Initiative for the most ill elderly people

A major project has begun to encourage health care and social services for the most fragile elderly people - in the form of home care, elderly care, primary care and hospital care - to better work together. New ways of concentrating efforts on the elderly to provide better care need to be developed.

The Government has appointed a senior coordinator to submit proposals on how the Government can strengthen incentives and opportunities for local governments to better coordinate care of the most ill elderly people.

Another objective is to streamline the use of resources so that health and social care is based to a greater extent on the needs of elderly people with the most serious diseases, and a more efficient organisation. The Government is striving to reward results, so that local solutions tailored to the conditions in each county and municipality can emerge.

Intensify cooperation between social services and health care

For an older person with many different symptoms and diagnoses, contacts with various different authorities, businesses and categories of staff can be confusing. Therefore, there is now a special focus on streamlining the use of resources so that health care and social services can be based to a greater extent on the needs of patients and on more efficient organisation.

The aim is to use economic incentives and place the needs of elderly people with the most serious diseases in focus in order to encourage, strengthen and intensify cooperation between social services and health care. The initiative aims to reward results, so that local solutions tailored to the conditions in each county and municipality can emerge.

Performance bonuses to achieve better results

2011 was a preparatory year for developing a basis for determining appropriate indicators of effectiveness, as well as for mapping, feasibility studies, evaluations, guidelines and knowledge compilations. The idea is not to carry out more experimental activities; instead, the Government introduces performance bonuses to achieve better results in terms of health and social care for the most ill elderly people.

Over the next few years, performance bonuses will be paid to the heads that meet the set requirements. Intensive efforts are currently under way to develop indicators and systems for performance compensation.

A total of SEK 3.75 million is available for development during the period 2011-2014.