Building a Better Health Service

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Innovative support coordination for older persons

Innovative Support Coordination for Older Persons: HSE National Social Care Division/CHO 9 and ALONE voluntary organisation.

The Support Coordination Service supports older people to age at home for as long as possible.

How it works

Trained volunteers provide support to older people by providing:

  • a befriending and events service
  • benefit and entitlements activation
  • access to primary care services
  • applications and oversight of adaption grants
  • end of life planning
  • budgeting

The programme intends to create a cost effective, scalable, and transferable model by working with all services in the area.

The project aims to:

  • reduce hospital admission and support older people being discharged to return home
  • avoid nursing home admissions, for older people with lower support needs
  • identify factors preventing an older person from living well at home and identify the practical, social resources and supports addressing these factors
  • link in with the community and primary care supports
  • coordinate multiple supports across state agencies and local community and private services
  • apply for grants and aids with housing adaption's help with practical home modifications
  • combat loneliness and isolation through befriending and advocacy services

The programme is also trialing the roll out of assistive technology to produce needs-based outputs available in real time.

The team

The programme is a partnership project between the HSE National Social Care Division Staff and the voluntary organisation ALONE.

They work with statutory bodies and community organisations to provide tailored individual support to guarantee best use of local services. This promotes independence, choice and well being to older people.

Impact of the project

To date, 489 older people have been supported through the project. The team have developed a Management Information System (MIS) to enhance measuring and reporting.