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Ageless at Work - Skills for Care

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Table 16<br />

Main fe<strong>at</strong>ures of the ‘integr<strong>at</strong>ed visions’ (continued)<br />

Indic<strong>at</strong>or Best ‘guesstim<strong>at</strong>e’ Problem plagued Visionary Implic<strong>at</strong>ions <strong>for</strong> project<br />

Primary and<br />

community care<br />

Employment<br />

organis<strong>at</strong>ion and<br />

work<strong>for</strong>ce skills<br />

Improved integr<strong>at</strong>ion of health and<br />

social care, with less time spent in<br />

hospital. Institutions are<br />

networked, in part through ICT,<br />

with traditional hospital care<br />

delivered in primary care centres<br />

by specialists. Social services are<br />

revamped with more people than<br />

present using them.<br />

The supply of and demand <strong>for</strong><br />

health and social care<br />

professionals are roughly<br />

aligned, aided by migr<strong>at</strong>ion and<br />

the use of new technologies. <strong>Care</strong><br />

becomes further professionalised.<br />

The work<strong>for</strong>ce has a good mix of<br />

skills and is com<strong>for</strong>table with<br />

using new technologies.<br />

The welfare system is<br />

fragmented and conflict-ridden.<br />

Institutions are ‘p<strong>at</strong>ched-up’ but<br />

remain inefficient and unsuitable<br />

<strong>for</strong> the new situ<strong>at</strong>ion. The<br />

promises of primary and<br />

community care are largely<br />

unfulfilled, and many procedures<br />

and care are still carried out in<br />

hospitals. Those who can af<strong>for</strong>d<br />

it opt out and go priv<strong>at</strong>e.<br />

Health and social care<br />

professionals are in chronic short<br />

supply as more <strong>at</strong>tractive<br />

employment opportunities <strong>at</strong>tract<br />

young talent. Difficulties exist in<br />

developing the necessary skills of<br />

an ageing work<strong>for</strong>ce, so th<strong>at</strong><br />

the full potential of new<br />

developments are not taken up.<br />

The system’s fragment<strong>at</strong>ion also<br />

sees uneven supply of certain<br />

skills.<br />

Full integr<strong>at</strong>ion of health and<br />

social care, with less time spent in<br />

hospital. Existing institutions are<br />

revamped and new players<br />

enter the scene. ICT and other<br />

new technologies revolutionise<br />

health and social care. Many<br />

more people than present use<br />

social services, given their<br />

central role in community care.<br />

The supply of and demand <strong>for</strong><br />

health and social care<br />

professionals are aligned, aided<br />

by migr<strong>at</strong>ion and the use of new<br />

technologies. <strong>Care</strong> becomes<br />

further professionalised but also<br />

autom<strong>at</strong>ed through the use of<br />

smart robots and remote<br />

networked sensors. The<br />

work<strong>for</strong>ce has a good mix of skills<br />

and is com<strong>for</strong>table with using new<br />

technologies.<br />

Potential to pilot projects th<strong>at</strong><br />

involve both health and social<br />

care partners.<br />

Opportunities to test out new<br />

approaches to addressing skills<br />

gaps in particular around basic<br />

skills and new ways of working.<br />

58<br />

<strong>Ageless</strong> <strong>at</strong> <strong>Work</strong>: Change workplace cultures, development skills. Good practice report

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