Participle

Britain’s population is ageing.  There is a sense of crisis in that our existing public services are reaching breaking point, but ageing also presents enormous opportunity. Working with elders in Southwark we have developed a new service that harnesses the skills and resources of older people.  Southwark Circle combines public, private and voluntary contributions to meet older people’s needs and desires for practical help, stronger social networks and a renewed sense of purpose.

Participle is innovating new approaches to ageing.  Since September 2007 we have been working in a unique public-private partnership with Southwark Council, Sky and the Department for Work & Pensions, to design new services that will improve the quality of life and well-being of older people. Working with over 250 older people, we have developed Southwark Circle, a membership organisation that helps people take care of household tasks, forge social connections and find new directions in life. Open to all, regardless of levels of need or income, Southwark Circle is a model of how future services might look across Britain.

Britain’s population is ageing.  People are living longer and having fewer children.  As a result, older age groups are growing much faster than the rest of the population.  Over the next 25 years, the number of children will increase by 11%, working-age adults by 15%, and older people by 32%. The number of people aged 75 and over will increase by 76%. 

Ageing presents great opportunities for the country to build on the enormous contributions that older people already make to the economy and to society: £230 billion, or nearly a quarter of the total economy, as paid workers; £15 billion as unpaid carers; £5 billion as volunteers and £4 billion as grandparents. Older people hold 80% of the nation’s wealth and account for £239 billion in consumer spending each year.

At the same time, ageing highlights seemingly intractable problems in the funding and delivery of public services, with demand expected to vastly outstrip supply.  Particularly worrying is the issue of care.  How will the country care for the growing number of older people, and who will pay for it?  There is simply not enough resource in the current system to continue delivering the same quantity and quality of care to an increasing number of people with more complex needs.  It is estimated that public spending on social care will need to triple over the next 20 years just to keep pace with ageing. Without new sources of funding, there will be a £6 billion shortfall. Councils across the country have already been tightening their eligibility criteria and rationing social services in an attempt to make ends meet. As a result, fewer and fewer people are receiving any help at all.  The care system is failing many people at a time when it needs to start providing for more.

This is particularly important given that expectations and demand on the care system are changing, not least as the baby boomers enter old age.  State-funded care services are only a small part of what older people might need and want.  What older people value is a life based on participation and relationships that sustain their sense of dignity and control.  Not having this means that older people are not able to contribute to their fullest extent, and they are more likely to become depressed and unwell and ultimately in need of more care, perpetuating a vicious cycle of dependence.  This leads to increased costs to individuals, their families, and the state, and represents an inexcusable waste of social, economic and human potential.

Southwark Circle’s approach to care and ageing, firstly, expands the definition of ‘resources’ to combine public, private and voluntary resources and, secondly, creates a radical change in the way services and systems are configured, so that they focus on all the different aspects of quality of life and well-being that are important to older people, particularly participation and relationships.

This is a social reform challenge, not just a public service reform challenge.  The question is not just “What can public services do to improve quality of life and well-being for older people?” but rather “How can a locality mobilise public, private, voluntary and community resources to help all older people define and create quality of life and well-being for themselves?”.  This requires radical change in the way resources are defined (beyond the formal social care system) and the way services and systems are configured (away from a near exclusive focus on care and towards building relationships and participation).

Public funding is just one among several flows of resources that go into the support of older people from unpaid carers, voluntary groups, paid-for services, and peer-to-peer support.  Public services and systems must be re-designed accordingly.  An effective approach must mobilise resources and activity from all these sources, not just redesign the public component. 

Participle has developed answers to these challenges in this project. In 2007 and 2008, we worked with over 250 older people and family members generating insights into their hopes, fears, needs and aspirations. Based on these insights, we generated over 50 ideas for new services.  We decided to focus on a service that would create a rich third age, and throughout 2008 and 2009 we refined our proposition, developing prototypes of the service and co-designing with older people and their families.  We tested models of the service with users and recruited people to take part in a rough trial of the service.  We developed a business case. Subsequently, we received initial investment, built the actual service, called Southwark Circle, which launched in May 2009. It is up and running in Southwark, and it’s monthly take up of members continues to outpace our predictions.

Throughout 2010, Participle will be launching 5 new Circles in a variety of different parts of the UK. We do this in order to gather all the issues from different communities (rural, market town size etc.), so that we can be in a position to launch a national service.  More information is available at Southwark Circle’s website.

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