AGEING WELL IN PEMBROKESHIRE
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Pembrokeshire County Council
Cyngor Sir Penfro
AGEING WELL
IN PEMBROKESHIRE
The Older Person’s Strategy and
Age Friendly Communities programme in
Pembrokeshire through joint working
with all departments of the local authority
and partner organisations.
January 2016
For a copy of this publication in Braille, in larger print, audio tape or an alternative language, please contact Pembrokeshire County Council on (01437) 776613.
Contents
Ageing Well in Pembrokeshire
Forward 2
Background to the Strategy 3
Engagement and Consultation Structure 4
Context 5 - 12
Map of Pembrokeshire displaying older population by Community Council area 6
Table representation of increase in older population between 2001 & 2011 7
Case Study demonstrating multi service support 11
Universal Services 13 - 23
Diversity 13 - 14
Learning and Activities 15 - 16
Transport 17 - 18
Housing 19
Energy Efficiency 20
Employment 21 - 23
Early Intervention and Prevention 24 - 26
Healthy Ageing 24
Dementia 24
Falls 25
Leisure 26
Libraries 26
Choice and Control 27 - 29
Information, Advice and Assistance 27
Pensions and other income 28
Financial inclusion 28 - 29
Social Capital 30 – 33
Social Participation/Isolation and Loneliness 30 - 31
Shared space 31
Living in the Community 31 - 33
Implementation and Monitoring Structures 34 – 37
Appendix 1 - Local, National and International Policies 38 - 44
1 Ag ei n g Wel l i n Pem broke shire
Forward
Ageing Well in Pembrokeshire
Welcome to our Older Person’s Strategy -
Ageing Well in Pembrokeshire.
This Strategy sets out our vision for the wellbeing of In Pembrokeshire we have already seen
older people in Pembrokeshire and supports developments in Age Friendly Communities,
Pembrokeshire County Council’s commitment Dementia Supportive Communities and activities to
through the signing of the Dublin Declaration on help prevent loneliness and isolation. This is in
Age Friendly Cities and Communities. It has been addition to work in falls prevention and
developed with the support of a wide range of local opportunities for employment and new skills
groups, partner organisations and takes into development.
account the responses we received during our
formal consultation process. We have been increasing our investment in our
communities through the Intermediate Care Fund,
The main feature of our consultation was a series of seeing projects such as PIVOT (supporting people
listening sessions with older people. In this way we coming home from hospital); Pembrokeshire
have tried to ensure that our priorities reflect those Leisure Exercise Referral Scheme; concessionary
of older people themselves. rates for Leisure Services and Community
Learning; and supporting St Davids in working
Under pinning our priorities is the Age Friendly towards becoming a Dementia Friendly City, to
Communities ethos that later life for people should name just a few.
be lived in the best health possible, should be
active, safe, enjoyable and fulfilling, and that people Over the next five to seven years we face new and
should have opportunities to make a positive tough challenges. Some of these stem from the
contribution to the local community. particular make up of our population, others from
external factors such as our current economic
There is a considerable amount of support and climate.
work already taking place in our county. However
with more and more people enjoying later life here I would like to thank all of those who have
in Pembrokeshire, there is much that can still be supported the development of this
done to stimulate activity and offer support when Strategy and welcome the
needed. continued partnership working
and views from older people
eople
People over the age of 50 can continue to themselves.
contribute to having a say in how our services are
developed through our consultation processes or
through the Pembrokeshire 50+ Central Forum.
Councillor Simon Hancock
Older Person’s Champion
Pembrokeshire County Council
2
Background on the creation of this Strategy
Ageing Well in Pembrokeshire
This document sets out Pembrokeshire County This Strategy, with its Implementation Plan will be
Council’s Strategy for Older People in both challenging and ambitious as it will set out our
Pembrokeshire to show clearly, how we will work long term vision for older people living in
with residents in our communities, partner agencies Pembrokeshire and will encompass
and organisations to take forward Welsh Pembrokeshire’s Single Integrated Plan’s
Government’s Phase 3 (Phase 3) of The Strategy (S.I.P.) 6 Outcome Areas, Welsh Government’s
for Older People in Wales: Living longer, Ageing 13 Key Aims, and the 5 Priorities of the Ageing
Well set up as a 10 year plan spanning from 2013 – Well in Wales Programme. The Well-being
2023. Future Generations Bill 6 integrated wellbeing
goals. Social Services and Well-being (Wales)
The challenge in Wales as set out by Welsh Act with 6 strategic priorities. Hywel Dda
Government, to be undertaken and met by all University Health Board’s Foundations for
22 Local Authorities in Wales by 2023: Change and Integrated Medium Term Plan
(see appendix 1 for greater detail on these
• To create a Wales where full participation is
strategies).
within the reach of all older people and their
contribution is recognised and valued;
• To develop communities that are age-friendly
while ensuring older people have the resources
they need to live;
• To ensure that future generations of older
people are well equipped for later life by
encouraging recognition of the changes and
demands that may be faced and taking action
in preparation.
3 A g ei n g Wel l i n Pem broke shire
Engagement and Consultation Structure
Ageing Well in Pembrokeshire
Engagement with Older People When asked what the top 5 priorities would be
for older people from the 3 methods of
To gain the viewpoints of older people in communication the combined answers were:
Pembrokeshire on the draft strategy we held a 6 Ranking
weeks consultation period. This was promoted First Transport
through several means: Second Living in the Community
Third Healthy Ageing
• Social Media( Facebook, Twitter) Fourth Social Participation
Fifth Dementia
• Writing to Lunch Clubs, Good Neighbour Age of those responding to this question.
Schemes, 50+ groups in Pembrokeshire. 50 - 65 15
66 - 75 78
• Through partner organisations. 76 - 80 59
80+ 35
There were several methods used to collect unknown 26
people’s views: There were many comments regarding direct
services which will be forwarded to the relevant
• Visiting 8 lunch clubs, 7 Day centres, Sheltered departments.
Housing, 50+ Groups and discussing concerns
and priorities for older people and what • What did come out of the conversations were
that people wanted more engagement
currently works well for them.
regarding services and the work of the local
authority and not just when we are thinking of
• Holding public drop in sessions in Crymych,
making changes, but also when we do
Haverfordwest, Milford Haven, Narberth, implement changes.
Pembroke Dock, and St Davids
• There were strong concerns over the changes
• We were at the Housing department’s (Big Day in services both with the local authority and
Out), Hywel Dda University Health Board’s Hywel Dda University Health Board.
Engagement event and Fishguard and • People wishing to remain living in their own
Goodwick’s Information Day. communities, however isolation and loneliness
was highlighted in all areas of Pembrokeshire
• A meeting was held with the Older Person’s that we visited and that people would like to
Voluntary Sector Network. see more opportunities to socialise in their own
communities.
We met with approximately 365 people, received • Dementia support and awareness was raised
58 posted responses and 665 conversational in many places that people are unaware of
responses to the priorities for older people in how to support people with Dementia to live a
Pembrokeshire. good quality of life and how to support the
families and carers.
Interestingly no responses came in via the website • Providing Information and advice was raised in
consultation page. all visits and although everyone stated that
they didn’t feel there was enough information
provided, solutions were very different and
difficult to reach. Being able to age in a healthy
way was important to most people and finding
ways to do this was important.
4 4
Context
Ageing Well in Pembrokeshire
This Strategy is set with the following context: The largest increase by far is for the age group 85
and over. Projections for Pembrokeshire suggest a
The 2001 Census estimated the population of
Pembrokeshire to be at 114,138. dramatic 93% increase by 2030. Compare this with
the overall Wales increase of 80%, shows that
The 2011 Census estimated the population of Pembrokeshire needs to ensure people live healthy,
Pembrokeshire to be at 122,439.
prosperous and independent lives.i
These figures lead us to believe that the population
growth over the next 10 years to be 8,301 or 7.3%.
At the 2011 Census By 2021 this
We understand that the bulk of this increase the Pembrokeshire population is projected to
break down was: change to:
will be due to 2 factors:
20.5% under 18, 19.4% under 18,
1) The amount of people moving into 21.8% 65 and over, 26.6% 65 and over,
Pembrokeshire. (Particularly of the older 10.1% 75 and over 13.1% 75 and over
working-aged adults). 2.8% 85 and over. 4.0% 85 and over
2) An increase in life expectancy.
In 2001 about 19% of the population were aged 65
and over. By 2011 this had increased to 22% and
by 2021 it is projected to have increased to nearly
27%. The proportion of the oldest people within the
65 and over age group is also increasing, which
has particular relevance to the provision of services
as social services to older people are more likely to
be needed by this age group. In 2001 just under
9% of the population were aged 75 and over. In
2011 this was 10% and in 2021 it is projected to
be 13%. This equates to an over 50% increase in
the number of people aged 75 and over between
2001 and 2021.
20000
18000
16000
14000 Pembrokeshire 2001
12000
Pembrokeshire 2011
10000
8000
Pembrokeshire 2020
6000 Pembrokeshire 2025
4000
2000
0
45 to 54 55 to 64 65 to 69 70 to 74 75 to 79 80 to 84 85 & Over
5 A g ei n g Wel l i n Pem broke shire
Context
Ageing Well in Pembrokeshire
Number of Older Residents by Community Council
6
Context
Ageing Well in Pembrokeshire
No. Of No. Of increase No. Of No. Of increase
Pembrokeshire Pembrokeshire
People 60+ People 60+ in people People 60+ People 60+ in people
Communities Communities
(2001) (2011) over 60 (2001) (2011) over 60
Ambleston 110 147 37 Manordeifi 120 157 37
Amroth 357 458 101 Marloes and St. Brides 75 102 27
Angle 69 124 55 Martletwy 125 164 39
Boncath 215 259 44 Mathry 135 165 30
Brawdy 107 178 71 Merlin's Bridge 373 510 137
Burton 261 403 142 Milford Haven 3,128 3,593 465
Camrose 462 623 161 Mynachlog-Ddu 118 155 37
Carew 319 376 57 Narberth 658 811 153
Cilgerran 358 482 124 Nevern 219 315 96
Clydau 140 225 85 New Moat 100 142 42
Clynderwen 162 246 84 Newport 438 481 43
Cosheston 162 256 94 Neyland 707 968 261
Crymych 317 481 164 Nolton and Roch 199 290 91
Cwm Gwaun 54 87 33 Pembroke 1,738 2,267 529
Dale 63 80 17 Pembroke Dock 1,779 2,269 490
Dinas Cross 260 356 96 Penally 285 326 41
East Williamston 575 634 59 Pencaer 98 135 37
Eglwyswrw 180 254 74 Puncheston 129 148 19
Fishguard and Goodwick 1,567 1,765 198 Rosemarket 88 136 48
Freystrop 120 176 56 Rudbaxton 207 294 87
Haverfordwest 2,455 2,730 275 Saundersfoot 890 1,103 213
Hayscastle 111 133 22 Scleddau 209 280 71
Herbrandston 80 110 30 Solva 259 316 57
Hook 170 223 53 St. David's 547 634 87
Hundleton 189 244 55 St. Dogmaels 383 475 92
Jeffreyston 120 173 53 St. Florence 153 215 62
Johnston 439 537 98 St. Ishmael's 134 176 42
Kilgetty/Begelly 618 788 170 St. Mary Out Liberty 282 362 80
Lampeter Velfrey 265 383 118 Stackpole and Castlemartin 144 198 54
Lamphey 281 361 80 Templeton 210 277 67
Letterston 279 356 77 Tenby 1442 1,541 99
Llanddewi Velfrey 77 111 34 The Havens 276 364 88
Llandissilio West 120 148 28 Tiers Cross 145 195 50
Llangwm 203 271 68 Uzmaston, Boulston, Slebech 217 260 43
Llanrhian 242 301 59 Walwyn's Castle 68 110 42
Llanstadwell 194 286 92 Wiston 193 289 96
Maenclochog 175 224 49 Wolfscastle 143 202 59
Manorbier 325 435 110 Total for Pembrokeshire 28,888 36,218 7,330
7 A g ei n g Wel l i n Pem broke shire
Context
Ageing Well in Pembrokeshire
Pembrokeshire County Council signed the A number of these priority areas are already
Dublin Declaration of Age Friendly Cities embedded within existing service activity and
and Communities (Sept 2014) confirming its resources in Pembrokeshire, and reflect
Pembrokeshire County Council’s commitment to
commitment to ongoing work and policy
improving the quality of life for older people in the
development around Age Friendly county by providing quality services. This is
communities and participation in a co- evidenced through the priorities outlined in the
ordinated network across Wales. It will also Single Integrated Plan.
give recognition on an international stage to
the council’s leadership and commitment to To enable us to develop Age Friendly
addressing the needs of older people. Communities we must:
1. Enhance mechanisms to involve older people
throughout the age friendly process.
2. Develop a baseline assessment of age
friendliness in our communities.
3. Create a baseline of services and support
already available.
4. Develop a realistic and achievable action
plan.
5. Develop additional partnerships in project
based delivery.
The Dublin Declaration on Age Friendly Cities and
Communities also includes a pledge that where it 6. Identify measurements to monitor against
is within their area of responsibility and this plan.
economically feasible, signatories will take
forward action in the following domains: The Aging Well Strategy for Pembrokeshire
embraces the principles of Personalisationii.The
a. Awareness of older people Older Person’s Strategy Partnership Board and
Pembrokeshire County Council are committed to
b. Processes of citizen-centred engagement promoting independence, choice and control for
all members of the community, enabling them to
c. Urban spaces and public places stay healthy and actively involved in their
community and county. The embedding of these
d. Housing Principles for older people is also supporting
other characteristic groups in Pembrokeshire.
e. Public transport systems
“An Age-friendly City encourages active ageing by
f. Participation in social and cultural life optimizing opportunities for health, participation and
security in order to enhance quality of life as people age.
g. Employment and volunteering opportunities In practical terms an age-friendly city adapts its structures
and lifelong learning and services to be accessible to and inclusive of older
people with varying needs and capacities”.
h. Community support and health services Global Age-friendly Cities: a Guide
8Context
Ageing Well in Pembrokeshire
In order to achieve this we consider the key
results we wish to achieve through the work This Strategy looks at 4
of this Strategy are: overarching areas of development
which incorporate all the
• Older people feel more connected to the elements of the Older Person’s
work and performance of the Authority and Strategy for Wales and the Aging
can have a say on the planning and delivery
Well in Wales’s programme,
of services by and on behalf of the Authority;
especially as services and
• Strong public awareness and participation in support for people as they grow
matters relating to the Older Person’s older is everyone’s responsibility.
Strategy;
• Universal Services – these are community
• Older people feel they have a stake in their facilities and services that we all use such as
community and society at large and can transport, leisure and health. We will ensure
make a conscious contribution; that everyone is able to use the same
services in the community, and feel
• Older people have a sense of purpose, welcomed and safe when they do so.
engage in meaningful and fulfilling activity Effective up-to-date information and advice
and have aspirations for the future; will be available to everyone, regardless of
how their care is funded. (Diversity, Learning
• Older people are motivated and able to live & Activities, Transport, Housing, Energy
as independently as possible, and have the Efficiency & Employment)
on-going support where required to maintain
that independence; • Early Intervention and Prevention – this
enables people to access the support
• Greater partnership working / involvement/ needed to stay independent for as long as
communication; possible, which may delay or reduce any
further support requirements. We will work
• Development of community capacity in together to develop services that enable
relation to Age Friendly Communities. people to maximise their Independence.
(Healthy Ageing, Social Participation)
• Older people have opportunities to lead safe,
healthy, active lifestyles should they chose to.
How we will deliver the priorities in the Strategy
will be shown in the Delivery Plan, incorporating
the feedback received during the consultation
process.
9 A g ei n g Wel l i n Pem broke shireContext
Ageing Well in Pembrokeshire
• Choice and Control – this empowers Underpinning all of our work in these areas is our
people to decide who provides their support safeguarding framework; we believe that people
and what form that support takes. We will should be able to live free from fear and harm
ensure that help and support they receive to and have their rights and choices respected.
manage an illness or condition is individually
tailored to their preference and they are The work of the Older Person’s Strategy is wide
aware of how much support is available from reaching across numerous directorates and
the council and other providers in the agencies but also at different times in people’s
community. (Information, Advice and lives they may require different levels of support
Assistance, Pensions, Financial Inclusion) which will need to be taken into consideration
throughout this Strategy. (as shown in the
• Social Capital – this is the focus on building diagram on page 12).
strong communities, ensuring that everyone
feels a sense of belonging contributes to the
wellbeing of those around them and feels
able to have their say about how things
work. (Social Participation, Shared Spaces,
Living in the Community)
10Context
Ageing Well in Pembrokeshire
CASE STUDY
Mrs B is an 80 year old widow who lives The positive benefits to Mrs B have been
alone and in a rural village. Mrs B suffers invaluable as this has resulted in an improvement
from several health conditions: epilepsy; in some of her health conditions also her
mini strokes, vascular dementia; arthritis; bi emotional and mental health has improved. Mrs
lateral knee replacements, B is now able to attend and enjoys a weekly local
to name just a few. community ‘Gentle Keep Fit’ session, community
lunches and even attending her great
A year after her husband died Mrs B went into grandchild’s activities, as well as having an
depression after finding it difficult to adjust to life interest in new ventures the community is
without her husband, even with the support of developing.
her immediate family. A health assessment was
undertaken and medication prescribed to This has given her something to look forward to
combat the depression with limited success. in her own right every week, also a sense of
However due to episodes of seizures and mini purpose. She now feels she has something to
strokes over this time there were numerous offer others and has made new friends.
hospital admissions averaging 3 or 4 days and at
Benefits have been seen both to Hywel Dda
times longer. On returning home from hospital
University Health Board and Social Care Services
the effect of these episodes would result in Mrs B
through admissions to the hospital were reduced
remaining in bed extremely tired, confused and
and the last being 4 years ago. The care
forgetful, difficulty recalling conversations, unable
package put in place to support her has been
to take her medication without supervision,
reduced over time in response to her
unable to prepare meals for her or personal care.
improvements in health and wellbeing.
There were several occasions when Mrs B’s carer
Benefit to the family include: Enabled main
received phone calls at work from neighbours
carer to continue in their career and
explaining that Mrs B had been found in a state
reduction on stress for the extended family
of collapse on the floor which necessitated
knowing that she is in safe and supported
admissions to hospital.
environments.
Arthritis has limited her ability to walk far and
This case study shows that with a mixture of
stand unaided for periods of time and she is
support from professionals, family and the
prone to falling. Eventually Mrs B stated that she
community, a person’s life can be enhanced
felt she that she was a prisoner in her own home
enabling them to live a happy and more
and felt she had no reason to live. After much
independent life. It also demonstrates how Mrs
encouragement from her family Mrs B finally
B. went through the various stages (as shown in
agreed to attend a day centre to see if this was
the model over the page) and that a person’s
an activity she would enjoy and benefit from.
progress in relation to a health condition can
This has turned her life around as she enjoyed move both up and down the spectrum at various
the whole culture of the day centre it was not too times during their life.
long before she was asking to visit the Centre
twice weekly.
11 A g ei n g Wel l i n Pem broke shireContext
Ageing Well in Pembrokeshire
iii
Population of Needs Examples of Interventions
Equal access to services
Citizenship Tackling Ageism
General Making a positive contribution, e.g. Volunteering
Population Neighbourhood Community and Home Safety
and Community Locally based community development
Good Neighbours - Leisure services
Gentle Exercise - Transport
Information /
Low to Access Phone contact - PCC Contact Centre
Web based information points - INFO engine
Moderate Hard copy information - Better Guide to Support Libraries
Needs Lifestyle
Active Ageing initiatives - walking the National Park
and leisure centre programmes e.g. free swimming
Public Health measures - Screening,
Financial support - welfare benefits
Practical Support
Substantial Befriending and counselling
Needs Shopping and Gardening
Early Interventions Case finding and Case management
Volunteer Broker support
Intermediate Care
Complex Enablement Services
Enablement Self -Care Programmes - Expert Patient Programme
Needs
Integrated teams and / or networks - Community Resource
Community Support teams - Generic Workers
Case finding and case management of complex cases
Residential Care End of Life Care in own home - Paul Satori
Avoidance Management of unscheduled Care
Hospital Assessment process
Timely Discharge Post Discharge support, settling in and
proactive phone contact - PIVOT
Outcomes: Improved quality of life, increased choice and control, economic wellbeing, improved health
and emotional wellbeing, making a positive contribution, freedom from discrimination or harassment,
maintaining personal dignity and respect.
12Universal Services
Ageing Well in Pembrokeshire
The proportion of people who are from a non-
Universal Services - these are community white ethnic background for any age group in
facilities and services that we all use Pembrokeshire is low. However the proportion of
such as transport, leisure and health. We younger people who are from an ethnic minority
will ensure that everyone is able to use is higher than for older residents.
the same services in the community, and
feel welcomed and safe when they do so. For religion, there are also differences depending
Effective up-to-date information and on age. Sixty-eight percent of people under the
advice will be available to everyone, aged of 18 states their religion as Christian
regardless of how their care is funded. compared with 88% of people aged over 65. By
contrast 21% of people under 18 states they
have no religion, compared with 6% for those
Diversity aged over 65. Adult social care services, another
Older people are not discriminated against substantial range of services, accounts for a
because of their age, and do not experience significant, and growing, proportion of the
multiple discrimination. Council’s budget. However many of these
services are provided because customers are
Links to Ageing Well in Wales Priorities: disabled, rather than because they are old.
1, 2, 4, 5.
In response to the engagement work the local
Links to Single Integrated Plan Outcome authority carried out in developing the
Areas: 1, 5, 6. Pembrokeshire Equalities Plan, some of the older
people we spoke to highlighted, a small number
There is a strong link between age and disability. of instances where people consider they have
Data from the Census shows that the proportion been disadvantaged because of their age.
of people with a long term limiting illness in Employment was the most commonly cited
Pembrokeshire rises with age: instance along with older people feeling that they
were less valued by society because they are
People with long term limiting illness
older. Older people also commented on more
80.0% general issues such as the impact the economic
Series
Series11
70.0% downturn is having on their spending power and
60.0% their future and the need to have better public
50.0%
transportation in rural areas particularly for those
40.0%
whose health is in decline (these comments were
30.0%
also confirmed whilst consulting on the Older
20.0%
Person’s Strategy).
10.0%
0.0%
All
All 65 and65s
Over over 85 and85s
Over over (Pembrokeshire’s Strategic Equality Plan 2012-2016)
Other protected characteristics also differ by age.
Life expectancy for women is higher than for
men, and as a result, the percentage of people
who are women increases steadily for all ages
over 65 years. For the over 85 age group, the
difference is marked.
13 A g ei n g Wel l i n Pem broke shireUniversal Services
Ageing Well in Pembrokeshire
Existing Services: Priorities to be delivered 2015 – 2018:
• Libraries offer a range of material in different • Continue to support 50+ Central Forum
formats including large print and audio members to be representatives on the
books. Each library also has a selection of Pembrokeshire Voices for Equalities forum.
books in Welsh.
• Support the Pembrokeshire Voices for
• Mental Health Awareness Training is provided Equalities forum in engagement events and
for tutors by POBL with Pembrokeshire surveys to ensure the capturing of older
Community Learning people’s views.
• Promote Dementia Friendly Awareness and
POBL (meaning PEOPLE in our Welsh language)
community development. Linking into the
is a new and fresh mental health charity that has
Dementia Strategy for Pembrokeshire.
been formed to make a difference to the people
of Wales and their families, who are either now,
• Promote and continue links with the Carers
or will at some future point, find themselves
Strategy ensuring older carers are
suffering from a mental health condition. We are
considered.
called POBL because that’s exactly what we are
all about. People helping people! We aim to be • Ensure that the delivery of our services is
as bi-lingual as possible in all of our dealings, as based on a shared commitment to respect
we feel that this is of vital importance to be able value and engage with older people.
to discuss issues in your native tongue if that
assists you better. • Continue to raise awareness of domestic
abuse and promote services.
• A multi- agency Equalities Forum for
Pembrokeshire (Pembrokeshire Voices for
Equalities) has been created at which
representatives from the Pembrokeshire 50+
Central Forum are members.
• The Council is committed to considering the
needs and requirements of all individuals
affected by our policies and practices. We
have an Integrated Impact Assessment (IIA)
tool which is applied to all our strategic policy
and practice decisions and ensures we fulfil
our obligations concerning:
• Equality and Diversity,
• Sustainable Development,
• The Welsh language, and
• Health and Wellbeing issues.
14Universal Services
Ageing Well in Pembrokeshire
Learning and Activities
Older people have opportunities to engage Course feedback from older learners
in learning or other activities. showed that:
Links to Ageing Well in Wales Priorities: 4, 5. • 98% felt they had achieved their personal
learning goals.
Links to Single Integrated Plan Outcome
Areas: 1. • Over half felt that they had benefitted
additionally with technology, 54% felt more
Many people saw learning opportunities as confident,
important to them for different reasons, skill
building for employment, confidence building, • 63% had gained social benefits, 28%
social participation and supporting healthy improved job prospects, 51% increased
ageing. Whilst Pembrokeshire County Council’s motivation,
Learning Pembrokeshire programme is going
through a redevelopment and consultative phase, • 11% improved health,
older people expressed the importance of the
service. • 44% improved study skills,
Learning Pembrokeshire is the Adult and • 21% benefit to their community
Community Learning service provided by the
Local Authority. When learners enrol for a course • 31% benefit to their home and family life
they are supported by a centre officer qualified in
guidance to identify the most appropriate option Existing Services:
or provider.
• Pembrokeshire College offer training and
Service data for 2014 / 2015: learning opportunities through their STEP
FORWARD programme. Training is available
• 50-64 yrs: 1088 enrolments in a variety of venues such as; village halls,
(28% of total enrolments) community centres and the college.
• Over 64yrs: 1089 enrolments • Learning Pembrokeshire supports many
(28% of total enrolments) people with learning opportunities, including
supporting and working with the University of
Therefore 50+ age groups represent 56% of the the 3rd Age in delivering training
enrolments on courses with Learning opportunities and sharing skills and
Pembrokeshire. knowledge, through this growing
organisation.
15 A g ei n g Wel l i n Pem broke shireUniversal Services
Ageing Well in Pembrokeshire
• Concessionary and reduced concessionary community activities. This is embodied by
rates are offered. A service bursary is the ‘Decades’ box scheme; a free
available to support engagement and reminiscence scheme for use by local
progression to other courses for those in individuals, community groups, health
financial hardship through Learning organisations and schools.
Pembrokeshire.
Priorities to be delivered 2015 – 2018:
• Libraries provide free access to computers
and through partnership with other • Work with our partner organisations to
organisations assist people to develop their promote learning opportunities to members
ICT skills. of the public, and consider the viewpoints of
older people.
• Libraries offer access to a wide variety of
resources and activities and provide a range • Engage with people aged 50+ to obtain
of informal learning opportunities. views on need in Pembrokeshire through the
50+ Central Forum’s work and report to the
• Scolton Manor’s Outdoors and Heritage Pembrokeshire Learning Network.
work provides a comprehensive range of
• Learning Pembrokeshire is currently
opportunities for older people to engage in
undergoing a consultation and review
learning. This is backed up by a programme
process, to look at how services can be
of varied events, activities, displays and
delivered differently in the current financial
exhibitions that feature at the site.
savings period.
• Loans Resources: Scolton Manor’s museum • Support key sector skills development.
service provides a range of historical objects
for loan to engage older people and for wider
16Universal Services
Ageing Well in Pembrokeshire
Transport
Older people can access affordable and Existing Services:
appropriate transport which assists them to
play a full part in family, social and • Following Welsh Government guidance,
community life. Pembrokeshire County Council is further
developing the application assessment
Links to Ageing Well in Wales Priorities: 1, 2, 5. process of the Blue Badge Scheme.
Links to Single Integrated Plan Outcome Areas:
1, 2, 3 • There is a network of local bus services
Due to the rural nature of Pembrokeshire, throughout the County together with a range
transportation remains a continuous challenge of train services. Passenger transport also
and a priority for many older people. The local includes taxis, community transport,
authority is working with numerous community education transport and a number of other
transport providers and service providers to look transport options available in Pembrokeshire.
at new developments to enable people to move
around the county. • Concessionary Travel Pass Scheme
The Scheme entitles people aged 60 and
The majority of older people consulted, over, and people with disabilities who are
expressed the importance of transport for resident in Wales to free travel on local bus
Pembrokeshire. services throughout the principality.
Some people expressed their disappointment of
the removal of the Sunday bus services in their • Coastal Bus Services
areas. There are five coastal bus services that run
seven days a week throughout the summer.
Many older people expressed the importance to The buses now cover the majority of the
them of the free bus pass in Wales, stating this Pembrokeshire Coast. The Poppit Rocket,
was a vital support against loneliness and Strumble Shuttle and Coastal Cruiser buses
isolation and accessing vital services such as GP also run two days a week during the winter.
surgeries and hospital appointments.
• Community Transport
The new application of parking charges to car To help combat the problems of social
parks with access to places such as GP exclusion the Authority has developed and
surgeries and pharmacies in some places raised supports a number of community transport
concerns during the consultation. A suggestion initiatives for people who have difficulty in
of a 15 minutes allowance to go to a pharmacy accessing conventional public transport. This
to pick up a prescription is created, similar to the support has included the provision of funding
multistory car park in Haverfordwest. for a dedicated community transport
website, www.pembrokeshiretransport.co.uk
Pembrokeshire County Council’s transport
department works closely with the Community
Transport providers and service users to provide
the vital services people in Pembrokeshire need.
17 A g ei n g Wel l i n Pem broke shireUniversal Services
Ageing Well in Pembrokeshire
• There is a selection of community transport
available in Pembrokeshire:
o Dial-a-Ride buses connecting people to
the towns
o Country Cars
o Cars for Carers
Priorities to be delivered 2015 – 2018:
• Majority of public buses in Pembrokeshire
are low floor accessible buses. With this
becoming all by January 2016.
• Engage with older people to ensure suitability
of transport needs throughout the county
and report back to relevant departments.
• Promote and support affordable and
accessible public transport to older people.
• Providing information to older people on the
changing of the process to apply for Blue
Badges.
• Monitoring the usage of public and
community transportation.
• Integrate bus, rail, cycling and walking
services and infrastructure
• Promote and support community transport
initiatives.
18Universal Services
Ageing Well in Pembrokeshire
Housing
Older people are supported to live in homes Existing Service:
and communities that are suitable for their
• Long term residential and /or nursing home
needs.
care will only be considered as an option
Links to Ageing Well in Wales Priorities: after all other options to remain home have
1, 2, 3, 5. been tired for all customers including self-
Links to Single Integrated Plan Outcome Areas: funded.
1, 2, 3
• Community Alarm systems are offered as a
The Older Person’s Strategy for Wales focuses service by Pembrokeshire County Council, to
on Well-being of older people and recognises give extra support to people living in their
housing as one of the key determinants of well- homes, to support independent living and
being. peace of mind.
• Disability adaptation grants for people to
It is clear from our consultation in Pembrokeshire
adapt their homes and remain living in their
that housing was an important issue, along with
communities are provided through
being able to remain independent and to
assessment through Pembrokeshire County
continue to live in their community.
Council.
Older people are asking for: • Royal Voluntary Services (RVS) offers Meals
on Wheels Service to people in their own
• More social housing and for a variety of homes.
options for older people throughout the
county, but for consideration to be taken on • Community Visitors offer support to people
where bus routes are located. relating to housing issues.
• Llys Cantref run a supportive project for
• They wish to see more Lifetime homes built
people over 50 with housing support needs
and for private builders to also consider the
in the north of Pembrokeshire.
needs of older people.
• Older people would like to see an extra care Priorities to be delivered 2015 – 2018:
facility built in the south of the county and in
an accessible location. • Shelter Cymru is launching a supportive
project for people over 50 in Pembrokeshire
• Many older people living in supported with housing support needs.
accommodation were complimentary of the
• Ensure information is provided to residents in
support available to them to help live
supported accommodation.
independently, but an increase in this type of
accommodation would be welcomed. • Work with the Housing Department to ensure
views and needs of older people are
considered.
19 A g ei n g Wel l i n Pem broke shireUniversal Services
Ageing Well in Pembrokeshire
Energy Efficiency
Older people live in energy efficient homes • Nationally the NEST programme offers
and can afford to heat their homes to the advice to people regarding energy saving
temperature required to protect health. options.
Links to Ageing Well in Wales Priorities: 1. • This service does attend the annual Full of
Links to Single Integrated Plan Outcome Areas: Life event, to be accessed by local residents.
1, 2, 3
• Pembrokeshire County Council has hosted a
This was not a topic which came up a great deal Community Energy Event.
with the older people we met with during the
• Pembrokeshire County Council works with
consultation; however there is a need to support
the West Wales Financial Capabilities Forum,
older people to access energy advice and
which includes Energy Saving advice and
support. As many older people are not regular
support.
computer users, if at all, this often disadvantages
them from accessing the comparison websites to
Priorities to be delivered 2015 – 2018:
ensure they are getting the best energy advice
and costs. • Continue to promote energy advice through
the Full of Life event.
It is known that some older people live in one
room in a house in order to keep heating costs • Support the information flow to older people
low. from the West Wales Financial Capabilities
Forum.
Existing Services:
• Promote to older people any community
• In Pembrokeshire the Royal Voluntary Service energy events.
are commissioned to provide and energy
advice support to older people.
20Universal Services
Ageing Well in Pembrokeshire
Employment
Older people who want to work are able to Barriers to employment
do so and can access help with re-skilling • Lack of self-confidence and low self-esteem –
and retraining. wanting to give up
Links to Ageing Well in Wales Priorities: 4, 5. • Modern recruitment practices are different to
Links to Single Integrated Plan Outcome Areas: those from the past
1, 2, 3 • Unrealistic job expectations in a
recession/changed labour market
During summer 2015 the Enterprise and
Business Committee of the National Assembly • Fixed view on the job they can do and the
for Wales looked specifically at difficulties faced skills they can offer
by people over the age of 50 when seeking • Lack of formal qualifications and less likely to
employment. access training
What was discovered on a Wales wide basis • Lack of IT skills
was: • Caring responsibilities (25% of women/18% of
men aged 50-59)
• That people over the age of 50 may not have
the I.T. skills to work in a new type of job; • Health issues
• Prejudice of employers
• Employers can often think that they will have
health problems when this isn’t actually the • Lack of transport / Bad transport links
case. • Lack of money
• Many people over the age of 50 have caring • Suitable clothing
responsibilities either with grandchildren or • Finance – travel costs
elderly parents which can lead to less • Lack of basic life skills
flexibility.
• Age discrimination and negative stereotypes
Pembrokeshire was part of this research and the (self-imposed)
evidence gathered by various organisations
working in this field in Pembrokeshire were able We have seen:
to provide was: • From a learner perspective regarding Learning
Number of people aged 50+ claiming Pembrokeshire’s classes and groups there
Jobseekers Allowance in Pembrokeshire has been an increase in confidence as well as
gaining accreditation to enhance future
• 400 (1.5% of JSA claimants, 0.5% of employment prospects.
working age population) (NOMIS December
2014) • The improved self-confidence helps learners
continue or progress to
No. of people and length of unemployment: courses/employment.
• 0-6 months: 230
• 6-12 months: 50
• 12 months +: 120
21 A g ei n g Wel l i n Pem broke shireUniversal Services
Ageing Well in Pembrokeshire
Pembrokeshire County Council’s Experience Under the Department of Works and Pensions:
Counts project helped people over 50 to develop
their life skills by increasing their confidence, skills Wales-wide Flexible Support fund project
and qualifications and supporting them to move
into employment, volunteering, education and • Confidence building
learning. • Motivation
• Improve digital capability
• Signposting to specialist support e.g. health
Wavehill Comparison Between Participants
At Their Start And The End Of The condition
Programme • Support and advice with applications
• Interview technique advice
Measure (% of • Self-presentation
participants awarding Start End
7/10 and above) Older Workers Scheme from April 2015
How satisfied do you feel • Older Workers champion
with your life as a whole? 41% 70%
• Intensive work support
Measure (% of
participants that agree Start End • Work Coach – personal support to tailor a
/ strongly agree) claimant commitment, and plan activities to
get back to work
Nobody will want to employ me 18% 14%
• Referral Provision – provision available
I’m taking steps to help through a number of contracted and non-
me find a job 97% 96% contracted partners who provide a rage of
support. E.g. FSF It Tutor; FSF Employability
I want to be better educated Centre, ESF projects
/ trained 71% 61%
• Direct Earnings Attachment (DEA)-
I am learning skills / gaining support for Jobseekers with a health
experience to help me find a job 52% 61% condition- refer to specialist provision
through partners such as Shaw Trust
I know how to develop myself
to gain new skills 61% 75% • Sector specific group sessions - e.g.
Care/ Hospitality- different types of jobs in
I am confident I can the sector, what is expected, what the
do well without support 28% 52% employers are looking for, how to apply etc.
Would you recommend the • Digital Support - in Jobcentres- PC access
project to someone in the with or without support to assist with online
same situation as you 87% 97% claims, job search etc, Group sessions in
conjunction with LA Library services; FSF It
tutor; working with partners to provide
support, e.g. RSL’s
22Universal Services
Ageing Well in Pembrokeshire
Redundancy awareness sessions Priorities to be delivered 2015 – 2018:
• Confidence building • Continue to work with partner organisations
and other directorates in the Local Authority
• Local labour market to support employment opportunities.
• Where are vacancies advertised? • Promote to older people the opportunities for
skills development through Community
• Where to get help and support Learning in Pembrokeshire.
• Careers Wales & ReAct • Reduce barriers to work.
During the consultation period a few people • Support Key sector skills development.
made comments to support this; however when
• Promote and support start up, small and
discussing employment with older people, some
medium sized enterprises.
of the comments were more about creating work
for younger people and keeping families in
Pembrokeshire.
23 A g ei n g Wel l i n Pem broke shireEarly Intervention and Prevention
Ageing Well in Pembrokeshire
It has long been acknowledged that improving
Early Intervention and Prevention - this health and well-being is not something any one
enables people to access the support organisation can do alone. Organisations working
needed to stay independent for as long in partnership can deliver better outcomes than
as possible, which may delay or reduce when they work separately. That is why
any further support requirements. We Pembrokeshire County Council and Hywel Dda
will work together to develop services Health Board have worked together with partners
that enable people to maximise their in the voluntary sector, Public Health Wales and
Independence. the wider community to focus on this outcome.
We have a responsibility to work together to
address the range of components of good health
Healthy Ageing
and ensure that everybody is as healthy as they
Older people enjoy good physical, mental can be.
and emotional health and well-being with (Pembrokeshire’s Strategic Equality Plan 2012-2016)
the aim of being able to live independently
for longer, with a better quality of life and
continue to work and participate in their Dementia
communities.
Dementia is a condition that in the majority of
Links to Ageing Well in Wales Priorities: 1,2,3,4,5 cases starts after the age of 65 years, although it
Links to Single Integrated Plan Outcome Areas: can affect younger peopleiv. It is important to
1,2,3,4. support people to maintain their independence
and well- being and it is possible for people to
Pembrokeshire will experience a significant have a good quality of life for many years after the
increase in its older population during the next 10 onset of dementia. Support for Carer’s wellbeing is
years. The gap in life expectancy between the also important and therefore this strategy will also
least and most deprived areas in Pembrokeshire link into and support Pembrokeshire’s Carers
is significant and needs to be addressed to avoid Strategy. Many unpaid carers of people with
greater inequity. We already experience far dementia are older people themselves and around
greater movement of elderly people into the area 2/3rds has a health condition or disability. Carers
compared to most counties, as Pembrokeshire is may experience deterioration in their own mental
seen as an attractive place to live, especially in health, wellbeing and depression, emotional and
later life. We are already seeing a significant physical exhaustion and general poor health are
demand for our health and social care services common. In the Hywel Dda region north
and this will continue. It is clear we cannot Pembrokeshire has the highest number of people
sustain our current services in their existing over 65 with dementia at 931v.
format and we will need to work with The prevalence rates of people with dementia
communities and individuals to promote healthy increases significantly with age; with 1 in 5 men
lifestyles and encourage individuals to remain as and 1 in 4 women aged 85+ likely to develop
healthy and independent as possible with dementia compared to approximately 1 in 100
minimal support. people aged 65.
(Mid and West Wales Health and Social Care Regional Collaborative
Market Position Statement (March 2015))
24Early Intervention and Prevention
Ageing Well in Pembrokeshire
• Fragility fracture clinics and fracture liaison
Falls service - case finding service for identifying,
assessing and treating (where appropriate) men
Falls affect 30% of people over the age of 65
and women who have had a low trauma fracture
and 50% over the age of 80vi. and are therefore at high risk of osteoporosis
Falls in older people are a common cause of injury, and future fracture.
harm and use of health and social care services.
Falls prevention is a particularly important area of
Older people are more at risk of falling and
work within Hywel Dda due to the high proportion of
sustaining injuries and many of the causes are
older people relative to Wales and the ageing
preventable.
population.
Pembrokeshire - Falls incidents of severity 1 to 3 (Public Health Wales (2012). Director of Public Health
2011 2012 2013 Total Annual Report, Hywel Dda Health Board.)
Minimal Harm 249 314 332 895 Existing Services:
Short term harm • The ‘Green Gym’ development to follow at
requiring further Scolton, is a project concept to develop the
treatment 83 69 89 241 green space of the country park at Scolton
Manor as a healthy environment for a
No Harm 255 341 307 903 programme of measures to promote health
(Falls Incidents in Hywel Dda University Health Board and wellbeing for everyone.
Between 1 January 2011 and 16 December 2013 Report)
• Scolton Manor’s staff training in Health, Care
There is a great deal of activity taking place across and Well-being: Cross domain training for as
Hywel Dda to prevent falls and reduce the harm from many staff as possible. Also to be able to
falls. Each county has a multidisciplinary Falls assist in a medical emergency and to be
Prevention and Bone Health Group which report to “first contact” for people who require medical
an overarching Strategic Falls Prevention and Bone support or assistance?
Health Group. This list is not exhaustive but some of
the areas of work are listed below: • Local leisure centres deliver Exercise Referral
and Cardiac Rehabilitation; Free swimming
• Wales Ambulance Service Trust (WAST) falls
pathway which ensures that all fallers who are for people over 60, Easy Line exercise
left at home as clinically / medically fit are programme.
followed up by the District Nursing Service with • Our leisure centres offer an over 60’s
a falls risk screen.
membership which has 749 people currently
• Careline / Telecare - Fallers who activate their signed up to an annual membership.
Lifeline pendant and for whom WAST are not • There are 12,202 over 60s registered users
contacted are sent falls health promotion with Pembrokeshire Leisure.
literature and offered a falls risk screen at home
• Pembrokeshire’s leisure centres’ fitness class
by the District Nursing Service.
and swimming instructors are trained to
• Community Resource Teams / Virtual Wards / deliver activity to the over 60’s with many of
Care Closer to Home - The 3Ts locality has our sessions and activities being suitable to
prioritised fallers to pilot the Virtual Ward the over 60’s.
concept. Fallers are identified through GP house
• We have 11 leisure sites strategically located
calls and cross referenced with PRISM
database, the District Nursing Service caseload across the county offering activities catering
and Myrddin. for all ages in the community.
25 A g ei n g Wel l i n Pem broke shireEarly Intervention and Prevention
Ageing Well in Pembrokeshire
• Health and wellbeing classes are offered Priorities to be delivered 2015 – 2018:
through Learning Pembrokeshire, for example
Tai Chi, Yoga etc. • Support people to achieve good mental
health and challenge stigma and
• Learning Pembrokeshire is working in discrimination, through the promotion of the
partnership with Alzheimer Society to provide Dementia Friendly Communities programme,
Dementia Friendly training, classes and taking into consideration the outcomes of
activities. the National Dementia Vision for Wales
Strategy.
• Libraries provide information to enable
individuals to develop self-management • Through new methods of promotion, to
techniques for dealing with long term increase levels of physical activity and reduce
conditions (including mental health issues). A the amount of sedentary behaviour by
wide range of books on health and wellbeing continuing to work with partner organisations
are available, free of charge, including the to look at how to develop low level physical
Books Prescription Wales scheme. activities.
• Pembroke Dock Library has developed the • Leisure services are introducing, new
Life Hub which provides high quality health concessionary rates which include people on
and wellbeing information. pension credit.
• The 60 acres of Scolton Manor’s park and • People will be helped and supported to take
woodland provide an excellent recreational responsibility to improve their health and
space for people to access and contributes well-being throughout their lives, by working
towards good physical health and well-being. with communities to engage new ways of
In addition, the site’s two themed exercise incorporating healthy choices, and
trails. developing Age Friendly Community well-
being plans.
• West Wales Care and Repair provide
Dementia Support, a fast track service access
to a range of services for dementia clients and
their families. “We work closely with the
Alzheimer’s society and our strategic partners
Hywel Dda University Health Board and the
Local Authorities”.
Sarah Rochira (Older People’s Commissioner for Wales) presenting to
Cllr Simon Hancock (on behalf of Pembrokeshire County Council) the
Dublin Declaration on Age Friendly Cities and Communites certificate
26Choice and Control
Ageing Well in Pembrokeshire
people had difficulty in answering, those that did
Choice and Control - this empowers suggested post offices, notice boards, day
people to decide who provides their centres and mail drops.
support and what form that support
takes. We will ensure that help and This Strategy is taking into consideration the
support they receive to manage an Social Services and Well-being (Wales) Act.
illness or condition is individually Recognising that getting the right information and
tailored to their preference and they are advice is the first step for people seeking some
aware of how much support is available level of care and support to help them maximise
from the council and other providers in their well-being.
the community.
Existing Services:
Information and Advice • A Directory of Service and Support Guide has
been produced and is updated every 2 years.
Older people have access to information and A hardcopy of this Directory is distributed to
advice about services and opportunities. numerous community and health sites
throughout Pembrokeshire and is available on
Links to Ageing Well in Wales Priorities: 1, 2, 3, Pembrokeshire County Council’s website and
4, 5. through its Contact Centre.
Links to Single Integrated Plan Outcome Areas:
1, 2, 3 • Pembrokeshire Association of Voluntary
Services has created in partnership with our
This is a cross cutting theme across all the other neighbouring counties an online directory
12 strands in this Strategy. known as ‘Info Engine’; this is promoted
throughout Pembrokeshire.
People in Pembrokeshire have been informing us
that some information is still not readily accessible • Pembrokeshire County Council’s Contact
to the older population. How do we meet the Centre is a one stop shop of information
3R’s? The Right information in the Right place and provision, about local authority services, as
at the Right time! well as voluntary sector services.
Public response to the provision of information in • The Older Person’s Strategy links in with
Pembrokeshire has been mixed. Information is not Pembrokeshire Trading Standards -
necessarily getting to people who are in need of it. Vulnerable Adults Strategy. Offering individual
People do not go seeking information because support to people to become aware of scams
they are not aware that the services or help is and support those who have concerns. Talks
available. are given by the Trading Standards team to
groups in Pembrokeshire.
Word of mouth or talking with professionals was
the indications of how most people discovered
services and support. When the question was
raised of suitable places for information most
27 A g ei n g Wel l i n Pem broke shireYou can also read
