The document outlines a vision to improve outcomes for older people while reducing costs through more integrated health and social care services. It proposes that savings from reducing unnecessary secondary and long-term care (A) can be reinvested in alternative community services (B) and prevention (C) to create an overall reduction in expenditure (Y). Specific strategies mentioned include diverting people from acute care through expanded community services, long-term focus on health and well-being, and streamlining management to better support integrated working. Contact information is provided for further discussion.

1. Improving Outcomes and Improving Efficiency 25 January 2011 - London Total Place Project – Older People Andrew Archibald – Dorset County Council

2. The vision A shared commitment to improving outcomes for older people at less cost by… ...reshaping secondary care and community services, a sustained investment in well being and prevention and more integrated commissioning and provision A brave step to deliver a shock to the system

3. Implementing the vision A – (B+C) = Y A is the saving, by reducing the number of people avoidably receiving secondary care or long term residential care; B is the cost of meeting needs in alternative ways; C is cost of increased provision in well-being and early intervention; and Y is the reduction in overall expenditure.

4. Diversion from “acute” care A – (B+C) = Y Reduction in unplanned admissions in acute care – 15% > 65 (£18m) Reduction in care home admissions

8. Developments In Dorset

12. Contact details: [email_address]