Long Term Care; challenges & dilemmas in policy making
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Presentation used at the Joint Forum in the framework of UNECE Ministerial Conference on Ageing 2022 to share challenges and dilemmas in the implementation of Long Term Care policies, in general, and transition plan, in particular.
Long Term Care; challenges & dilemmas in policy making
- 1. ensuring equal access to long-term care and support to frail older people and their caregivers challenges and dilemmas in policy making @muricor sergio.murillo@bizkaia.eus Rome, 15th June 2022
- 2. framework High-level of self-government within Basque Region, mainly: Full taxation power Care management Track record in ageing policy Council of older persons (1999) Active Ageing policies & AAI Reference site on Active & Healthy Ageing Population: 1.144.123 inhabitants 24.7% over 65 76% in Greater Bilbao 112 city/town councils Socioeconomic figures: GDP per capita 112% /EU27 Life-expectancy 86.6 women 80.8 men AROPE 19.92% (EU27 21.9%) Unemployment 12.8% Biscay
- 3. building the framework first challenge
- 4. building the framework Health care + social care Institutional responsibility Community involvement Shared care Digital + personal care Care at home, or “like at home” Health care vs Social care Community vs institutional Informal vs profesional care Digital vs personal care Residential care vs home care
- 5. building the framework Let’s... recognise ourselves as interdependents. assume the public responsibility on care. realize that services can be complementary. avoid excluding informal carers and community as care agents. look at life-course. Let’s embrace complexity!
- 6. identifying the aim second challenge
- 7. identifying the aim Change the approach …from protecting the most vulnerable ones protection society
- 8. identifying the aim …to supporting individuals in an enabling environment to develop their life project. Developing life-projects Personal satisfaction Quality of life Support Change the approach …from protecting the most vulnerable ones
- 9. hands on transition plan our way forward
- 10. Context: goalds to be developed, set in 2019. xxxx «Bay of Biscay, Bay of Care» definition of a long-term care model in Biscay and Europe Deployment of Carers´ Estatute etxeTIC service of support to the permanence at home of people in situation of dependence BACKGROUND PLAN FOR 2019-2023 LEGISLATURE hands on
- 11. Bay of Biscay, Bay of Care. Experts group & report March 2020. Signing of the Agreement with AGE Platform Europe, the main European network of organizations for the elderly. Group of experts at the European level for the definition of the bases of the future model of long-term care, which responds responds to the current and future needs needs of care for people in a situation of dependency, a challenge shared by the whole of Europe. Report to be released in summer 2022. EXPERTS GROUP hands on Updated info in this link
- 12. hands on carers’ estatute etxeTIC day care centers living units in nursing homes support centers for specialised care
- 14. dilemmas Considering long-term care as… a whole ecosystem supporting micro-ecosystems around each person in need of care leading his own life project …dilemmas can be answered. From prescriptors to advisors in public administrations. From care plans to life plans with care.
- 15. dilemmas Considering long-term care as… a whole ecosystem supporting micro-ecosystems around each person in need of care leading his own life project In COVID19 context… health security or life projects? Supporting informal carers or replacing them with professionals? Residential care or home care?
- 16. ensuring equal access to long-term care and support to frail older people and their caregivers challenges and dilemmas in policy making @muricor sergio.murillo@bizkaia.eus Rome, 15th June 2022