Integrating Care for Older People: New Care for Old, a Systems Approach

By Christopher Foote; Christine Stanners | Go to book overview

Chapter 6
Putting it in Place
Some Solutions

There is nothing so difficult as turning a good idea into action.

Goethe

To find the problem is the same as finding the solution.

Rittel and Webber, systems analysts

This chapter addresses some of the practical issues involved in implementing EPICS.
It describes the importance and value of the stakeholders and the stakeholder systems
and explores the need to have a wide diversity of stakeholders to create innovative
solutions. It confirms the importance of developing wide networks and managing
relationships. It gives a model for the structures required for implementation. It
emphasizes the importance of the one-stop service and the involvement of the older
person through a telephone link. The chapter includes a flowchart that offers a practi-
cal guide to implementation.

No matter how much theory there is, no matter how many reports are written, unless they are translated into improved outcomes for older people they can be little more than exhibits in the halls of academe or management. This has to be the grand challenge for all who have the vision for change. The journey is full of potential pitfalls, and if there is no blood, sweat or tears, despite all the excitement, it is unlikely that profound change is occurring.

Sometimes there are moments of overpowering doubt within the leaders as they are pressurized to meet short-term goals with quick fixes. And everybody at some

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