Document: Local Action Plan 20 th November 2010 Original: Czech Prague Local Action Plan: Age and care ACTIVE A.G.E. Urbact II Thematic Network
Table of contents 1. Introduction... 3 2. Prague: city with the oldest age structure in the Czech Republic... 5 3. Focusing on policies at local level... 6 4. Guidelines... 7 5. Problem analysis... 8 6. Objective, activities and target... 11 6.1. Objective 1: Raising awareness... 11 6.1.1. Action line A1... 11 6.1.1.1. Indicators of outcome... 11 6.1.1.2. Indicators of output... 11 6.1.2. Action line B1... 12 6.1.2.1. Indicators of outcome... 12 6.1.2.2. Indicators of output... 12 6.1.3. Action line C1... 12 6.1.3.1. Indicators of outcome... 12 6.1.3.2. Indicators of output... 12 6.2. Objective 2: Education of people employed in social services... 13 6.2.1. Action line A1... 13 6.2.1.1. Indicators of outcome... 13 6.2.1.2. Indicators of output... 13 6.2.2. Action line B1... 13 6.2.2.1. Indicators of outcome... 13 6.2.2.2. Indicators of output... 13 6.3. Objective 3: Pilot project of Volunteering... 14 6.3.1. Action line A1... 14 6.3.1.1. Indicators of outcome... 14 6.3.1.2. Indicators of output... 14 6.3.2. Action line B1... 14 6.3.2.1. Indicators of outcome... 14 6.3.2.2. Indicators of output... 14 6.3.3. Action line C1... 15 6.3.3.1. Indicators of outcome... 15 6.3.2.2. Indicators of output... 15 7. Timetable... 16 8. Budget... 16-2 -
1. Introduction Population ageing is an actual problem for nearly whole Europe. This is mostly caused because of the low fertility rate, increase in the life expectancy, as well as the retirement of baby boom generation. The total fertility rate in Europe is now about 1.5 children per woman. The lowest fertility rate was in 2006 in Poland and Slovakia, about 1.3 children per woman. On the contrary the highest fertility rate (about 1.8 children per woman) was in Denmark, Ireland, France and Finland. Life expectancy has increased over the last 50 years by about 10 years in total. It was caused mostly by improvement of socioeconomic and environmental conditions and better medical care and treatment. Between 1960 and 2006, the proportion of older people (65 years and over) has risen from estimated 10% to nearly 17% in the EU-27. And we can find many signs that this trend will continue. In the EU the proportion of elderly people (aged 65 and over) will increase from 16.4% in 2004 to 29.9% in 2050, which means from 73.3 million in 2004 to 134.5 million in 2050). The highest proportion of elderly people is expected in Spain, Italy and Greece (about 33%). 1 Population ageing will bring many opportunities and challenges such as economic, budgetary or social ones. It will definitely affect the economic growth as the government spending will have to increase. Governments should think about the pension reform and also adopt the active labour market policies to reduce age related discrimination and also to guarantee the sustainability of the pension systems. The new welfare system should also adopt adequate and cost-effective long-term care and effective health system. On the other hand from the economic point of view the new system should also promote higher fertility. Overall, the governments should try to avoid poverty and social exclusion. The situation in the Czech Republic and in Prague is quite similar to that European one which was mentioned above. In the recent years we can see the increase of number of older people. According to the recent projection of Czech statistical office 2 in 2014 in all Czech regions there will be more older people (aged 65 and over) than children (aged 0-14). And this difference should increase in future. In Prague the situation is even worse. There are more elderly people than children today. And in 2027 the number of elderly people is expected to be twice big as the number of children. When we compare the employment rate of older people (55-64 years old), the Czech Republic is an average. The employment rate of this group is about 48% and it 1 COM (2009) The Social Situation in the European Union 2008, 3. Ageing of the population http://ec.europa.eu/social/blobservlet?docid=2842&langid=en 2 CZECH STATISTICAL OFFICE: Projection of population in regions in the Czech Republic till 2065 http://www.czso.cz/csu/2010edicniplan.nsf/p/4021-10 - 3 -
has increased about 7% from 2002. But in the EU we can see many countries where the employment rate of older people is about 70% (Sweden) and on the other hand for example in Malta, the employment rate is only about 30%. This Local action plan on the subtheme Age and care is necessary to identify a solution of the problem in the field of care services provided for people aged 65 and over. To guarantee, that it would be take care about elderly people concerning the actual trends, that more domestic care service is provided, that elderly people could live in their flats and houses. The other thing is that this document should also help to solve the problem with awareness, elderly people very often have problems to preserve information and very often they do not know where they could find this information. - 4 -
2. Prague: city with the oldest age structure in the Czech Republic Prague is a capital city of the Czech Republic. Prague ranks among the most economically advanced regions of the European Union. It generates nearly a fourth of the Czech Republic s gross domestic product, with the service sector as the most significant contributor. It is quite clear that the significance and the position of Prague can potentially influence the competitiveness and economic development of the Czech Republic. Its population is about 1.7 million people. It has the oldest age structure of the population in the Czech Republic and its population has been growing older over the recent years, particularly as a result of a significant decline in the number of children. Average age in Prague was 41,6 years in 2009 compared to average age 40,6 years in other regions of the Czech Republic. The average age in Prague is still slowly increasing. According to data from 2004-2008 average life expectancy of women in Prague is 80,4 years and for men 75,3 compared to 79,4 years for women and 73 years for men in the whole Czech Republic. And when we compare Prague with other regions, there is a low birth rate level in the long run (Prague 1.19, Czech Republic 1.23). And it is expected that also in the future the fertility rate remains low. The proportion of elder people (aged 65 and over) in Prague is the highest of all regions. - 5 -
3. Focusing on policies at local level The policy at local level in Prague is oriented to solve the given problems mentioned above trough: 1. Support of social services 2. Support of supporting services At present, most services are provided by acute care and according to what is needed at the moment. This model does not correspond to the actual needs of most elderly people, especially those who have long-term health problems. The main support is focused on institutional care, but it is increasingly started to support additional services. City of Prague wants to increase the availability of home care and support of the following services: regular doctor visits, support for families caring for a seniors, identify seniors who are at risk of social exclusion or other risks. As far as improving staff training in social services, each organization has set up its own education system. Training courses are also in employment offices and the City of Prague provides training courses for employees of municipal organizations. Volunteer service in nursing and social area provides a large number of NGOs (Hestia, Gerontology Centre ), but still it is missing the coordination of the City Hall. As far the information services, which are associated with the problem of insufficient information, are provided by individual neighbourhoods and City Hall, but here again missing some targeted coordination in the provision of information and seniors do not know where to turn. - 6 -
4. Guidelines We can summarize the guidelines inspiring the realization of this Local Action Plan as follows: - raise awareness of older people about their options in nursing services, particularly to support home care and that seniors could remain in their natural environment through: 1. an information system to support the dissemination of information and knowledge to teach elderly people where ever they can find information; 2. organization of discussions with stakeholders such as NGOs, the elderly, many senior citizens, urban areas, homes for the elderly, etc..; 3. developing information material (leaflets, internet, etc.) 4. organization of awareness campaigns in collaboration with stakeholders; - improve conditions for elderly people in institutional care, and also enhancing the skills of the staff of these facilities, but it's a communication skill - support home care for seniors - promotion of volunteerism, whether it be volunteering for young people (students, graduates) or the elderly volunteering (elderly, unemployed before retirement), this measure should be linked with the fact that 2011 is designated as the European Year of Volunteering - increase capacity and consequently the quality of social services in connection with the complex provision of such services, - collaboration with schools, libraries, medical facilities - 7 -
5. Problem analysis Given the above analysis of the future situation in Prague, we have identified the main problems in care services as the following: 1. Lack of awareness of older persons; 2. Poor legislation and the constant lack of funds. As we can see a conceptual map (Figure 1), an analysis based on Basic studies and statistical and sociological studies on the status and living conditions of older people in the capital city of Prague 3 "and on discussions among members of the Local support group has identified the basic problems. On the one hand, there are major problems caused by lack of information. In Prague there is not a place (institution) where all the information provided would cover cover all places in Prague. The information is very fragmented and the elderly people often do not know where to to turn for advice. We can see lack of information both for providers as well as for users. People are also not interested in prevention, the start to seek information only when a problem occurs. Another problem is that seniors are struggling to keep their own information, and therefore it should also be an important in which form they receive the information. Another problem is the lack of quality and capacity of social services. Services are not often complex, it is possible for example to deliver lunch for seniors, but not serving lunch. Lack of human capital, whether experienced employees who would be able to communicate, work in crisis situations, but also for example the issue of volunteerism in the Czech republic is not resolved. This specific kind of activity in the Czech Republic is very widespread. There is missing again some coordination to governing bodies. Volunteering is provided by various NGOs (Hestia, Gerontology Centre,...), but is missing a roof, such as portals, which brought together those interested in working as volunteers for companies and companies looking for volunteers. One of the fundamental problems is the lack of legislation, for example, there is no legislation regulating the function of specific non-professional carers or voluntary arrangements. Also, funds are still insufficient. In the City of Prague there is also a large number of projects relating to the care services that cooperate and not to make a coordinated approach. 3 MAGISTRÁT HLAVNÍHO MĚSTA PRAHY: Statistická a sociologická studie o postavení a životních podmínkách seniorů v hlavním městě Praze, http://www.rscr.cz/prispevky/studie.pdf - 8 -
Other problems can include: lack of interest, either by users or providers, lack of cooperation with their families or social exclusion of older people. - 9 -
Figure 1: Problem tree - 10 -
6. Objective, activities and target As it is evident from the analysis of the problem, the target population of this Local Action Plan should be people older than 65 years. The main aim of this document should therefore be as follows: 1. Raise awareness of elderly people about their options for care services; 2. Educating people employed in care services; 3. To introduce a pilot project for volunteering in Prague. For each objective, it will be specified a number of operational objectives. Each operational objective will have its own activities, as well as indicators of results and outcomes. 6.1. Objective 1: Raising awareness Achieving the first objective includes the implementation of the following activities: A. Creating an information system; B. The organization of conferences, seminars, awareness campaigns; C. Distribution of information leaflets. 6.1.1. Action line A1 The first group of activities is aimed at creating an information system for the elderly people. It would be an office, where the seniors and their relatives may enquire information. There should be possible to get information about social services held in the city of Prague. City of Prague will cooperate in this area with City districts, social service providers and seniors themselves. 6.1.1.1. Indicators of outcome - number of consultations provided - number of people informed about this centre - quality of service 6.1.1.2. Indicators of output - number of seniors who are seeking information centre - level of satisfaction of participants - 11 -
- improving the level of knowledge retention and knowledge 6.1.2. Action line B1 Organisation of interactive and interesting awareness campaigns for the elderly care services for elderly and for their relatives. They would take place for example at cultural, sport and civic events, where the target group goes. This activity would be closely linked with the creation of an information centre, which would then provide services such as organizing various educational activities and information campaigns to seniors and their loved ones learn about their rights and options. 6.1.2.1. Indicators of outcome - the number of events where information campaigns took place - number of consultations by age, sex, educational level or occupation - quality and knowledge of consultation - the number of distributed information materials 6.1.2.2. Indicators of output - number of persons who rated the information as beneficial - level of improvement of the knowledge level of participants 6.1.3. Action line C1 The last group of activities in this objective is focused on the development of information material for the elderly people in care services, which would be distributed at the information centre and during the educational and cultural events. 6.1.3.1. Indicators of outcome - number of printed materials - the quality of printed materials - number of people using these materials 6.1.3.2. Indicators of output - number of participants who rated this material for quality - number of participants who rated this material useful - 12 -
6.2. Objective 2: Education of people employed in social services The second goal is the education of people employed in social services: A. Creating training courses for people in institutional care B. Creating training courses for carers in home care 6.2.1. Action line A1 Creation of quality training courses for people caring for seniors in nursing homes, clinics and care homes according to professional specialisation. Most of the courses would focus on communication skills (with clients, relatives) or behaviour in situations of risk and stress management. 6.2.1.1. Indicators of outcome - number of visitors rate - teaching material of educational courses - quantity and quality of service 6.2.1.2. Indicators of output - number of successful course graduates - number of persons identified as beneficial training course - improving the level of knowledge and skills 6.2.2. Action line B1 Creation of quality training courses for carers in home care according to professional specialisation. It would not be only training courses for professional caregivers, but also for elderly family members, etc. 6.2.2.1. Indicators of outcome - number of visitors rate - teaching material of educational courses - quantity and quality of service 6.2.2.2. Indicators of output - number of successful course graduates - number of persons identified as beneficial training course - 13 -
- improving the level of knowledge and skills 6.3. Objective 3: Pilot project of Volunteering The goal for the pilot project would be related to the fact that the European Union declared the year 2011 as a European year of volunteering. Under this objective would be realized the following secondary objectives: A. Coordination of volunteerism in the City of Prague B. Creating courses for volunteers C. Information campaign on volunteering 6.3.1. Action line A1 Creation of a platform where they can obtain information on how the candidates from the ranks of companies and people interested in volunteering as a volunteer. It would be a web portal. 6.3.1.1. Indicators of outcome - number of visitors online portal - quality of information 6.3.1.2. Indicators of output - number of companies advertised request for volunteers - number of volunteers offering their services 6.3.2. Action line B1 Training courses for volunteers in the field of social services. Here, volunteers would be taught how to deal with clients to assist them, etc. 6.3.2.1. Indicators of outcome - quantity and quality of teaching material - number of training courses 6.3.2.2. Indicators of output - number of successful graduates of training courses - improved levels of knowledge - 14 -
6.3.3. Action line C1 Organisation of information campaigns to promote and support volunteering in schools, libraries, etc. 6.3.3.1. Indicators of outcome - number of events - quality of information 6.3.2.2. Indicators of output - number of training events - number of volunteers on the basis of these campaigns - 15 -
7. Timetable The timing of implementation of activities of the Local action plan is of 36 months. The times were calculated using 20 days per month. Action Duration 1 Information Centre 600 days 2 Information materials 60 days 3 Educational Courses 400 days 4 Information Campaign 100 days 5 Volunteer System 600 days 6 Monitoring 100 days 7 Communication 700 days 8. Budget We assume that the total project costs should be 30,000.00. Project Costs Expenditure Items Total 1 Information Center 300,000.00 2 Information materials 70,000.00 3 Educational Courses 120,000.00 4 Infomační Campaign 10,000.00 5 Volunteer System 20,000.00 6 Monitoring 7,000.00 8 Communication 9,000.00 7 Other costs 4,000.00 Total 320,000.00-16 -
Objective 1 Raising awareness Operative objectives A Creating an information system B Awareness raising campaign C Distribution of information material Activities Indicators of outcome Indicators of output A1 creating an information office for the elderly people and their relatives, where they could get information about social services held in the city of Prague. City of Prague will cooperate in this area with City districts, social service providers and seniors themselves. B1 Organisation of interactive and interesting awareness campaigns for the elderly care services for elderly and for their relatives. They would take place for example at cultural, sport and civic events, where the target group goes. C1 - Development of information material for the elderly people in care services, which would be distributed at the information centre and during the educational and cultural events. - number of consultations provided - number of people informed about this centre - quality of service - the number of events where information campaigns took place - number of consultations by age, sex, educational level or occupation - quality and knowledge of consultation - the number of distributed information materials - number of printed materials - the quality of printed materials - number of people using these materials - number of seniors who are seeking information centre - level of satisfaction of participants - improving the level of knowledge retention and knowledge - number of persons who rated the information as beneficial - level of improvement of the knowledge level of participants - number of participants who rated this material for quality - number of participants who rated this material useful - 17 -
Objective 2 Education of people employed in social services Operative objectives A Creating training courses for people in institutional care B - Creating training courses for carers in home care Activities Indicators of outcome Indicators of output A1 Creation of quality training courses for people caring for seniors in nursing homes, clinics and care homes according to professional specialisation. Most of the courses would focus on communication skills (with clients, relatives) or behaviour in situations of risk and stress management. B1 Creation of quality training courses for carers in home care according to professional specialisation. It would not be only training courses for professional caregivers, but also for elderly family members, etc. - number of visitors rate - teaching material of educational courses - quantity and quality of service - number of visitors rate - teaching material of educational courses - quantity and quality of service - number of successful course graduates - number of persons identified as beneficial training course - improving the level of knowledge and skills - number of successful course graduates - number of persons identified as beneficial training course - improving the level of knowledge and skills - 18 -
Objective 3 Operative objectives A Coordination of volunteerism in the City of Prague Activities Indicators of outcome Indicators of output A1 Creation of a platform where they can obtain information on how the candidates from the ranks of companies and people interested in volunteering as a volunteer. It would be a web portal. - number of visitors online portal - quality of information - number of companies advertised request for volunteers - number of volunteers offering their services Pilot project of Volunteering B - Creating courses for volunteers C - Information campaign on volunteering B1 Training courses for volunteers in the field of social services. Here, volunteers would be taught how to deal with clients to assist them, etc. C1 - Organisation of information campaigns to promote and support volunteering in schools, libraries, etc. - quantity and quality of teaching material - number of training courses - number of events - quality of information - number of successful graduates of training courses - improved levels of knowledge - number of training events - number of volunteers on the basis of these campaigns - 19 -