Master Plan Quality Care and Lifestyle for Older People - Accelerate25
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Contents Welcome 4 Knowledge Benefits 29 Intergenerational Connection and Executive Summary 7 How will we Know we are Successful? 30 Cultural Inclusion 52 Horowhenua - Future Scape 7 Information and Communication 54 Project Lift - Grasping the Opportunity 8 PART THREE Why Horowhenua is a Great Place to Innovate Strategic Context 32 PART FIVE for Older People 9 The Response - Co-Designing our Future 57 Why Levin/Taitoko and the Horowhenua District 32 Re-Imagining Horowhenua with Co-Design Labs 10 Customer-Centric Design 57 A Commitment to Helping Older People Thrive in The Next Steps 10 the Horowhenua 32 The Co-Design process 58 The Budget 11 Horowhenua 2040 Strategy 32 Potential Co-Design Approaches 58 The Benefits 12 Community Wellbeing Strategy 33 The Co-Design Lab 59 Project Lift Outcomes Model 14 Positive Ageing Action Plan 2016-2019 33 Preferred Option(s) 60 Project Age-Friendly Communities 34 Criteria for Assessing Solutions Produced by the PART ONE Exisiting Investment and Development Co-Design Lab 62 Background 17 Opportunities 34 Executing Solutions 64 Lift will The Genesis - The Manawatu-Whanganui Horowhenua’s Social Infrastructure 35 Expected Benefits of a Co-Design Process 64 Regional Growth Study Opportunities Report 17 An Older than Average Population 35 Project Scope, Time-Frames and Deliverables 66 Further Development - Developing the Quality Care Size and Scale 36 Evaluating Project Lift 73 and Lifestyle for Older People Opportunity 18 put older Natural and Cultural Assets to Attract People Request for Proposals - Criteria for Selecting Confirming the Way Forward - Accelerate>25: and Support Wellbeing 36 Co-Design Providers 73 Manawatu-Whanganui Regional Economic Labour and Manufacturing Expertise 36 Required Capabilities 74 Action Plan 18 people Readiness to Innovate 36 Governance 74 Te Pae Tawhiti 19 Accessibility to Expertise and Markets 36 Budgetary Requirements 76 Project Vision 20 Managing Risk and Benefits 78 Project Mission 20 at the PART FOUR Current State | Future State 38 APPENDICES PART TWO An Overview of the Current State 38 Ageing Strategies 85 Project Overview 21 centre of An Overview of the Future State 40 Stakeholder Engagement with Project Lift 87 Our Framework - Learning from Local and The Seven Project Areas - What we have now and International Strategies for Ageing 22 what we want to see 41 Success and Benefits - Outcomes Model 24 innovation Housing and Shelter 41 Early Returns 26 Sustenance and Nutrition 44 Medium to Longer-Term Benefits 26 Mobility and Accessibility 46 Benefits for Older People 26 Health and Wellbeing 48 Community Benefits 26 Personal and Social Growth and Fulfilment 50 Economic Benefits 28 2 3
Welcome We are pleased to introduce Project Lift, an exciting new initiative to enhance the wellbeing of our older people and the rest of the community. Our vision is for Horowhenua to become a hothouse for next-generation services, products and social practices that enhance the lifestyles and economic wellbeing of New Zealand’s older population. Why? Because one in four of us living in the Horowhenua will be 65 or over by the middle of the century. We want to act now so that the wealth of skills, experiences and knowledge of our older people continue to contribute to our community. And in turn, we want a community that supports our older people. Project Lift will put older people at the centre of innovation. We want products and services that really work for older people and for that we need older people to participate in the design process. Project Lift is trialling a new way of developing products and services called a co-design lab. Co-design labs bring together people from different walks of life, and different sectors and specialities. Together, small, diverse teams, will learn about the challenges facing older people, come up with solutions that might help, and test those solutions to work out the best way forward. We anticipate sharing our solutions with the rest of the region and the world. As we innovate our way into the future, we anticipate the region will attract new skills, new employment opportunities and new investment. We believe that genuinely meeting the needs of our older people by finding better ways of doing things will bring economic benefits to the rest of the community. We hope you are as inspired by the potential of Project Lift as we are. Michael Feyen David Clapperton Mayor Chief Executive Horowhenua District Horowhenua District Council 4 5
Horowhenua will become Executive Summary a hothouse for next- This Master Plan outlines the opportunity and next steps toward creating a region that embraces its older people and creates economic benefits for everyone – Project Lift generation services, We don’t define older people by age, but by stage. And we say, what a great opportunity! We don’t want a We’re focused on people who are transitioning out of quarter of our population languishing because of poorly full-time paid work and exploring new possibilities for devised, scatter-gun solutions to challenges that are themselves. staring us in the face. We want to find ways of making products and social In the longer term, we see the Horowhenua region becoming a model for integrated personal, social and the Horowhenua District the best place to live for all people post-paid employment. We want to harness those skills and talents collected over the years and practices that enhance the business growth with an ageing population. We will make it easy for everyone to participate in whatever export initiatives that have been tried and tested in way they feel comfortable. We know that older people Horowhenua both locally and internationally. Through can actively contribute to their own solutions. And as the development process we will improve the lives of lifestyles and economic consumers, they can drive innovation in products, older people and meet the demands of a significant services and social practices that suit them. The public and growing market worldwide. Specialising in solutions and private sector need data, proof of concept and for older people, our economy will grow as we attract consumer testing to have the confidence to invest at well-being of New Zealand’s new investment, expertise, and business opportunities. Project Lift will deliver benefits for everyone. scale. We see an opportunity to bring older people, the private sector, and the public sector together to work collaboratively toward workable solutions for older older population Horowhenua – Future Scape people in our community. We expect the process of developing these solutions The face of our community is changing. We’re becoming will generate new opportunities for employment, older and more diverse. In less than ten years, almost skill development and investment in our district. one in five people in the Horowhenua district will be Downstream, we will share our solutions with the rest of aged 65 or older. Mid-century, this proportion will the region and the world. Project Lift Vision have grown to a quarter of the population. Our older generations will reflect the growth in the diversity we’re We’ll be meeting the needs of older people and growing seeing today. prosperity in Horowhenua in a virtuous loop. 6 7
Project Lift – Grasping Why Horowhenua is a Great Place to Innovate for Older People the Opportunity The Horowhenua region and the • A Magnet Town for Retirees • Accessibility township of Levin/Taitoko offer Horowhenua is already a to Expertise Project Lift is the product of years of magnet for retirees. Our fertile soil for innovation to support and Markets collective effort in the Horowhenua need to get things right Levin/Taitoko older people and regional growth. district stimulated by the Ministry for older people and is on the of Business, Innovation and • Commitment the community is doorstep of Wellington and Employment’s (MBIE) regional growth The Horowhenua District current and likely Palmerston North, both centres agenda which began in 2014. In Council (HDC) is leading the to grow in the of concentrated expertise 2015, Accelerate>25 added a road charge toward an inclusive next decade and in governance, business map for eight ‘opportunities’ to grow lifestyle community using beyond. A growing development and specialist the Manawatū-Whanganui Region. a process that older population means subject matter. Levin/Taitoko is Project Lift is the prototype vehicle for engages and a growing marketplace for also close enough to support realising the Quality Care and Lifestyle honours the people ideas, products and ways commuters in larger centres. Opportunity. Here’s how we see Project of the community. They of doing things that serve our Lift supporting the wellbeing of older are the local champions population. • Existing Investment people. for solutions that draw on Agencies like the Mid Central business, local government, • Size and Scale District Health Board are Each of the boxes (bottom left) contain Levin/Taitoko is small enough already investing in increased central government and the a project area that supports the to trial collaborative, cross- primary and secondary not-for-profit sectors. Existing wellbeing of older people. We need to disciplinary design healthcare solutions in Levin/ HDC strategies and plans get these project areas right for older processes, and large Taitoko and are open recognise the value people to feel safe, well and included. enough to see if proposed to alternative ways of Social & Personal Growth of older people and Cultural inclusion & Fulfilment The pictures surrounding the boxes solutions work. delivering services. provide a good base show how everyone - government, for implementing innovative business, service providers, and the • Readiness to Innovate • Open Doors projects to promote wellbeing. community - has a part to play in People in Horowhenua are Right now, creative Housing & Shelter creating an inclusive lifestyle for older • An Older Than Average ready to work in new ways thinking for older Sustenance people. Population to achieve the community people can feed into & Nutrition Our population includes a they want to have in the future. other planning opportunities Project Lift shares some of the Our conversations with people like Levin/Taitoko’s spatial plan Health & higher proportion of people development priorities and ways of and groups in the community and housing redevelopment. Wellbeing over the age of 65 than other working with Te Pae Tawhiti – the demonstrate a willingness to That means solutions for areas and this is set to grow economic development strategy for change. We have a track the built environment can in coming years. We have Māori in the Manawatū-Whanganui record of making contribute toward our goal of the older people now to help Region. We anticipate opportunities to new initiatives work an inclusive lifestyle centre. shape our community into an work together on Oranga Kaumātua like the Social Sector inclusive (Vitality for Older Māori) and Hanga Trial and the Children’s lifestyle Mobility & Information & Whare (Housing) as our strategies Team. We can build Accessibility Communication centre. progress. We share a desire to work on this knowledge and collaboratively with multiple partners to experience. Source: Steering Group - Quality Care and Lifestyle for Older People improve the wellbeing of all our older people. 8 9
in our community and across areas. At the end of the co-design private investment in the process Re-Imagining sectors in a structured process lab in May 2018, we will choose will even out. Horowhenua with of experimentation that is geared solutions that best move us toward Co-Design Labs toward finding solutions that work. our goals. The Budget We provide an outline of the co- design process below. We will also evaluate how well the Creating inspirational communities co-design process worked and the This Master Plan includes the requires nothing short of inspired value the process generated. costs of project set up, running ways for reimagining our social, The Next Steps a Request for Proposals (RFP) cultural and economic spaces. From mid 2018, we will start process to contract co-design That’s why we want to trial The immediate next step is for the implementing solutions. Low cost facilitators, as well as the costs of something new: a co-design lab. Ministry of Business, Innovation innovative solutions will be brought trialling the co-design lab process and Employment (MBIE) to agree to scale and evaluated. Where they itself. Co-design is a process that to the proposal contained in work, we will be looking to share puts people at the centre of this Master Plan. With MBIE’s and market those solutions. Beyond the scope of this Master collaborative design. Why? agreement, Horowhenua District Plan, we see the balance of costs Because solutions have to work Council will go to the market to For solutions requiring significant of co-design moving from Central for the people they’re intended to find the right people to run the public and private investment, we and Local Government to other serve. For Project Lift, that’s older co-design process. We aim to will develop business cases to investors. people and our wider community. have a provider in place by the attract funding and investment. We estimate the total cost of end of November 2017. Beyond 2020, we will capitalise Nobody exists in a social vacuum. Project Lift at $749,900. New ways of thinking and new With our co-design facilitators on on our growing reputation as a hothouse for developing solutions This includes the direct costs of ways of doing things emerge board, we will call for teams to for older people that also deliver piloting a co-design lab $491,000. when we listen to others. Co- take up the challenge of designing benefits for the wider economy. We Based on experiences of co-design design draws on the talents, services, products or social anticipate the balance of public to elsewhere this is the indicative skills and perspectives of people practices for our seven project budget we need to be successful. In-kind funding and direct Understand Generate ideas Develop concepts investment from HDC will be & empathise required to make the pilot a success. In-kind support includes lending venues for labs and gifting people’s time and expertise. We estimate the total investment contribution from HDC at $259,400 Problem Research Co-creation Prototyping Solution We are asking central government to contribute $491,000 direct investment to Project Lift (Indicative subject to RFP process). Design the brief Evaluate ideas Prototype concepts 10 11
The Benefits Benefits of Project Lift stem both from the innovative design process as well as the solutions generated and implemented in the district. An outcomes map on page 14 demonstrates how benefits flow from our co-design process. Active participation in shaping A lifestyle community designed Enhanced quality of life products, services and social practices with older people in mind; that enable connection with their accessible, affordable, inclusive For Older communities and vibrant with the support they People need when they need it Active participation in the process of New ways of enabling older shaping the environments, services people to contribute their skills, Community and opportunities so everyone benefits talents and experiences – fresh sources of support and vibrancy For the A neutral hot-house process for New skill sets developed through Increased prosperity through businesses to test ideas and bring participation in the design business development them to market process or becoming involved in opportunities realised in Economy taking solutions to market Horowhenua through For the Project Lift Services that are effective and also efficient because they’re well designed Nobody exists in a social vacuum. New ways of For service and meet the needs of consumers Providers A working model and suite of products, A stronger evidence base Avoided costs in healthcare thinking and new ways of doing things emerge when For the Region services and social practices for making social investment and other social spending that encourage inclusive lifestyle decisions because older people communities in their regions are fully included in the and NZ we listen to others community and have a better quality of life 12 13
Project Lift Businesses attracted to Transform the Outcomes Model design, pilot and deliver lives and living solutions for older people standards of (existing and new) older people in Clusters and synergies Horowhenua develop between private, through Older people thrive non-profit and government Project Lift and are empowered stakeholders to actively meet their needs Increased reputational gains for Horowhenua and stakeholders Improvement of Co-design of existing programmes person-centric Increased financial capital, Social and and solutions (goods, solutions for skills and knowledge flow Cultural services and practices) older people into the district Inclusion Grow the as part of Project Lift district’s economic Personal The community Full and effective utilisation base and wider Growth and benefits from, and of financial capital, skills, Fulfilment contribution is vibrantly transformed knowledge, culture and through by older peoples’ assets of the district Sustenance opportunities contribution and Nutrition provided by More jobs and better Social and cultural Individual solutions Information and Project Lift incomes distributed inclusion assessed and selected Innovative solutions amongst the people of Communication for their outcomes designed, piloted, Horowhenua alignment, synergy, delivered and leveraged feasibility and as part of Project Lift Mobility and Project Lift results in an Accessibility affordability increased rating base and Project Lift boosts national tax Health and Horowhenua’s socio- Wellbeing economic performance Project Lift results in a by being the place to go better return on government for older person lifestyle Housing and Apply the and social investment Shelter innovation successes of Project Lift enables Project lift government to more easily throughout NZ achieve its policies and and the world strategies (as applicable) 14 15
PART ONE Background In this section, we present a brief history of Project Lift and outline its vision and mission The Genesis – The Manawatu-Whanganui Regional Growth Study Opportunities Report In October 2014, MBIE and the • Tourism and Visitor Services Ministry for Primary Industries • Sheep and Beef Farming and (MPI), working with the Manawatū- Processing Whanganui region commissioned • Land Use Intensification an Economic Growth Study for the region. The New Zealand Institute • Mānuka Honey of Economic Research (NZIER) • Fresh Vegetables and Henley Hutchings completed • Poultry and Grain Processing the study. • Affordable Care and Lifestyle The study identified significant for Older People opportunities to grow and diversify • Business Process Outsourcing the regional economy and expand and Food Innovation investment, employment and Outsourcing incomes in the region.1 Starting Three enablers were also identified in October 2014, the consultants including: investigated the region as a whole, and each of the sub-regions and • Transport and Distribution a wide range of sectors, industries • Productivity of Māori Land and enterprises including iwi/Māori • Growing Businesses and local government. Opportunities were cross-regional, In July 2015, the Manawatū- however some were more suited to Whanganui Regional Growth particular parts of the regions than Study Opportunities Report was 1 Manawatū-Whanganui Regional Growth others. Study Opportunities Report, Ministry of released. From a long list of Business, Innovation and Employment & over 80 opportunities, eight were Ministry for Primary Industries, July 2015. identified as priorities for the region www.mbie.govt.nz/info-services/sectors- industries/regions-cities/regional-growth- and government to advance. programme/pdf-image-library/manawatu- These included: growth-study-combined.pdf 16 17
Further Development - Confirming the Way Forward Te Pae Tawhiti Developing the Quality Care - Accelerate>25: Manawatu- Following the release and Lifestyle for Older People Whanganui Region Economic of the Action Plan and drawing on the potential Opportunity Action Plan for improving economic outcomes for Māori, Following the release of the Regional Growth Study, In August 2016, the Accelerate>25: Manawatū- a further strategy was Horowhenua District Council (HDC) was invited to Whanganui Region Economic Action Plan was released developed: Te Pae lead the more detailed investigation and further with the purpose of providing a practical ‘road map’ to Tawhiti. Te Pae Tawhiti development of the Quality Care and Lifestyle for Older accelerate social and economic growth in the region provides a long-range People opportunity, with a view to providing actions to through to 2025 by advancing the eight identified economic development implement the opportunity. opportunities and related enablers2. strategy for Māori and is guided by To assist with this opportunity, a team of local, regional, Included alongside the release of the Action Plan was Māori aspirations and national and international interest experts were a pledge from government to make available initial preferences. convened from across the public-private spectrum to financial support of $250,000 for the Quality Care and form a Steering Group. The Steering Group included Lifestyle for Older People project. This support was Project Lift shares some members from HDC, Massey University, Mid-Central tagged to the project priorities as detailed in the Action of the development DHB, DNA, Ministry of Social Development (MSD), Plan. These priorities are constructed on the basis of priorities and ways of Electra Limited, and through the support of MBIE a providing a stepped implementation approach over working set out in Te Pae subject expert from the Netherlands. time. The framework for priorities was as follows: Tawhiti. We anticipate opportunities to work Over the eight months that followed, the Steering Group A Immediate Priorities: Create a Master Plan. together on Oranga engaged with a wide range of stakeholders (domestic Medium-Term Priorities: Create a co-design Kaumātua (Vitality for and international) to test thinking and to inform the B lab to start the process of designing and testing Older Māori) and Hanga proposed approach. Significant depth and detail were solutions in the market. Whare (Housing) as our added to the opportunity. This approach was then strategies progress. included in the Accelerate>25 Economic Action Plan. We share a desire to work collaboratively with multiple partners to improve the wellbeing of all our older people. 2 Accelerate>25 Manawatū-Whanganui Region Economic Action Plan, August 2016. www.horizons.govt.nz/HRC/media/Media/Accelerate%20 25/Manawat_-Whanganui-Economic-Action-Plan-August-2016-WEB.PDF 18 19
Project Vision PART Project Overview TWO Our vision is for Horowhenua to become a hothouse for next-generation services, products and social A shift in demographics is creating At present, people providing for a co-design lab to work. Strong practices that will enhance the lifestyle and change for our society. Over services to older people generally backing from Horowhenua District economic wellbeing of New Zealand’s the next 30 years, people in the work in silos. Accountability and Council with an existing network of growing older population developed world will live longer. performance requirements within community and private providers The proportion of the population organisations and agencies will support this initiative to thrive We want to help showcase over 50 will grow. hinder cross-disciplinary and and prototype a wide range of and test innovation. Our cross-sectoral working. Sectors ideas. Levin/Taitoko’s proximity, If we tackle this shift as an tend to deal with the issues its close relationships with its proposal is to create opportunity, we can harness they’re accountable for rather neighbours, and its willingness to a platform that will technology, medical advancements than approaching older people back this opportunity will ensure attract investment and the contribution of our older holistically. commitment long past a political and support for citizens to create an inclusive and cycle. enterprises that prosperous society. Acting now The resulting lack of alignment bring aged care to meet this opportunity will help across products and services for The opportunity is to: and lifestyle The Quality Care and us avoid potential costs. Costs older people has not delivered a • enhance the quality of life solutions to market. Lifestyle for Older People like rocketing healthcare, reduced customer-centric model focused of older people by ensuring wellbeing as we age and the loss on the total needs of older people. they participate in relevant We want Opportunity - Project Lift of human capital. Project Lift aims to bring all parties communities. a catalyst together. We believe the potential We are not alone in seeing an • transform Levin/Taitoko and economy that for maximum innovation and lowest opportunity in this shift. Around the Horowhenua district into will improve The Quality Care and Lifestyle for Older People project cost-creation is in an integrated the world people are innovating an inclusive lifestyle centre quality of has continued to advance since the release of the co-design approach with ageing to address the challenges that specialising in innovation for life for older Accelerate>25 Action Plan. To reflect the action people at the centre of the process. arise with ageing. Technology is living while embracing older people, orientation of the project and our desired outcomes bringing people and information The co-design process is people. especially in we have a new name, Project Lift. closer together. Mobility is borrowed from science and • increase incomes by attracting regional towns. becoming safer and more technology where multi-disciplinary new investment, skills and job accessible for young and old. collaborations successfully opportunities to the area. Governments are trialling new ways problem solve and bring new • create a pilot prototype for to support and deliver people’s solutions to market. We propose living that embraces older health needs. And investment trialling an innovation co-design people and roll it out across managers are offering more savvy lab. Our lab will bring all interested other parts of the region (and Project Mission investment options for creating parties together to explore the the world). retirement income and supporting needs of our ageing citizens, To realise this opportunity, we Our mission is to help better money management. These design potential solutions, and need a framework and method contribute to a better New are just a few of many examples. rapidly test their viability without the for Project Lift. We present our Zealand and bring economic and high costs of large scale failure. We The market for innovation is already framework on page 27. Our reputation advantages to Horowhenua and our region see Levin/Taitoko as a typical rural large and growing. method, a co-design lab, is community with a disproportionate detailed in section 6 of this Master ageing population which can Plan. provide the perfect environment 20 21
Our Framework - Health & Wellbeing Learning From Local and International Strategies Personal Social & Growth & ds for Ageing Fulfilment l Nee Cultural ra Inclusion tu logic al Needs ul cio Drawing on local and international So C og strategies and the literature on ysiol ical N ageing, our team have adopted Ph e a human-centric model for Psycholo ed s Project Lift. We want to create gic a community which gives older al Need people the best chances of Mobility & meeting their individual needs: Accessibility s physiological, psychological sociological and cultural. This Housing requires having the best products, & Shelter services and social practices in seven areas. We have adopted these as our project areas. The project areas support older people to reach their potential and in turn actively contribute to communities. Together the project areas form a mutually reinforcing Sustenance Information & structure for older people. For example, good & Nutrition Communication We want to create a nutrition is associated with social inclusion and housing arrangements. People who share meals are more likely to eat well. Figure 1: Human centric model of needs and pleasures community that gives Figure 1 illustrates our framework. For Project Lift, the applied over the seven selected pillars for inclusive lifestyle project areas are a framework for organising activities promoting wellbeing for older people. We will use these precincts that are easy to get around. And in meeting older people the best project areas to guide the process of researching, the needs of older people, we will be generating testing and evaluating solutions for older people. We opportunities for business growth and diversification for expect solutions will enhance the lives of older people the region. across many of these areas. Success in these seven areas will mean we are supporting the wellbeing of older people through the Project Lift offers a unique opportunity to produce wins both for the wellbeing of older people and for economic growth for Levin/Taitoko and the Horowhenua district. chances of meeting their needs development of fit-for-purpose products, services We outline the potential benefits of Project Lift next. and environments. Many of these changes will benefit other parts of the community – for example, shopping 22 23
Success and Benefits – Outcomes Model Businesses attracted to Transform the design, pilot and deliver lives and living Our outcomes model below gives a high-level overview While this is a linear representation, we imagine Project solutions for older people standards of of the expected benefits derived from our proposed Lift will create positive feedback loops between activities (existing and new) older people in co-design process (Figure 2). The coloured boxes and outcomes – older people’s wellbeing, impacting the Horowhenua Clusters and synergies represent the activities and outcomes of Project Lift. community, and the wider economy. through develop between private, The monochrome boxes show the flow on effects of non-profit and government Project Lift Project Lift for local businesses and the economy. These stakeholders then flow into outcomes for older people and ultimately Increased reputational the high-level outcomes on the far right. gains for Horowhenua and stakeholders Older people thrive and are empowered Increased financial capital, Social and to actively meet their skills and knowledge flow Cultural needs into the district Inclusion Grow the district’s economic Improvement of Personal Co-design of existing programmes Full and effective utilisation Growth and base and wider person-centric of financial capital, skills, contribution and solutions (goods, Fulfilment solutions for knowlege, culture and older people services and practices) through as part of Project Lift assets of the district Sustenance opportunities and Nutrition provided by The community More jobs and better Social and cultural benefits from, and Information and Project Lift is vibrantly transformed incomes distributed inclusion by older peoples’ amongst the people of communication contribution Horowhenua Individual Mobility and solutions assessed Innovative solutions Project Lift results in designed, piloted, Accessibility and selected increased rating base and for their outcomes delivered and leveraged national tax alignment, synergy, as part of Project Lift Health and feasibility and Wellbeing affordability Project Lift results in a Project Lift boosts better return on government Housing and Horowhenua’s socio- Apply the economic performance and social investment Shelter by being the place to successes of go for older person Project Lift enables Project lift lifestyle innovation government to more easily throughout NZ achieve its policies and and the world strategies (as applicable) Figure 2. High level representation of Project Lift and anticipated outcomes 24 25
Early Returns Benefits for Older People Older people understand that their needs are Older people The Horowhenua community has already derived Project Lift will develop community-based models important and are being benefit from well benefits in the process of developing Project Lift to this (prototypes) of care or product innovation to addressed delivered and stage. These benefits are: introduce into the day-to-day lives of older people. The products, services and social tailored solutions • a raised awareness in the district of our ageing practices developed through Project Lift will help Older people have Older people aware of population and the chance to reframe this integrate older people into communities so they input into, and own the fact that solutions challenge as an opportunity can continue to contribute in whatever forms they the solutions that (goods, services and • a raised awareness among Council and other choose, well beyond retirement age. The ability practices) exist that can meet their needs people associated with Project Lift of the potential of older people to contribute could be achieved meet their needs of co-design as a way of generating, testing and through the use of design and technology to implementing people centred solutions adapt their living environment – the house, Solutions for older • strengthened networks among older people, shopping areas, and social spaces – to changes people delivered in service providers, councillors, academics and in their capacity as they age. a joined-up, person- businesses who are part of the ecosystem that will centric way If successful, solutions could later be extended participate and benefit from the project into the mainstream community throughout the • a shared understanding of Project Lift’s vision, region, and beyond. mission and how we will get there Older person’s These early benefits have in turn resulted in: Community Benefits individual needs accurately identified Older people • increased readiness of the ecosystem around Being active participants in solution development on the independence thrive and are older people to innovate toward our project vision as well as taking up new opportunities offered continuum empowered Tailored solutions through Project Lift innovation, older people will developed by, and to actively meet Medium to Longer-Term Benefits be better able to contribute to their communities. Older people make with, older people their needs Finding ways to include and value older people choices regarding the related to where We expect Project Lift to deliver benefits to older means they can maintain a sense of place and solutions they want they are on the people, the community and the local economy. If our meaning in their lives as well as a positive outlook. and need independent living solutions work well, benefits could extend nationally These are important aspects of wellbeing. continuum and globally. Figures 3-5 outline the immediate and long-term benefits we expect to see in three outcome areas: wellbeing for old people, enhanced community wellbeing and economic growth and prosperity for Levin/Taitoko. Our outcomes maps model the process of intervention from needs development through to Older people’s privacy maintained and protected long-term identifiable differences in people’s lives. These models mirror the stages within a co-design Older people’s security maintained and protected process and beyond to benefits realisation in the real Figure 3. Outcome map for the wellbeing of older Feedback on solution delivery to older people used for improvement world. people. 26 27
in turn, reduce the demands on Community assisted to Older people’s reputation, Knowledge Benefits social services as people maintain Project Lift seen identify ways in which older leadership skills and mana internationally as the place A further benefit of Project Lift is independence and gain choice people can contribute (paid provide leadership and to go to be involved in cutting knowledge development. Learning through improved quality of life. and unpaid) motivation to the community edge high-value solutions for from our experience, people Older people’s knowledge making public policy decisions older people Older people can identify Figure 5. Outcome map for economic the ways in which they Older people’s means that more could make better informed social transformation contribution to unrecognised opportunities investment decisions. Project Lift engages high- personally can contibute to the community are identified and profited value private, nonprofit and the community (paid and unpaid) celebrated by the from By having a rigorous methodology government stakeholders community for assessing the value of social Older people provide capital initiatives, the co-lab approach Project Lift creates ‘virtuous Older people where they are able to do this can meet the government’s cycle’ which leads to more feel that their (as appropriate) criteria for social investment. Our and more growth contribution is experience could steer decision valued Older people fill skills gaps Older people have a makers toward high-quality social Stakeholders motivated to range of opportunities Older people’s positive values investment, where scarce funds be involved in Project Lift through which to make and wisdom transmitted to can achieve the greatest social their contribution to the the next generation returns. Effective investment will, community Project Lift well Working conceptualised and planned High international profile Project and voluntary for Project Lift as the global Lift boosts Economic Benefits environments tailored design lab for older living Horowhenua’s to facilitate the socio-economic In the process of developing contribution of older performance by solutions that work for older people, people (transport, Levin/Taitoko will attract new The being the place length of work periods community to go for older investment, expertise and business etc.) benefits from, and person lifestyle opportunities, driving economic Key messages for Project is vibrantly innovation development. Businesses Cost of older people Lift identified developing products for aged care contributing to the transformed Well branded and will be able to test their ideas in a community met (either by older peoples’ Key stakeholders marketed Project Lift fast and inexpensive environment pay/ remuneration out contribution identified and channels for for local, regional and with confidence in the reliability of of pocket expenses communicating with them international visability the results. where necessary) Project Lift has the capacity Figure 4. Outcome map for and capability to attract high community wellbeing value stakeholders Older people’s safety maintained while making a contribution back to the community Project Lift well implemented on the ground 28 29
How will we Know we are Successful? We are developing an evaluation plan for Project Lift (see section 5 for more detail). The evaluation will capture learnings from the co-design experience and identify a robust set of indicators to monitor short, medium and longer-term impacts of the project. Critical early tasks will be pulling together a suite of baseline measures with which to monitor progress against, and establishing a methodology that can give assurance that changes are attributable to Project Lift. We expect our baseline assessment to expand our understanding in each of the project areas for wellbeing, as well as cover expected changes to community wellbeing and the Project Lift could produce economy illustrated in our outcome models. wins for the wellbeing of older people and for economic growth for the Horowhenua district 30 31
PART THREE Community Wellbeing These include indicators of Aim 1: Older people in 1 Strategy loneliness, connectedness, use of Horowhenua will be given mobility services and elder abuse. the opportunity to be involved in decisions that affect them. Vision: Everyone in the We anticipate Project Lift will use Horowhenua district is thriving some of these indicators (and Aim 2: Older people in 2 those from other strategies) to Horowhenua live in a The purpose of the Community assess progress for older people. connected and inclusive Wellbeing Strategy and the society full of social activity supporting Community Wellbeing Strategic Context Committee is to ensure that Positive Ageing Action Plan 2016-2019 and opportunity. every person thrives. Within this Aim 3: Older people in In this section, we show why Levin/Taitoko and the Horowhenua district are perfectly poised to strategy, our goal is for all older 3 Horowhenua are equipped people / kaumātua and people Vision: To ensure that innovate toward a lifestyle centre inclusive of older people with good information and with disabilities in the Horowhenua Horowhenua residents are empowered with the means to district to live meaningful lives, play empowered to make choices engages and honours the people of navigate and access services. Why Levin/Taitoko Horowhenua 2040 Strategy an active role in community life, enabling them to live a satisfying the community. We will build on our and healthy lifestyle and thrive. Aim 4: Older people in and the Horowhenua existing track record of looking out for 4 Vision: Intergenerational Horowhenua live in a safe, older people. This goal is aligned with Horowhenua embraces older wellbeing in a spectacular secure and healthy District Horowhenua Horowhenua’s Long Term Plan3 residents as a highly valued environment, physically, The needs and contributions of our which states: Our older people integral part of the community. socially and financially. The Horowhenua district and older people are recognised in the The Horowhenua 2040 Strategy have access to opportunities that The Positive Ageing Action township of Levin/Taitoko offer fertile Horowhenua 2040 Strategy, our aims to improve living standards enable them to live a satisfying and Plan4 incorporates ideas that will Aim 5: Older people in soil for innovation for older people encourage our older people to 5 Community Wellbeing Strategy, by investing in four outcome areas: healthy lifestyle. It is also aligned Horowhenua are recognised, and regional growth. We have the our Positive Ageing Plan 2016- an exuberant economy, a stunning with our goals for resilient and be active within the community celebrated and supported for commitment, the leadership, the 2019, and our goal of becoming environment, thriving communities connected neighbourhoods. whilst being supported by the their contribution to the people, the reputation, as well as an Age-friendly Community. These and vibrant cultures. With the facilities, events and services they community and are given existing opportunities for change and are mutually reinforcing strategies. associated enabling infrastructure, By working collaboratively, need to ensure a positive ageing opportunities to work, development to leverage success for They build on and align with national this strategy results in a portfolio of individual agencies and specific experience. The plan aligns with volunteer and grow. Project Lift. and international initiatives that projects phased over 23 years, and a programmes and initiatives can the values New Zealand’s Positive aim to encourage the inclusion of spatial plan. contribute to a positive result Ageing Strategy5 and the New We anticipate Project Lift will create older people into communities and through their accumulated impacts Zealand Healthy Ageing Strategy both new opportunities for older A Commitment supports the people to stay well, safe Project Lift aligns and supports our on their customers. (more on these in the Appendix). people and mechanisms for older people to access both existing and to Helping Older and active into their old age. goals for people in the ‘Transition The Community Wellbeing Strategy new opportunities. from Work’ life stage within the monitors the wellbeing of older People Thrive in the Our local strategies provide a ‘Thriving Communities’ outcome people through several indicators. Horowhenua positive base for Project Lift to area. develop new and enhanced The Horowhenua District Council services, products and social 3 Horowhenua District Council. Horowhenua: 2015 – 2025. (PAGE 2) http://www.horowhenua.govt.nz/Council/Plans-Strategies/Long-Term- is leading the charge toward an practices, enabling older people Plan-2015-2025 inclusive lifestyle community by to flourish. We outline each of these 4 Horowhenua District Council, (2016.) Horowhenua Positive Ageing Action Plan, 2016-2019. proposing a co-design process that strategies next. 5 MSD Positive Ageing Strategy, Ministry of Health, Healthy Ageing Strategy REF 32 33
% 30 Age-Friendly Communities Existing Investment and Development Figure 6: Proportion of population aged 12.1% 14.9% 18.5% 22.1% 23.3% 25.3% 65 years and over in Horowhenua, Opportunities 2005–2056 (projected) by age group 25 Horowhenua is currently working towards becoming an 6 Source: Statistics NZ, National 5 age-friendly community. Ensuring older people are seen Right now, creative thinking for older people can feed population projections, by age and sex, 20 2 3 as an important part of all populations gave rise to the into other planning opportunities. 2016 (base) to 2068 lifestyle 2 World Health Organization’s (WHO) Age-friendly City 15 8 9 8 and Community model. This model has been adopted For example, Horowhenua District Council is in the 1 6 midst of developing a strategy to transform Levin/ 5 by hundreds of communities around the world now 85+ Years 75 - 84 Years 10 recognised as age-friendly by the WHO. Age-friendly Taitoko’s Town Centre. The Levin/Taitoko Town 4 communities recognise that a good life in our later years Centre Development Strategy will present enormous 5 9 10 11 10 11 65 - 74 Years 7 depends not just on the individual but on where we live opportunities for access and mobility of older people. – do we feel secure, can we access the services we 0 need and are we able to participate in the community as Central government’s investments in the Roads 2006 2016 2026 2036 2046 2056 we wish? The Office for Seniors in the Ministry of Social of National Significance (RoNS) will transform the Year Development is advocating for age-friendly communities landscape of Horowhenua. The RoNS investment in in New Zealand and Horowhenua has accepted the State Highway 1 - known as the Wellington Northern challenge. Corridor (WNC) - will ultimately reduce the travel time Horowhenua’s Social Infrastructure An Older than Average Population between Wellington and Levin/Taitoko by 40 minutes Project Lift focuses on people transitioning out of the at peak travel times. As well as improving connectivity to Wellington, this initiative is prompting thinking about Te Takeretanga o Kura-hau-pō, Culture and Community Horowhenua is located in the heart of the lower North paid workforce. Our project areas align with the goals of integrating roading infrastructure and networks with the Centre, Levin/Taitoko opened in September 2012. A Island, with a population of nearly 32,000 residents. New Zealand’s Positive Ageing strategy6, Horowhenua’s needs of users in mind. community heart and hub, the centre brings together Statistics New Zealand identified Horowhenua as the Positive Ageing Plan and other initiatives discussed library services, as well as services and fifth oldest District behind Waitaki, Central Otago, Kapiti above. Agencies like the Mid Central District Health Board are facilities for community, business, youth, and Thames-Coromandel. Approximately 7000 people We share the focus on health and wellbeing, inclusion already investing in increased primary and secondary and tourism. over the age of 55 with a range of levels of dependency and making the most of the skills and talents offered by healthcare solutions in Levin/Taitoko and are open to across the population group currently reside in the alternative ways of delivering services. Nationally, Te Takeretanga o Kura-hau-pō region. older people. What Project Lift offers is a process for has become a flagship of its kind - a relevant and realising these goals by putting older people at the heart convenient destination to complement people’s lives Figure 6 shows the proportion of people over 65 of a collaborative co-design process. We will maximise at home, school and work. Recreational, cultural, will grow to nearly one in five of people living in the the likelihood of new ideas working for older people. learning, digital and social experiences are located in Horowhenua district by 2026 and one in four by 2056. Project Lift will provide test cases and exemplars for one convenient, modern and accessible facility in the The number of people aged 85 and older is expected to policy goals within and across these areas. heart of Levin/Taitoko. This concept and venue support more than triple by the middle of the century. Projections In addition to these strategies, we see opportunities for the activities that enable social inclusion of older people indicate that all ethnic populations in New Zealand will Project Life to leverage off initiatives already live in the with the rest of the community. gradually age over the coming decades, reflecting the community. combined effect of reducing fertility rates (people having Te Takeretanga o Kura-hau-pō reflects the richness fewer children) and people living longer. and diversity of the community and showcases all that is great about Horowhenua. Well connected to local Levin/Taitoko and the Horowhenua district host an activities, businesses, institutions and organisations, existing and growing market in which to test new Te Takeretanga o Kura-hau-pō contributes to the social products, new services and new ways of doing things. and economic prosperity of the Horowhenua district. The region is a perfect location for innovation for older people, which in turn will stimulate economic growth for 6 except goal 9 which focuses on employment). MSD Positive Ageing Strategy the district. 34 35
Size and Scale Readiness to Innovate. Levin/Taitoko is a service centre for the surrounding People in Horowhenua are ready to work in new ways rural area and is a magnet town for retirees. to achieve the community they want. Our conversations with people and groups in the community demonstrate a With a population of nearly 21,000 people, Levin/Taitoko willingness to change. We have a track record of making is small enough to trial collaborative, cross-disciplinary new initiatives work here like the Social Sector Trial and design processes, and large enough to see if proposed Children’s Team. We can build on this experience. solutions work. Accessibility to Expertise and Markets Natural and Cultural Assets to Attract People and Support Wellbeing Levin/Taitoko is on the doorstep of Wellington and Palmerston North, With unspoilt sandy beaches, both centres offer concentrated expansive green landscapes expertise in governance, and friendly people, business development and Levin/Taitoko and the subject matter experts. We Horowhenua district can draw on the experience and expertise of people in offer plenty of scope We believe Levin these centres in our co- for recreation. And the diverse cultures and and Horowhenua design processes and easily keep decision- history enrich the lives have the conditions makers in the loop as of people who live here. Levin/Taitoko offers an to support innovation Project Lift develops. With four airports in attractive place to invest, for older people. easy reach and the work and play. expressway connecting Labour and both south to the capital and further north, Levin/ Manufacturing Taitoko offers easy access to Expertise people and business. Retaining its ‘small town New We believe Levin/Taitoko and Zealand feel’, and nature-based Horowhenua have the conditions to lifestyle, Levin/Taitoko and Horowhenua support innovation for older people. The are still very much a thriving business centre. following section outlines both the need and the We already have skilled people in manufacturing, aspiration for older people in the district according to construction, the social sector, agriculture, horticulture our seven project areas. and technology to draw on. 36 37
PART FOUR Stakeholder Views Throughout 2016 and 2017, we Current State | Future State convened a series of stakeholder engagement sessions with older In this section, we outline what we have now (current state) and then people in Horowhenua and their service providers (like health and outline how we imagine a future that fully includes and meets the needs of social providers). Participants older people (future state). The future state is essentially our vision of an said that support services were exemplary lifestyle centre designed with older people in mind delivered in a fragmented way with different services delivered by An Overview of the Current State individual agencies based on their own funding incentives and service standards. Also, at times people As noted in section 3, Levin/Taitoko has one of the oldest populations in the country were unable to afford care and with nearly one in five people aged 65 or over. found it hard to access separate We also note that our current younger generations are expected to live longer. funding entitlements to get support. And we’ll be enjoying a good level of health into our senior years. Participants identified social Our population is culturally diverse. At the last census, the majority of people in isolation and social exclusion as Horowhenua identified European as one of their ethnicities (82%). However, we also have key concerns. a higher than average proportion of people identifying as Māori (22.8%). Our Pasifika and A lack of transport options was also Asian communities are also well established (Figure 7). a perceived barrier to accessing We need to future proof our region so our experience of life is rewarding as we age, social goods. For example, it is rather than feeling like a burden. Now is the time to act. 30 minutes to a level 2 hospital. However, services from Public How well is our current generation of older people being served? Health Organisations are provided locally. Housing is low cost. However, housing quality, suitability and availability for older people is a key challenge. European Maori Pacific Asian Middle Other Participants also identified some Peoples Eastern/ Latin positive signals. The travel time 82.4% 22.8% 3.4% 1.8% to/from Wellington is estimated to American / vs vs 4.8% vs vs drop to sub one hour. In addition, African 74% 14.9% vs 11.8% 1.7% new services were being created 7.4% 0.3% nationally to meet current and vs future needs. Figure 7. Ethnic breakdown of the Horowhenua 1.2% district vs the national average, 2013 38 39
An Overview of the The Seven Project Areas – What we have now and what we want to see Future State Housing and Shelter We want Levin/Taitoko and Horowhenua to thrive. For that to happen we need to have a district that Housing and Shelter is a primary need and has a clear Papakainga housing models that integrate older Māori provides opportunities for everyone from all walks and well-established impact on the health of occupants. into their communities. Models for Papakainga housing of life, including older people, to flourish. We Affordable and appropriate housing protects people – literally a nurturing place to return to – will support recognise that some factors constrain wellbeing from hazards and promotes good health and well- connection with the whenua and the whanau. These across our seven project areas. Tackling being. The older population is as diverse as any in our connections, in turn, support cultural inclusion and the problems in one area will provide dividends in society, and older people live in all kinds of dwellings. intergenerational sharing of wisdom, resources and another. Regardless of this diversity, there are a number of culture. common housing hazards older people face, and with We want a district where older people are not Future State an ageing population, this has significant implications excluded or isolated because of low incomes or for older people in our community. poor mobility. We want a built environment - from Research conducted by Davey (2006) suggests the vast houses to our town centres and beyond - that Current State majority of New Zealand home owners would like to age support mobility and access for older people. in place7. That is, people want to live in non-institutional Access to food, health services, other people and housing in the community. This research concluded Our stakeholder meetings suggested housing in the whanau, and activities that keep people active, that a continuum of housing types and options for older region is low cost. However, housing quality, suitability curious, and hungry for life. people would need to be developed, with appropriate and availability for older people is a key challenge. Our existing housing stock was built with families in mind levels and types of service provision. Housing options We want people to have choices about where with large houses and large sections. These are not fit- could vary from staying in the family home to specially and how they live and have access to enabling for-purpose for an ageing population and do not provide designed units and supported accommodation in the technologies in health, social connectivity and the comforts and technologies that will enable positive community. We anticipate a range of housing options in opportunities for learning. We want opportunities ageing experiences. the future, including Papakainga housing that supports for people to support and contribute to their Māori preferences and aspirations. communities across leisure, caring and business At present, there is an increase in the number of activities. As our district grows and attracts Figure 8 on the next page outlines how Project Lift will retirement villages and rest homes for those who can new people and new skills, we want to have the work toward housing and shelter solutions that support afford them and want a facility dedicated to catering mechanisms already in place for people to share the wellbeing of older people. for their later years. Research suggests this is not their experiences and talents. the preferred options for most people, neither is it We want people mechanisms that encourage affordable. people to appreciate each other and the unique Hui with Māori progressing Te Pae Tawhiti suggest the histories that we all contribute to our diverse Hanga Whare priority (Housing) is common ground with communities. Project Lift. Māori in the district are looking to develop 7 Davey, J. (2006). “Ageing in Place”: The Views of Older Homeowners on Maintenance, Renovation and Adaptation. Social Policy Journal of New Zealand, 27. Ministry of Social Development. Wellington. https://www.msd.govt.nz/about-msd-and-our-work/publications-resources/ journals-and-magazines/social-policy-journal/spj27/ageing-in-place-the-views-of-older-homeowners-27-pages128-141.html 40 41
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