Regional Policies and Situation

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Regional Policies and Situation

Regional policy for independent living of older people in the region of Castilla y Le贸n CASA and INNOVAGE JOINT FINAL CONFERENCE

October 7th, 2014 Brussels (Belgium)

SOCIO-DEMOGRAPHIC CHARACTERISTICS REGION OF CASTILLA Y LEÓN

ONE OF THE LARGEST EUROPEAN REGIONS: 93,853 Km2, MAKING UP ALMOST 20% OF SPAIN. 2,248 MUNICIPALITIES: 28% OF ALL SPANISH MUNICIPALITIES Population 2,519,875 inhab.: 5.34% OF THE POPULATION OF SPAIN 36

SOCIO-DEMOGRAPHIC CHARACTERISTICS REGION OF CASTILLA Y LEON Municipality Size M More than 20,000 inhab. M From 5,000 to 20,000 F 0 inhab. in nha ab b. b. LLess than 5,000 inhab.

Nr Municipalities < 20,000 inhab: 2,233 (99.3%)

Population > 65: 586,750 inhab. 54.8% of the population >65 live in rural areas

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SOCIO-DEMOGRAPHIC CHARACTERISTICS REGION OF CASTILLA Y LEĂ“N Municipality Size More than 20,000 inhab. From 5,000 to 20,000 inhab. ha ab. ab From 1,000 to 5,000 0 inhab. in nha ab. Less than 1,000 inhab.

Nr Municipalities < 1,000 inhab: 1,981 (88.1%) Population > 65: 166,926 inhab. 52% of the population >65 live in municipalities >1,000 inhab.

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SOCIO-DEMOGRAPHIC CHARACTERISTICS REGION OF CASTILLA Y LEÓN

SOCIAL SERVICIES = OPPORTUNITY CASTILLA Y LEÓN 2014

SPAIN 2014

Population >65: 23.3%

Population >65: 17.68%

Population >80 (with respect to >65): 36%

Population >80 (with respect to >65): 30.89%

Population foreseen in 2020:

Population foreseen in 2020:

Population >65 : 24.9%

Population >65 : 19.8%

Population >80 (with respect to>65): 38%

Population >80 (with respect of >65): 31.2%

Forecasts for 2020: Higher life expectancy than the rest of Spain

• In 2020, 64% of elderly people will need support and preventative activities (elderly people less than 80 years old)

One of the highest life expectancies in the world 39

• In 2020, 36% of elderly people will need assistance (elderly people less than 80 years old)

SOCIO-DEMOGRAPHIC CHARACTERISTICS REGION OF CASTILLA Y LEĂ“N

LARGE DISPERSION 2,248 TOWNS 54.8% of elderly people older than 65 years, live in the country side (rural areas with less than 20.000 inhabitants) 45% of elderly people older than 65 years live in towns of less than 5,000 inhabitants.

Conclussions Many elderly people, very old people, majority living in rural areas and mostly women.

SOCIAL SERVICES = OPPORTUNITY 40

SOCIAL SERVICES REGIONAL AUTHORITY - Castilla y Le贸n sible of the The GSS is responsible tion and quality in excellence, innovation the management process of social

services, programss and centers,

SUPPORT & CAR CARE

being a national reference eference in terms of excellence, with h national awards and many figures or KPIs (Key Performance Indicators) ators) showing it.

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PREVENTIVE PROGRAMS SOCIAL INTEGRA INTEGRATION

SOCIAL SERVICES REGIONAL AUTHORITY - Social Services System of Castilla y Le贸n highlights in:

People in a waiting list : National: 22.2% | Castilla y Le贸n: 2.3% High integration level of Population receiving services (%): the dependency law National: 1.58% | Castilla y Le贸n: 2.4% Ongoing efforts in financing Castilla y Leon the region with the dependency care highest per capita contribution Job creation rate above 30% A lead on job creation Around 40% of spending, per million Generation of turnover invested

i. Quick service assignation ii. iii. iv. v.

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SOCIAL SERVICES REGIONAL AUTHORITY - Castilla y Le贸n ESTRATEGIC LINES Direct care to persons: equal opportunities and professionalisation of caregivers

Territorial and professional services model: quality, care in the territory and job creation

Firm commitment to Innovation

To adapt services to new needs and demands of elderly people: NEW ASSISTANCE MODELS 43

SOCIAL SERVICES REGIONAL AUTHORITY - Castilla y Le贸n Innovation Lines of action on elderly ICT Systems and services for integrated care (PPI)

SIVI CLUSTER

INNOVATION TO CITIZENS

Person-centred care

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Integral Active Aging Program

Innovation Lines of action on elderly: 1. SIVI CLUSTER - Innovative Solutions for Independent Living

FRAMEWORK NATIONAL AND INTERNATIONAL SCOPE • Was created within the Interreg IVC INNOVAge project thatt gathered th d together t th 14 European regions showing a great commitment to improve regional sectorial policies for boosting Independent Living. MAIN GOAL • SIVI Cluster constitute a Innovation Hub that drives economy, helps to further develop policy and create new and effective social-health & health care in the Region, having the elderly citizen at its core. Stimulate the Independent Living & Active and Healthy Ageing. It also helps to reduce the high level of fragmentation between the technological and service offer existing before. 45

Innovation Lines of action on elderly: 1. SIVI CLUSTER - Innovative Solutions for Independent Living - Mission and objectives

IMPROVING LIFE QUALITY OF PEOPLE IN SITUATION OF DEPENDENCY (DISABLED, ELDERLY AND CHRONIC) • • • • •

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Promoting Business Innovation and boosting Technology Transfer boost for development of sustainable socio-health solutions Improving Professional Qualification and Professionalisation within the sector Increasing Public Procurement of Innovative Technology Fostering Consolidation and Cooperation among Enterprises Positioning the Cluster and its partners at International level

1. SIVI CLUSTER - Lines of action THREE ACTION LINES WITH A COMMON ELEMENT:

DEPENDENCY + Health care received

Telemedicine, Unit for Hospital Care at Home, remote monitoring…

.

Health services

Telecare (mobile, video), social and health monitoring and follow-up… - Dependent

Social services Educational services and consumer behaviour

47

.

+ Dependent

Educational services, health management services, games, …. m

1. SIVI CLUSTER - Partners 27 PARTNERS REPRESENTING ENTITIES OF SYNERGISTIC NATURE (QUADRUPLE HELIX MODEL) PUBLIC ADMINISTRATIONS

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RESERACH CENTRES

TECHNOLOGY ENTERPRISES AND SERVICE PROVIDERS

END USERS

1. SIVI CLUSTER - Collaborative model

R+D

ENTERPRISES OF CARE TECHNOLOGIES

Cooperation in Produc Product ct C ti Creation

COMERSIALISATION

ENTERPRISES OF SOCIOHEALTH SERVICES + INTERMEDIATE BODIES

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INNOVATIVE DEMAND

RESEARCH GROUPS (UNIVERSITY) + TECHNOLOGY CENTRES

PUBLIC ADMINISTRATION

1. SIVI CLUSTER

OUTPUTS UNDER DEVELOPMENT… • Creating a positive impact in public and private investments in R&D&i. • Supporting the activities of the SIVI cluster • Promoting RDI strategic projects. • To focus on end-user needs and incorporate the “design for all” (IT developments). • Raising a cluster awareness amongst cluster members

• Facilitating the access to eco-innovation market to SMEs. • Disseminating activities of this Pilot Action

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Innovation Lines of action on elderly: 2. ICT Systems and services for integrated care: PPI

ANNOUNCED BY: Social Services Regional Authority and Health Regional Authority of Castilla y Le贸n. OBJECTIVE: Fostering, by opening a process of technical dialogue, actions for research and innovation in order to contribute to improving the efficiency and quality of social services system of public accountability. Promoting the creation of innovative solutions aimed at developing a map of early demand within the socio-health field.

PROJECT: Technology platform for socio-health care of chronic patients and people in situation of dependency.

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Innovation Lines of action on elderly: 3. Integral Active Aging Program LINES OF ACTION HABITS AND LIFESTYLES PREVENTION AND HEALTH PROMOTION

PROGRAMMES Interuniveristy Programme ‘Experience’

Intergenerational Programmes among the elderly and university students

DAILY LIFE SKILLS ART, CULTURE, LEISURE, CURRENT AFFAIRS ACTIVE AND SUPPORTIVE PARTICIPATION

Hydrotherapy

Workshops & Activities on active ageing

HOMOGENEOUS AND UNIQUE PROGRAMME (290.728 Users) 52

Trips

Innovation Lines of action on elderly: 4. Elderly People “At my home”

Multi-Service Centers • Provide Professional Services as an alternative to family care at home: Home • Health services, personal autonomy ,etc

Cohabitation Units • Ensure Balance between Supply and • Demand of Residential Centers Some services: rehabilitation, laundry facility, catering, social canteens, care in the home… 53

Thank you CASTILLA AND LEÓN REGION: AN INTEGRATED POLICY APPROACH ON INDEPENDENT LIVING, ACTIVE & HEALTHY AGEING AND INNOVATION Carlos Raúl de Pablos Pérez Regional Managing Director of Family and Social Policies pabperca@jcyl.es

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WIELKOPOLSKA 7th of October 2014 Final Conference of CASA Project

SOCIAL POLICY

HEALTH POLICY

REGIONAL POLICY

THE ELDERLY

CASA PROJECT IN WIELKOPOLSKA

MAIN GOAL

• Supporting the enviroment and the quality of life of the elderly in Wielkopolska, as well as their healthy active ageing using modern technology.

STRENGHT

CHANCE

• People are more and more interested in using the technology supporting them in their everyday life.

• Increasing the social integration and health policy on the regional level.

SWOT WEAKNESS

THREAT

• Lack of cooperation among the health and social care systemts.

• Difficulties in engaging the stakeholders, manages and professionals

HEALTH CARE • Flanders • Noord-Brabant • Kent County • Veneto Region • Friuli-Venezia Giulia • Scotland • Southern Denmark • Catalonia • Timis County • Andalucia • East-Sweden • Region Halland

SOCIAL CARE • Wielkopolska

Main goal of the Regional al Centre of Social Policy in Poznan in the CASA project P

was as to

combine the health and social care, which, in Poland, are disjointed

Good practices chosen for sharing during the Transfer Knowledge Conference in Poznan:

Innovative solutions in the hospitals and wards architecture, creating non stigmatizing, space efficient patient rooms

Good practices chosen for sharing during the Transfer Knowledge Conference in Poznan:

Electronic Prescription - an easy and safe way to buy the precscripted drugs and medicaments

Good practices chosen for sharing during the Transfer Knowledge Conference in Poznan:

Small social innovations Little ideas that makes the everyday life of the elderly easier.

Good practices chosen for sharing during the Transfer Knowledge Conference in Poznan:

Telecare Center – an inititative that combines health and social care, supporting the elderly and dependants.

TELECARE CENTER – an inititative that combines health and social care, supporting the elderly and dependants.

As our main goal was to combine the health and social care, we decided that the Telecare Center is the good practice that we should focus on and try to implement in Wielkopolska.

After the Transfer Knowledge Conference we created the CASA Project Interdisciplinary Work Group, which contains the experts in the fields of health, social care, IT, elderly activisation and support. The group have already created a SWOT analysis for implementation of the GP in Wielkopolska:

SWOT analysis for the implementation of the Telecare Center in Wielkopolska.

STRENGHTS

CHANCES

• Innovativeness • Simplicity • Availability of the service • Complex and proffesional care services • Information sharing • Minimal reaction time • Personal approach • Aging society creating a demand for such service • Cooperation between institutions • Existing E-Infrastructure • Cost effectiveness • Involvement of the regional government • Existing marketing channels • Extarnal funding (EU) • Cooperation with the private sector and NGOs

SWOT analysis for the implementation of the Telecare Center in Wielkopolska.

THREATS

WEAKNESSES

• Fear of the new solutions • Resistance of the care workers • Lack of experience • Current condition of economy • The magnitude of the project • High cost • Source of financing • Lack of awerness in the society

• Mental barrier • Disjunction of the health and social care in Poland

ACTIONS TAKEN At the end of August 2014 we submitted a project proposal for European Commission. The project name is "pROPSgress Partnership for Innovation in Social Welfare, Health Care and Activation of the elderly". The concept of the project assumes the creation of a tripartite partnership (public – social - private) and the development of the Care, Help and Support Center on the regional and national level. The pROPSgress project proposal was created as continuation of the CASA project in Wielkopolska.

FUTHER ACTIONS

Organizing an internal study visit for the CASA Interdisciplinary Work Group members in the Pomorskie Region of Poland, where a similiar project was implemented. Organizing a CASA project secondment for the CASA Interdisciplinary Work Group members in the Andalucia, Spain, to learn how a completely functional Telecare Center works

THANK YOU FOR YOUR ATTENTION Aleksandra Kowalska Director of the Regional Centre of Social Policy in Poznan WIELKOPOLSKA CASA Regional Project Coordinator: Monika Zembrzycka e-mail: monika.zembrzycka@rops.poznan.pl telefon: +48 61 8567334

Kent’s CASA Programme • Pleased that KCC has been part of the CASA Programme. • Important to create cooperation between EU states and regions • Learning from each other through exchanges of good practice. • A programme like CASA where integration of health and social care , the use of technology for preventative services and exchange of good practice are key components , very much represents what I as Cabinet member for Adult Services and Public Health in Kent expect us to develop in Kent. • We are aiming to implement the learning from CASA in several developments we are taking forward as part of the Kent Integration Pioneer and are also reporting these into the National Pioneer programme.

• The CASA learning , once implemented in Kent will become part of the Kent Strategic Plan and local policies. • The CASA programme has disseminated its learning into Kent via several workshops and conferences , this has been very successful and has resulted in Kent adopting some of the good practice from the other regions. • As Cabinet member I am keen that we continue to develop the links with other regions and continue the learning ,in order to improve the health and wellbeing of people in Kent and contribute to the scaling up of good practice in Europe.

AGEING AS SMART SPECIALIZATION REGIONAL POLICIES AND SITUATION IN MARCHE REGION Speech of the Regional Minister for the European Policies of Marche Region PAOLA GIORGI

CASA and INNOVAge Joint Final Conference – “Creating unity out of diversity: sustaining lessons learnt in active ageing”

Brussels, 7th October 2014

LONGEVITY: THE MARCHE REGION WITH EUROPEAN PRIMACY The Marche Region ranks in the 1st place in Europe for life expectancy together with Ile de France and Comunidad de Madrid. The Marche Region is among the most longliving Regions in the world.

LONGEVITY: THE MARCHE REGION WITH EUROPEAN PRIMACY Longevity is a complex and positive phenomenon, resulting from life standards and from the social and economic growth of a community.

Life expectancy at birth in the Regions (years)) 81,0 80,0 79,0 78,0 77,0 76,0

SCENARIOS: MARCHE REGION PRIMACY BOUND TO LAST Projections for age groups (2011-2065) 65-79 ITA

80 + ITA

-P - P. M. Ricci: un “ponte”65-79 tra laMarche cultura orienta 80 + Marche 20,5

18,5

pop. 65-80 years

16,5 pop. >80 years

14,5 12,5 10,5 8,5 6,5

2011 2014 2017 2020 2023 2026 2029 2032 2035 2038 2041 2044 2047 2050 2053 2056 2059 2062 2065

4,5

ACTIVE AGEING: A STRATEGIC VARIABLE FOR THE COMMUNITY Active ageing key project of the Marche Region government for community development and cohesion 3rd e 4th age are not a disease: project aimed at making elderly’s life and activities easier, more independent and vital. Besides community health, it involves economy, technology and research with universities, companies, professions, institutions.

NATIONAL HEALTHCARE SYSTEM COSTS: People aged 20: 600 Euro per year Over 65: 5,000 Euro per year

MARCHE REGION S3: STRATEGIES AND INSTRUMENTS FOR ACTIVE AGEING

SMART SPECIALIZATION STRATEGY (S3)

Rationale : concentrating knowledge resources and linking them to a limited number of priority economic activities, countries and regions can become competitive in the global economy. S3 allows regions to take advantage of scale, scope and spillovers in knowledge production and use, which are important drivers of productivity. In short, Smart Specialisation is about generating unique assets and capabilities based on the region's distinctive industry structures and knowledge bases.

MARCHE REGION S3: STRATEGIES AND INSTRUMENTS FOR ACTIVE AGEING Strategic Vision KEY SCIENCES AND ENABLING TECHNOLOGIES New Materials

ICT and Electronics

Mechanics and Energy

Biotechnologies

Social Sciences

Economic Specialization

Smart Specialization

Challenges

Mechanics and Electronics

Domotics

Demographical Change

Furniture

Mechatronics

Manufacturing decline

Home Applications

Sustainable Manufacturing

Fashion

Health and Wellbeing

International Competition Brain Drain Risk Environmental Challenges

MARCHE REGION S3: STRATEGIES AND INSTRUMENTS FOR ACTIVE AGEING Economic Specialization

Smart Specialization

Challenges

Mechanics and Electronics

Domotics

Demographical Change

Furnitures

Health and Wellbeing

International Competition

Home Applications

Manufacturing decline

Policies priorities and expected changes

MARCHE REGION S3: STRATEGIES AND INSTRUMENTS FOR ACTIVE AGEING

Policies priorities and expected changes

I.

To foster investments in research and innovation (eco-innovation of processes and products included) through projects encouraging cooperation between companies and companies networks, research and technology centers and universities according to a smart specialization and a specific field approach

• A more innovative manufacturing system able to get and increase knowledge and cross-fertilize with other sectors in terms of technology equipment and services for human capital valorization

II.

To foster innovative solutions to tackle the challenges of local communities thanks to research projects characterized by cooperation between universities, businesses and public stakeholders

• A system of companies cooperating with research bodies in order to increase the production of smart and high quality goods and services for people and communities

MARCHE REGION S3: STRATEGIES AND INSTRUMENTS FOR ACTIVE AGEING Action Plan PRIORITIES

ACTIONS

TOOLS

I)

To foster investments in R&D, innovation of enterprises, business networks, universities, technology centers

• R&D initiatives implemented by clusters of businesses, technology centers and univesities • Transfer of results coming from best academic research programmes • Support to projects through voucher for enterprises and business networks • Actions for empowerment and capacity building

• Mixed subsidies (capital/interests) • Actions of financial engineering • Fellownships and doctorates • Voucher

I)

To foster innovative solutions to tackle the challenges of local communities encouraging cooperation between universities, business and public authorities

• Actions aiming at tutoring Pulic Administrations in identifying innovation needs • R&D, testing and innovation initiatives aiming at introducing innovative services

• Capital subsidies • Voucher for needs identification • Pre-commercial procurement and Public Procurement of Innovation

Andalusia Dr Ana Carriazo Regional Ministry of Equality, Health and Social Policies anam.carriazo@juntadeandalucia.es

Andalusia:

Geographical situation

87,597 Km2 8,392,635 habitants (657,815 foreigners) >22 M tourists yearly

Andalusia: Political context Susana Díaz. President of Government

• Political Autonomy since 1981 • Regional Institutions • Parliament • Government (“Junta de Andalucía”) • Court of Justice (TSJA) Manuel Gracia. Speaker of the Parliament

Regional Parliament

Regional Government

Regional Court of Justice

Lorenzo del Río. Chief Justice

Regional Ministry of Equality, Health and Social Policies Regional Minister of Equality, Health and Social Policies María José Sánchez

General Secretary For Economic Planning and Evaluation

Deputy Regional Minister Of Equality, Health and Social Policies

General Secretary For Social Policies

General Secretary For Quality, Innovation and Public Health

Martin Blanco

Aquilino Alonso

Ana M. Rey

Josefa Ruiz

Andalusian Health Service

Agency of Social Services And Dependency

José M. Aranda

Manuel Martínez

Public Health and Social System in Andalusia Main Principles • The guarantee of rights on health and social welfare

• Progress on efficiency and sustainability as an essential perspective of public health services and social protection • Promoting the professional development of all those who are directly or indirectly related to the services provided within the Ministry • Promoting of research, to consolidate a model of innovation and a production model different, more sustainable and solidary

• Enhancement of transparency, the access to information and the public participation in the context of an open government

Andalusian Public Healthcare System Full responsibility on health policies and healthcare provision since 1984 Basic data: • 100% publicly funded • Universal coverage • 2 levels of care: • 1,506 primary care centres (gatekeeper) • 47 public hospitals (93% all inpatient beds) • 100,000 healthcare professionals • 2014 budget: 8,210 M€

Social Services in Andalusia Social Services include a wide range of types of centres and benefits. More than 3,500 social centres are under the regulatory framework of the Regional Ministry, including: ¾child care, ¾drug addiction, ¾people with disabilities, ¾elderly people and ¾community social services (roma people, migrants, immigrants).

Social services are provided in coordination with local authorities, and close collaboration with the third sector. 1,978 centres are devoted to the elderly (day-care centres, active participation centres and others).

Intensive use of ICT Collaborative initiatives 95 Million of appointments/year

105 Million of e-prescriptions/year

3 Million of e-referrals/year

3.5 Million of x-Ray images/year Health Care Information and m Management Integrated System

8.3 Million of individual EHR

186,000 Users

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CASA experience I A wide range of activities: exchange of good practices, bilateral secondments and study visits organised by each participanting region, covering the themes of: Monitoring, safety and self management Social interaction Chronic diseases Healthy lifestyle and rehabilitation Informal care Telemedicine evaluation model

Mobility, integrated regional policy, business and knowledge development User driven innovation through public private partnership Large scale deployment

CASA experience II •Changing environment

•Cultural barriers •Organisational differences

•Digital and tech gaps •Budget restrictions

CASA experience III •Strategic view •Promote innovation •Assessment

•Involve all stakeholders •Public-private collaboration •Informal carers

•Trans-regional cooperation

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