On Wednesday I gave a presentation at the Institute of Health & Social Care Management conference. The session was on new models of care. I talk about the revolutions that are taking place at the moment, a society revolution together with a technology revolution.
We are trying to evolve and adapt. (If you haven’t read The New Long Life, I would highly recommend it). The root cause of the problem is the fact that the social care model was created for a society based on three life stages, with a society that was able to support each other and people who didn’t live long past retirement. This is not reflective of how we live today. Our lives are more complex and needs are more complex too. I honestly don’t think we can ‘fix’ the system, I think we need to recreate it from the ground up, starting with what people actually need and want.
I am speaking about this from personal experience. As a family we have unfortunately been on the receiving end of the “system” and it hasn’t worked for us and I know it doesn’t work for many others. It is inefficient, wasteful, has competing bodies (NHS/Social Care), the language is often patronising and doesn’t achieve great outcomes. Even the word ‘care’ doesn’t sit well with everyone.
It is very hard for care businesses to adapt and change when the system is focused on the wrong areas via government, local authorities and legislation. My view (which I know is shared by many care businesses) is that it has to start with individuals needing support. There are so many good things happening in communities but they are not widespread. There are also many parts of the system that completely let down the person who needs support.
As a starter I would recommend the following:-
- Create services that are based on the people you support. This means speaking to them to really understand their hopes and aspirations as to what they want to achieve. This is a normal business model, which is why I have included a business model canvas in this presentation.
- Encourage direct payment/personal budgets so people can control what they need. If we’d had access to this it would have saved the local authority a lot of money. I would have loved access to a Buurtzorg model and it would have been more cost effective
- Fully understand Continuing Health Care. There is so much misinformation out there.
- Collaborate with as many care providers in your area. The more you can speak with one voice the bigger impact you will have. I know care businesses that are doing this and it is delivering great results.
- Look at diversifying your revenue streams. What other services could you add that would add value to the people you provide services too?
The above doesn’t even begin to look at the digital challenges which again are ever changing.
New models of care are here and I only see this continuing to evolve further. If you would like to know more on how to implement them in your care business then please do book in a 30 minute session with me for free here.