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Louth: Smart about AgeingEmbedding Innovation into the
WHO’s Age-Friendly Cities Framework in Co. Louth
The Competitive Advantage of
“Age Friendly Cities”
Rodd Bond, Director, Netwell Centre,
Dundalk Institute of Technology, Ireland
Newcastle, UK 8th June 2011
• A paradigm shift to a more wholistic view of ageing and longer living - fromburden to bounty – (new vision)
• Trans-sectoral actions requires trans-agency collaboration and sharedservices co-ordination - (cooperation)
• Achieving more with less requires innovative models of service design anddelivery supported by ICT – (sustainable innovations)
Key messages …… early lessons from Louth ..
• Louth’s Age-Friendly County strategy is providing a robust framework toshape and drive more integrated transformation and improvement
• The embedded strategy is providing synergistic opportunities to activateimprovements in many related products and services for all groups and ages
Local government - planning context
Louth as an Age-Friendly County
Ageing-in-place – A services perspective
Longer living – An economic perspective
The role of 3rd level research / BRAID
Transformational challenges
Approach …… Louth: a place for all
Organisation: Operating within existing structures
Participation: Finding the voice of older people,
the voice of business,
the voice of NGOs and service providers
Replicability: Developing a model that can work
in any Community
in any City
in any County
Underlying principles …… sustainability
Settlement
• Global
– Urbanisation
– Globalisation
– Climate change
– Demographic ageing
• National – in Ireland
– Spatial strategy
– Economic competitiveness
– Greening framework
– Positive Ageing - Ageing well
• Local - in Co Louth
– Future area planning of the county
– Future health service planning
– Future economic planning
• Resources & resourcing change
– From Celtic tiger to Hibernian Hyena !
– Where are our certainties ?
– Not all pressures pushing in same direction ?
– Building on our strengths
Economy
Demographic
change
Climate
change
our future ?
sustainability context Universal connections
• Implications
– Longer living
– Working patterns
– Life-long learning
• Getting it right
– From burden to bounty
– Participation & cohesion
– The wealth of nations & places
• Getting it wrong
– Depression / isolation
– Health and social costs
– Inter-generational tensions
Total population :
4,253,800
Population 65 & over :
467,920 (11%)
Total population :
5,568,220
Population 65 & over:
1,002,280 (20%)
65 &
over
80 &
over
inclusivity context Counter ageing
Orio Giarini. New Welfare / Risk Institute, Geneva
40% of electricity is to be suppliedby renewable sources
12% of heat is to be supplied byrenewable sources
Energy demand is to be reduced by20% (33% for public sector)
10% of transport fuels is to consistof bio-fuels
Sustainable energy context Targets for 2020
High dependency on fossil fuels which will peak in 2015 so..
Twin needs to reduce demand and change sources of supply ..
50 - 64 65 - 79 80+
DE
NS
ITY
PO
PU
LA
TIO
N
Louth Age-Friendly County Urban and rural
• A recognition that older people are critical contributors to oursociety as a resource, not a burden;
• Communities that find imaginative ways of capitalising on thediverse assets of older adults can find new ways of addressingmany of our complex challenges and provide much neededservices;
• A commitment to the direct involvement of older people indeciding priorities, shaping actions and bringing about change;
• ICT innovations can play an important part in improvingcommunications, improving processes and increasing resourceeffectiveness
Thinking behind the strategy … People, place, process
– Buildings and outdoor spaces
– Housing
– Transport
– Respect and inclusion
– Social participation
– Civic participation and employment
– Information and communication
– Community and health services
Louth: An age-friendly county The WHO framework
• Louth County Council
• The Health Services Executive
• The Gardai
• Dundalk Institute of Technology
• Sustainable Energy Ireland
• The Ageing Well Network
• Older People’s Forum
• Irish Council of Social Housing
• Irish Farmers Association
A New Alliance change framework
LOUTH
OLDER PEOPLE’S
FORUM
LOUTH
SERVICES PROVIDERS
FORUM
LOUTH
ECONOMIC
FORUM
LOUTH
AGE-FRIENDLY COUNTY
ALLIANCE
LOUTH AGE-FRIENDLY
COUNTY OFFICE
LOUTH COUNTY DEVELOPMENT BOARD
ECONOMICCULTURAL
SOCIAL
Louth Age-Friendly County Delivery structure
longer living economy Ageing-in-place
INNOVATIONSWealth of place Health of place
Acute hospital
Out-patient Inpatient
Non
-Acu
te
Reh
ab
Hos
pice
Res
pite
With
Ther
apy
Hom
e
GP
Hom
e care
package
Com
munity
nursing
With
Therapy
Outside AEP performance Pathway challenges
Long term
care
Admission avoidance (19%)
Cases/
Episodes
49
15
14
13
25
3
3
7
9
Discharges (42%)
23
38
10
38
23
20
20
15
Accelerate discharge (47%)
Strengthen ageing-in-place
– access, independence and security
Improve hospital performance
Improve management of chronic diseases in
community
Improve approaches for frailty & falls
Information, education and health promotion
Empowerment of older persons / healthy
ageing
Doing more with less
Ageing-in-placeLouth Services Forum
CULTACACOMMUNICATION
CULTACACOMMUNICATION
GNH - ASSISTEDLIVING
TRANSITION
COORDINATIO
N &
MONITORING
TELE
CARE / H
OM
E
SUPPORT
CARE C
ULTU
RAL
TRANSFO
RM
ATIO
N
MANAGECHRONICDISEASEINCOMMUNITY
Older Person Ageing in
place
Core Governing Principles
Person-centred careCollaborative Services
Sustainability
Demonstration project around Barrack St.,
Multi-stakeholder collaboration
Fusion: environment, technology, care model
Evidence-base for growth and intensification
Inform and accelerate policy area development
Stimulate product/service innovation
Foster culture of CQI in community
Build sustainability
Barrack St base Nominal service area for team
Ageing-in-place initiative Great Northern Haven
• Barrack St Housing Project
– Collaboration between Dundalk TownCouncil, HSE North East and DkIT
– Enhances Quality of Life
– Development consists of 16 2-bedroom apartments
– Clients come from LLA housing lists,HSE lists and others
• Housing Grants
– Review of process for assessment andallocation of housing grants and theinclusion of ICT products and servicesas eligible interventions supported bythe grant.
Innovations in housing Great Northern Haven
Technology in place Kitchen / living area
Living in
Great Northern Haven
Brokering
access
Managing the
home
Remote
Telehealthcare
monitoring
Community &
Primary care
services
Making a difference …… The services mix ..
LOUTH
OLDER PEOPLE’S
FORUM
LOUTH
SERVICES PROVIDERS
FORUM
LOUTH
ECONOMIC
FORUM
LOUTH
AGE-FRIENDLY COUNTY
ALLIANCE
LOUTH AGE-FRIENDLY
COUNTY OFFICE
LOUTH COUNTY DEVELOPMENT BOARD
ECONOMICCULTURAL
SOCIAL
Louth Age-Friendly County Delivery structure
longer living economy Ageing-in-place
INNOVATIONSWealth of place Health of place
Louth Economic Forum 10 Point Plan
FDI
Tourism/Heritage
DDN corridor
Indigenous Industry Doing business
Education/training
Sustainable Energy
Agriculture / Food
Fisheries
Broadband
Impact on products, services, delivery channels, and places of delivery
for other key action areas.
Longer living
As an R&D living-lab /
development location.
Low carbon / behaviour
management
Age-aware services and
destinations
Design-for-all product &
service development
Skills development and
life-style planning for
longer living
Food production and
nutrition
ICT infrastructure
Louth Age-Friendly County Longer Living Actions
Longer living economic
Development
PRODUCT/SERVICE
OPPORTUNITIES
BUILD AWARENESS
RECOGNITION
INCENTIVES
SENIOR ENTERPRISE
WISDOM IN WORKFORCE
Age-friendly design
Design for all
Flexible working and
reward practices
Volunteering
Welfare, pensions & savings
Active behaviours / choices
Economic contribution
Senior start-ups
Social enterprise
Business succession
Volunteering
Monitoring
Measurement
Accreditations
Louth Economic Forum Sustainable Energy
• Renewable electricity
• Renewable heat
• Energy efficiency
• S.E. Zone
– Transport
– Public/Health sector
– Education
– Residential
– Industry
– Commerce and Leisure
• S.E.Community
– Commitments / charter
– Behaviour change
– Measurement / recognition
Declan Mealy, Aideen O’Hora – SEAI, Ireland
TransportInclusion &
respect
Social
participation
Volunteering
&
employment
Communic.
&
information
Community
& health
services
Housing
buildings &
outdoor
spaces
sustainable neighbourhoods
life-time housing
personalised transport & mobility
Dundalk 2020 - energy
ParlAGE/Cultaca
AAL / Connected Health
smarter environments smarter technologiesuser awareness
Design for all Ecological design
Smart & sustainable living
Context Aware Broker and
Inference Engine (CABIE)
Data Entry (e .g., computers , health equipment , TV)
On Body (e.g., clothes , watches and shoes )
Environment (e .g., room sensors and furniture )
Objects (e .g., remote controls , mobile /land phones )
Evaluative Reports
Overt Actions
Physiological Data
Behavioural Patterns
Sensing
Locations
Data Parsing for Context
Estimation
Environmental Changes
( e.g.lighting and sound )
Music , images , and video
Inward Communication
( feedback )
Outward Communication
Sensing Intervention
Characteristics of State Intervention Pathways
Technology platform converging services
Technology platfrom Services ecosystems
3rd level supporting change Louth as a ‘living lab’
CAVE Simulator and technical
workshop / laboratory
GNH – ‘Aware homes’
Living laboratory
LAFC – County-wide
trial infrastructure
Pe
rso
n c
en
tre
d d
es
ign
Ps
yc
ho
-so
cia
l a
na
lys
is
As co-designer
As participant
As subject
As seeker
En
ga
ge
me
nt
co
mp
lex
ity
Contextual complexity
customer
Local Regional National European
Building capacity to
maximise international
engagement for global
markets
International.
3rd level supporting change User engagement
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Emerging EU Roadmap ICT & Ageing
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Bridging Research in Ageing and ICT Development
BRAID Feeder projects
NOW
THEN
Roadmap
plan of actio
ns
0
5
10
15
20
25
Vision
Baseline
Vision-based
roadmapping
3 Main components
BRAID Notion of a roadmap
• Four Workshops with
Advisory Board and Local
Stakeholders
1) Denmark (June)
2) Ireland (September -
Jointly with WHO meeting)
3) Eastern Europe
(November)
• Final Presentations in
Brussels and Australia
• Check out our website and
WiKi athttp://www.braidproject.eu
!"#$%&*+
BRAID Next steps
Pilot phase Roll out phaseInnovations funded by:
EU programmes
National programmes
Foundations
Other.
(Temporary)
Need to embed innovations in structural financing
systems, to gain clear relation between investments
and revenue/savings
Ref: Erwin Van Leussen – Achmea Health Innovations (Holland)
AAL Policy workshop Sept.. 2008
Transformational culture
Scaling / replicability / growing
Internal pull as much as push
Implementation roadmap
The key challenge Energising state change
Physical
resources
Energy
(matter)
Human
Psycho-social
Energy
(individual,
& human
spirit)
activitypassivity
ENERGY
A capacity for
action &
interaction
Future
Evolving
complexity/
consciousness
growth
diminishment
Some new areas Hope and fire (Prometheus)
• Explore cultural andenvironmental attitudes/valueswithin longitudinal studies onageing
• Transdisciplinary – developing ashared vision of a shared futureacross domains - including neweconomics
• A more unified model of humanaction and physical resourcesand energy
• New measures for success andgrowth – beyond GDP,emissions and admissions !
Now is the time to change Metanoia ……
For further information:
WHO Global Age-FriendlyCities Network Conference
Dublin, Ireland – 28/29/30September 2011www.afc-internationalconference.ie