
  • Rural Coffee Caravan – Contribution to new Vehicle – £1,000.00
  • Beck Row Methodist Church contribution towards heating in the Church Hall – £500.00
  • West Row Village Hall and Playing Field Association a contribution towards the new kitchen equipment – £2,000.00
  • Beck Row Parish Council with a contribution towards outdoor exercise equipment – £2,000.00
  • Friends of Beck Row Primary School with a contribution towards outdoor playground equipment – £4,500.00
  • Newmarket Town Band contribution towards charity concert – £200.00

The battle for Row Heath

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Over the past 11 year years I have had the honour of representing my community on Suffolk County Council and as elections approach I start my campaign full of beans.  After 11 years on a council it might seem that you might have done everything but far from it, Local Government is changing and resident’s expectation of the services they want and need is also changing. On the one hand, there is considerable less money in Local Government that there used to be, in the past 7 years Suffolk County Council has saved over £200M yet delivers more services that ever before. We done this by being business like in our approach to the way the council runs.

People want faster better services such as road repairs and want to know that Children are protected, we have prioritised Children Services and protected the budgets with which hard working teams go about their business, and this is recognised by OFSTED who rate our Children services as good.  For older residents who can’t afford their own care, we make sure they are looked after with love and dignity, and quite right to, we do this by making sure we have a robust relationship with providers of services, holding them to account, ever mindful we are the holders of the public purse.

Locally, housing for our younger people so they can start to get on the housing ladder is vital, as is new schools and school places. As the housing arrives we want better facilities in our communities and we also want to know that if we reach a stage in life that we can’t use a car that our lovely rural villages do not become traps.  On all these fronts, I try to be a strong voice for Row Heath advocating locally, in Ipswich and nationally for our area. Today for instances I am in Cambridge meeting senior officials about the future of RAF Mildenhall a set of decisions that will affect the economic prospect of Row Heath for years to come.

We have a number of plans we will be putting forwards in our manifesto, all careful costed out.  Labour Finance Spokesperson on the county council Len Jacklyn is on record as saying ‘It is predicted that finances should improve over the next four years and spending now on statutory costs will begin to pay off in 2020’. A truly scary comment as they have been to all the same conferences I have been and at not one of them did it predicted that the finances will improve much.  Their Financially Dangerous Manifesto makes promises they could not hope or maybe even be allowed to fulfil or maybe Labour have some Corbinista moneytree nightmare where he takes power and removes the Council Tax cap and they can go back to the good of days of treating your hard-earned money as their personal piggy bank.  It’s well worth having a look at their bizarrely already published Manifesto it is truly Financially Dangerous.

So, what a contrast we have spent the past year working on our manifesto, carefully costing it every step of the way. And I can’t wait to get it launched and be out their explaining to residents how we are going to take Suffolk forward.

In the meantime, as I am out and about I am asking residents to fill in my survey or do it on line.  The one for my Division Row Heath is http://www.surveymonkey.com/r/RowHeath please do click through and take the survey, as I am very keen to hear your views.

 

Absent Lib Dems or Financially Dangerous Labour?

Last Thursday was Budget Day at Suffolk County Council, it’s the most important meeting of the year as well its sets the Council Tax and the budget for the coming year and so it’s also the highpoint of the year’s debates. In an election year, its also one of the final formal meeting before we go to the polls.

As I sat there during the debate I pondered the choices in May and the state of the opposition. So let’s take a look firstly the Lib Dems, no doubt their election material will say ‘only the Lib Dems can win here’, as they always do.  But their woeful performance in the chamber was typified by their Leader who could not be bothered to turn up.  The dates of the Budget day meeting are set about a year in advance so he could hardly say it was not in his diary, he was on holiday, says it all really, in 12 years of opposition they have never tabled a budget amendment, not one.

So, what about Labour, you have to say their budget amendment was one of two things either the typical Corbinista fiscal denial, or shameless pure political showboating.  Possibly denial? after all their shadow Finance chap at the county is quoted as saying that the financial outlook for the Council is better in the next 4 years!, trouble is there is not one single report or independent commentator who agrees with him.  Presumably he is banking or gambling on a Labour Victory in 2020’s General Election and the Corbin Money tree would bail them out, or frankly is it it’s just political showboating.  As my Cabinet member for finance pointed out, they are saying spend, spend, spend at the county when we hold a general reserve of 10% and a total, for all future projects such as new schools, planned bridges and IT projects, allocated reserves at 39% of our total revenue budget but across the road where many of the same Councillors are part of the controlling Labour group, they put up the Council Tax every year but hold 54% in their general reserve and 84% in their allocated reserves based on its total revenue budget, I leave you to draw your own conclusions but it isn’t pretty either way.

In May, Suffolk Conservatives will stand on our track record of delivering 7 years of 0% raises in the base Council Tax and carefully applied the National Adult Social Care Precept to give our lowest paid, mainly care workers, a welcome pay increase and rightly so.

Suffolk Conservatives will stand on how we have radically changed the Council saving £200M since 2010 with much more to be saving to be made, given the diminishing Government grants, yet have protected front line services, such as our libraries.

Suffolk Conservatives will stand on our plans for the future where we will be innovative in our approaches and have lots of new ideas about how we go about things over the next 4 years building on the work these past 4 years but we will always, always be prudent and carefully with the budget and our reserves, ever mindful of the need to protect the most vulnerable in our communities and ever mindful it’s your hard-earned money.

So people have a choice in May, us, the Lib Dems if they can be bothered to show up, or the financially dangerous Labour Party.

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