Living well for older people

Age UK Integrated Care Programme

NHS Dartford, Gravesham and Swanley, and Swale Clinical Commissioning Groups (CCG) have linked up with Age UK to support older people with long term conditions who have had unplanned hospital admissions.

The Age UK Integrated Care Programme is an innovative way of helping older people take control of their own health and wellbeing and regain and sustain their independence. It brings together health, social care and voluntary services in a more joined-up way.

Since July 2017 the Integrated Care Programme has been delivered across Dartford, Swanley, Gravesham, Sittingbourne and the Isle of Sheppey, and the CCGs are currently working with selected GP practices to identify appropriate patients.

The programme aims to support older people by working with them to identify what they feel would enable them to get the most out of life.  A  Personal Independence Coordinator from Age UK then helps them plan and obtain the support services and activities needed to achieve this. The programme is already running successfully in other areas of Kent, and across the country. .

Integrated Care  is a way of joining up health and social care services to make sure they are based closely around people’s needs. It is aimed particularly at those with complex and long-term health problems. In this programme, Age UK staff and volunteers also become members of health and social care teams, providing care and support in and through the local community and improving coordination across a wide range of services.

Download a list of participating practices.

Find out more about the national programme.