Master Plan Quality Care and Lifestyle for Older People - Accelerate25

 
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Master Plan Quality Care and Lifestyle for Older People - Accelerate25
Master Plan
Quality Care
and Lifestyle
for Older People
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Master Plan Quality Care and Lifestyle for Older People - Accelerate25
Contents

                 Welcome                                                4       Knowledge Benefits                                  29   		     Intergenerational Connection and
                 Executive Summary                                      7       How will we Know we are Successful?                 30   		     Cultural Inclusion                             52
                    Horowhenua - Future Scape                           7                                                                		     Information and Communication                  54
                    Project Lift - Grasping the Opportunity             8    PART THREE
                    Why Horowhenua is a Great Place to Innovate              Strategic Context                                      32   PART FIVE
                    for Older People                                    9                                                                The Response - Co-Designing our Future                57
                                                                                Why Levin/Taitoko and the Horowhenua District       32
                    Re-Imagining Horowhenua with Co-Design Labs         10                                                                  Customer-Centric Design                            57
                                                                                A Commitment to Helping Older People Thrive in
                    The Next Steps                                      10      the Horowhenua                                      32      The Co-Design process                              58
                    The Budget                                          11   		     Horowhenua 2040 Strategy                        32      Potential Co-Design Approaches                     58
                    The Benefits                                        12   		     Community Wellbeing Strategy                    33      The Co-Design Lab                                  59
                    Project Lift Outcomes Model                         14   		     Positive Ageing Action Plan 2016-2019           33      Preferred Option(s)                                60

    Project
                                                                             		     Age-Friendly Communities                        34      Criteria for Assessing Solutions Produced by the
                 PART ONE                                                    		 Exisiting Investment and Development                        Co-Design Lab                                      62
                 Background                                             17   		Opportunities                                        34      Executing Solutions                                64

    Lift will
                    The Genesis - The Manawatu-Whanganui                     		     Horowhenua’s Social Infrastructure              35      Expected Benefits of a Co-Design Process           64
                    Regional Growth Study Opportunities Report          17   		     An Older than Average Population                35      Project Scope, Time-Frames and Deliverables        66
                    Further Development - Developing the Quality Care        		     Size and Scale                                  36      Evaluating Project Lift                            73
                    and Lifestyle for Older People Opportunity          18

    put older
                                                                             		     Natural and Cultural Assets to Attract People           Request for Proposals - Criteria for Selecting
                    Confirming the Way Forward - Accelerate>25:              		     and Support Wellbeing                           36      Co-Design Providers                                73
                    Manawatu-Whanganui Regional Economic
                                                                             		     Labour and Manufacturing Expertise              36      Required Capabilities                              74
                    Action Plan                                         18

    people
                                                                             		     Readiness to Innovate                           36      Governance                                         74
                    Te Pae Tawhiti                                      19
                                                                             		     Accessibility to Expertise and Markets          36      Budgetary Requirements                             76
                    Project Vision                                      20
                                                                                                                                            Managing Risk and Benefits                         78
                    Project Mission                                     20

    at the
                                                                             PART FOUR
                                                                             Current State | Future State                           38   APPENDICES
                 PART TWO
                                                                                An Overview of the Current State                    38   Ageing Strategies                                     85
                 Project Overview                                       21

    centre of
                                                                                An Overview of the Future State                     40   Stakeholder Engagement with Project Lift              87
                    Our Framework - Learning from Local and
                                                                                The Seven Project Areas - What we have now and
                    International Strategies for Ageing                 22
                                                                                what we want to see                                 41
                    Success and Benefits - Outcomes Model               24

    innovation
                                                                             		     Housing and Shelter                             41
                    Early Returns                                       26
                                                                             		     Sustenance and Nutrition                        44
                    Medium to Longer-Term Benefits                      26
                                                                             		     Mobility and Accessibility                      46
                    Benefits for Older People                           26
                                                                             		     Health and Wellbeing                            48
                    Community Benefits                                  26
                                                                             		     Personal and Social Growth and Fulfilment       50
                    Economic Benefits                                   28

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Master Plan Quality Care and Lifestyle for Older People - Accelerate25
Welcome
    We are pleased to introduce Project Lift, an exciting new initiative
    to enhance the wellbeing of our older people and the rest of the
    community.

    Our vision is for Horowhenua to become a hothouse for next-generation
    services, products and social practices that enhance the lifestyles and
    economic wellbeing of New Zealand’s older population. Why? Because one
    in four of us living in the Horowhenua will be 65 or over by the middle of the
    century.

               We want to act now so that the wealth of skills, experiences and
               knowledge of our older people continue to contribute to our
               community. And in turn, we want a community that supports our
               older people. Project Lift will put older people at the centre of
               innovation. We want products and services that really work for
               older people and for that we need older people to participate in
               the design process.

                Project Lift is trialling a new way of developing products and
                services called a co-design lab. Co-design labs bring together
                people from different walks of life, and different sectors and
                specialities. Together, small, diverse teams, will learn about the
    challenges facing older people, come up with solutions that might help, and
    test those solutions to work out the best way forward. We anticipate sharing
    our solutions with the rest of the region and the world. As we innovate our
    way into the future, we anticipate the region will attract new skills, new
    employment opportunities and new investment.

    We believe that genuinely meeting the needs of our older people by finding
    better ways of doing things will bring economic benefits to the rest of the
    community. We hope you are as inspired by the potential of Project Lift as
    we are.

    Michael Feyen                              David Clapperton
    Mayor                                      Chief Executive
    Horowhenua District                        Horowhenua District Council

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Master Plan Quality Care and Lifestyle for Older People - Accelerate25
Horowhenua will become        Executive Summary

    a hothouse for next-
                                  This Master Plan outlines the opportunity and next steps toward creating a region that embraces its
                                  older people and creates economic benefits for everyone – Project Lift

    generation services,
                                  We don’t define older people by age, but by stage.           And we say, what a great opportunity! We don’t want a
                                  We’re focused on people who are transitioning out of         quarter of our population languishing because of poorly
                                  full-time paid work and exploring new possibilities for      devised, scatter-gun solutions to challenges that are
                                  themselves.                                                  staring us in the face. We want to find ways of making

    products and social           In the longer term, we see the Horowhenua region
                                  becoming a model for integrated personal, social and
                                                                                               the Horowhenua District the best place to live for all
                                                                                               people post-paid employment. We want to harness
                                                                                               those skills and talents collected over the years and

    practices that enhance the
                                  business growth with an ageing population. We will           make it easy for everyone to participate in whatever
                                  export initiatives that have been tried and tested in        way they feel comfortable. We know that older people
                                  Horowhenua both locally and internationally. Through         can actively contribute to their own solutions. And as
                                  the development process we will improve the lives of

    lifestyles and economic
                                                                                               consumers, they can drive innovation in products,
                                  older people and meet the demands of a significant           services and social practices that suit them. The public
                                  and growing market worldwide. Specialising in solutions      and private sector need data, proof of concept and
                                  for older people, our economy will grow as we attract        consumer testing to have the confidence to invest at

    well-being of New Zealand’s   new investment, expertise, and business opportunities.
                                  Project Lift will deliver benefits for everyone.
                                                                                               scale. We see an opportunity to bring older people,
                                                                                               the private sector, and the public sector together to
                                                                                               work collaboratively toward workable solutions for older

    older population
                                  Horowhenua – Future Scape                                    people in our community.

                                                                                               We expect the process of developing these solutions
                                  The face of our community is changing. We’re becoming
                                                                                               will generate new opportunities for employment,
                                  older and more diverse. In less than ten years, almost
                                                                                               skill development and investment in our district.
                                  one in five people in the Horowhenua district will be
                                                                                               Downstream, we will share our solutions with the rest of
                                  aged 65 or older. Mid-century, this proportion will
                                                                                               the region and the world.

    Project Lift Vision
                                  have grown to a quarter of the population. Our older
                                  generations will reflect the growth in the diversity we’re   We’ll be meeting the needs of older people and growing
                                  seeing today.                                                prosperity in Horowhenua in a virtuous loop.

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Master Plan Quality Care and Lifestyle for Older People - Accelerate25
Project Lift – Grasping                     Why Horowhenua is a Great Place to Innovate for Older People
                                                                           the Opportunity                             The Horowhenua region and the            •   A Magnet Town for Retirees         •   Accessibility
                                                                                                                       township of Levin/Taitoko offer              Horowhenua is already a                to Expertise
                                                                           Project Lift is the product of years of                                                  magnet for retirees. Our
                                                                                                                       fertile soil for innovation to support                                              and Markets
                                                                           collective effort in the Horowhenua                                                      need to get things right               Levin/Taitoko
                                                                                                                       older people and regional growth.
                                                                           district stimulated by the Ministry                                                      for older people and                   is on the
                                                                           of Business, Innovation and                 •   Commitment                               the community is                       doorstep of Wellington and
                                                                           Employment’s (MBIE) regional growth             The Horowhenua District                  current and likely                     Palmerston North, both centres
                                                                           agenda which began in 2014. In                  Council (HDC) is leading the             to grow in the                         of concentrated expertise
                                                                           2015, Accelerate>25 added a road                charge toward an inclusive               next decade and                        in governance, business
                                                                           map for eight ‘opportunities’ to grow           lifestyle community using                beyond. A growing                      development and specialist
                                                                           the Manawatū-Whanganui Region.                               a process that              older population means                 subject matter. Levin/Taitoko is
                                                                           Project Lift is the prototype vehicle for                    engages and                 a growing marketplace for              also close enough to support
                                                                           realising the Quality Care and Lifestyle                   honours the people            ideas, products and ways               commuters in larger centres.
                                                                           Opportunity. Here’s how we see Project                   of the community. They          of doing things that serve our
                                                                           Lift supporting the wellbeing of older                are the local champions            population.                        •   Existing Investment
                                                                           people.                                         for solutions that draw on                                                      Agencies like the Mid Central
                                                                                                                           business, local government,          •   Size and Scale                         District Health Board are
                                                                           Each of the boxes (bottom left) contain                                                  Levin/Taitoko is small enough          already investing in increased
                                                                                                                           central government and the
                                                                           a project area that supports the                                                         to trial collaborative, cross-         primary and secondary
                                                                                                                           not-for-profit sectors. Existing
                                                                           wellbeing of older people. We need to                                                        disciplinary design                healthcare solutions in Levin/
                                                                                                                           HDC strategies and plans
                                                                           get these project areas right for older                                                      processes, and large                          Taitoko and are open
                                                                                                                           recognise the value
                                                                           people to feel safe, well and included.                                                   enough to see if proposed                        to alternative ways of
                          Social &               Personal Growth                                                           of older people and
                      Cultural inclusion           & Fulfilment            The pictures surrounding the boxes                                                       solutions work.                                   delivering services.
                                                                                                                           provide a good base
                                                                           show how everyone - government,
                                                                                                                           for implementing innovative
                                                                           business, service providers, and the                                                 •   Readiness to Innovate                              • Open Doors
                                                                                                                           projects to promote wellbeing.
                                                                           community - has a part to play in                                                        People in Horowhenua are                           Right now, creative
                               Housing
                               & Shelter
                                                                           creating an inclusive lifestyle for older   •   An Older Than Average                    ready to work in new ways                          thinking for older
                                               Sustenance                  people.                                         Population                               to achieve the community                           people can feed into
                                               & Nutrition                                                                 Our population includes a                they want to have in the future.       other planning opportunities
                                                                           Project Lift shares some of the                                                          Our conversations with people          like Levin/Taitoko’s spatial plan
                   Health &                                                                                                higher proportion of people
                                                                           development priorities and ways of                                                       and groups in the community            and housing redevelopment.
                   Wellbeing                                                                                               over the age of 65 than other
                                                                           working with Te Pae Tawhiti – the                                                        demonstrate a willingness to           That means solutions for
                                                                                                                           areas and this is set to grow
                                                                           economic development strategy for                                                        change. We have a track                   the built environment can
                                                                                                                           in coming years. We have
                                                                           Māori in the Manawatū-Whanganui                                                          record of making                           contribute toward our goal of
                                                                                                                           the older people now to help
                                                                           Region. We anticipate opportunities to                                                   new initiatives work                       an inclusive lifestyle centre.
                                                                                                                           shape our community into an
                                                                           work together on Oranga Kaumātua                                                         like the Social Sector
                                                                                                                           inclusive
                                                                           (Vitality for Older Māori) and Hanga                                                     Trial and the Children’s
                                                                                                                           lifestyle
                     Mobility &                           Information &    Whare (Housing) as our strategies                                                        Team. We can build
                    Accessibility                        Communication                                                     centre.
                                                                           progress. We share a desire to work                                                      on this knowledge and
                                                                           collaboratively with multiple partners to                                                experience.
    Source: Steering Group - Quality Care and Lifestyle for Older People   improve the wellbeing of all our older
                                                                           people.

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Master Plan Quality Care and Lifestyle for Older People - Accelerate25
in our community and across              areas. At the end of the co-design     private investment in the process
      Re-Imagining                            sectors in a structured process          lab in May 2018, we will choose        will even out.
      Horowhenua with                         of experimentation that is geared        solutions that best move us toward

      Co-Design Labs                          toward finding solutions that work.      our goals.                             The Budget
                                              We provide an outline of the co-
                                              design process below.                    We will also evaluate how well the
      Creating inspirational communities                                               co-design process worked and the       This Master Plan includes the
      requires nothing short of inspired                                               value the process generated.           costs of project set up, running
      ways for reimagining our social,
                                              The Next Steps                                                                  a Request for Proposals (RFP)
      cultural and economic spaces.                                                    From mid 2018, we will start           process to contract co-design
      That’s why we want to trial             The immediate next step is for the       implementing solutions. Low cost       facilitators, as well as the costs of
      something new: a co-design lab.         Ministry of Business, Innovation         innovative solutions will be brought   trialling the co-design lab process
                                              and Employment (MBIE) to agree           to scale and evaluated. Where they     itself.
      Co-design is a process that             to the proposal contained in             work, we will be looking to share
      puts people at the centre of            this Master Plan. With MBIE’s            and market those solutions.            Beyond the scope of this Master
      collaborative design. Why?              agreement, Horowhenua District                                                  Plan, we see the balance of costs
      Because solutions have to work          Council will go to the market to         For solutions requiring significant    of co-design moving from Central
      for the people they’re intended to      find the right people to run the         public and private investment, we      and Local Government to other
      serve. For Project Lift, that’s older   co-design process. We aim to             will develop business cases to         investors.
      people and our wider community.         have a provider in place by the          attract funding and investment.
                                                                                                                              We estimate the total cost of
                                              end of November 2017.                    Beyond 2020, we will capitalise
      Nobody exists in a social vacuum.                                                                                       Project Lift at $749,900.
      New ways of thinking and new            With our co-design facilitators on       on our growing reputation as a
                                                                                       hothouse for developing solutions      This includes the direct costs of
      ways of doing things emerge             board, we will call for teams to
                                                                                       for older people that also deliver     piloting a co-design lab $491,000.
      when we listen to others. Co-           take up the challenge of designing
                                                                                       benefits for the wider economy. We     Based on experiences of co-design
      design draws on the talents,            services, products or social
                                                                                       anticipate the balance of public to    elsewhere this is the indicative
      skills and perspectives of people       practices for our seven project
                                                                                                                              budget we need to be successful.

                                                                                                                              In-kind funding and direct
                            Understand                Generate ideas                Develop concepts                          investment from HDC will be
                            & empathise                                                                                       required to make the pilot a
                                                                                                                              success. In-kind support includes
                                                                                                                              lending venues for labs and gifting
                                                                                                                              people’s time and expertise. We
                                                                                                                              estimate the total investment
                                                                                                                              contribution from HDC at $259,400
     Problem                Research                  Co-creation                    Prototyping              Solution        We are asking central government
                                                                                                                              to contribute $491,000 direct
                                                                                                                              investment to Project Lift (Indicative
                                                                                                                              subject to RFP process).

                          Design the brief            Evaluate ideas                Prototype concepts

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Master Plan Quality Care and Lifestyle for Older People - Accelerate25
The Benefits
     Benefits of Project Lift stem both from the innovative design process as well as the solutions generated and implemented in
     the district. An outcomes map on page 14 demonstrates how benefits flow from our co-design process.

                      Active participation in shaping           A lifestyle community designed       Enhanced quality of life
                      products, services and social practices   with older people in mind;
                      that enable connection with their         accessible, affordable, inclusive
     For Older

                      communities                               and vibrant with the support they
     People

                                                                need when they need it

                      Active participation in the process of    New ways of enabling older
                      shaping the environments, services        people to contribute their skills,
     Community

                      and opportunities so everyone benefits    talents and experiences – fresh
                                                                sources of support and vibrancy
     For the

                      A neutral hot-house process for           New skill sets developed through     Increased prosperity through
                      businesses to test ideas and bring        participation in the design          business development
                      them to market                            process or becoming involved in      opportunities realised in
     Economy

                                                                taking solutions to market           Horowhenua through
     For the

                                                                                                     Project Lift

                      Services that are effective and also
                      efficient because they’re well designed
                                                                                                                                    Nobody exists in a social
                                                                                                                                    vacuum. New ways of
     For service

                      and meet the needs of consumers
     Providers

                      A working model and suite of products,    A stronger evidence base             Avoided costs in healthcare
                                                                                                                                    thinking and new ways of
                                                                                                                                    doing things emerge when
     For the Region

                      services and social practices             for making social investment         and other social spending
                      that encourage inclusive lifestyle        decisions                            because older people
                      communities in their regions                                                   are fully included in the
     and NZ

                                                                                                                                    we listen to others
                                                                                                     community and have a
                                                                                                     better quality of life

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Master Plan Quality Care and Lifestyle for Older People - Accelerate25
Project Lift                                                                       Businesses attracted to                                 Transform the
     Outcomes Model                                                                     design, pilot and deliver                              lives and living
                                                                                       solutions for older people                                standards of
                                                                                           (existing and new)                                  older people in
                                                                                        Clusters and synergies                                   Horowhenua
                                                                                       develop between private,                                    through
                                                           Older people thrive        non-profit and government                                   Project Lift
                                                           and are empowered                stakeholders
                                                          to actively meet their
                                                                  needs                 Increased reputational
                                                                                       gains for Horowhenua and
                                                                                              stakeholders
                                  Improvement of
           Co-design of
                               existing programmes
          person-centric                                                              Increased financial capital,           Social and
                               and solutions (goods,
           solutions for                                                               skills and knowledge flow               Cultural
                              services and practices)
           older people                                                                      into the district                Inclusion            Grow the
                               as part of Project Lift
                                                                                                                                             district’s economic
                                                                                                                       Personal
                                                               The community          Full and effective utilisation                           base and wider
                                                                                                                       Growth and
                                                             benefits from, and        of financial capital, skills,   Fulfilment               contribution
                                                         is vibrantly transformed       knowledge, culture and                                     through
                                                              by older peoples’           assets of the district           Sustenance           opportunities
                                                                contribution                                              and Nutrition          provided by
                                                                                          More jobs and better         Social and cultural
       Individual solutions
                                                                                                                       Information  and
                                                                                                                                                 Project Lift
                                                                                          incomes distributed                   inclusion
      assessed and selected    Innovative solutions
                                                                                         amongst the people of         Communication
        for their outcomes       designed, piloted,
                                                                                              Horowhenua
       alignment, synergy,    delivered and leveraged
          feasibility and      as part of Project Lift                                                                    Mobility and
                                                                                        Project Lift results in an        Accessibility
            affordability                                                              increased rating base and
                                                             Project Lift boosts              national tax             Health and
                                                           Horowhenua’s socio-
                                                                                                                       Wellbeing
                                                          economic performance          Project Lift results in a
                                                          by being the place to go    better return on government
                                                         for older person lifestyle                                       Housing and             Apply the
                                                                                         and social investment                Shelter
                                                                 innovation                                                                     successes of
                                                                                         Project Lift enables                                    Project lift
                                                                                      government to more easily                                throughout NZ
                                                                                       achieve its policies and                                 and the world
                                                                                             strategies                                        (as applicable)

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Master Plan Quality Care and Lifestyle for Older People - Accelerate25
PART
                                                                                                                             ONE

     Background
     In this section, we present a brief history of Project Lift and
     outline its vision and mission

     The Genesis – The Manawatu-Whanganui
     Regional Growth Study Opportunities Report
     In October 2014, MBIE and the             •   Tourism and Visitor Services
     Ministry for Primary Industries           •   Sheep and Beef Farming and
     (MPI), working with the Manawatū-             Processing
     Whanganui region commissioned
                                               •   Land Use Intensification
     an Economic Growth Study for the
     region. The New Zealand Institute         •   Mānuka Honey
     of Economic Research (NZIER)              •   Fresh Vegetables
     and Henley Hutchings completed            •   Poultry and Grain Processing
     the study.
                                               •   Affordable Care and Lifestyle
     The study identified significant              for Older People
     opportunities to grow and diversify       •   Business Process Outsourcing
     the regional economy and expand               and Food Innovation
     investment, employment and                    Outsourcing
     incomes in the region.1 Starting          Three enablers were also identified
     in October 2014, the consultants          including:
     investigated the region as a whole,
     and each of the sub-regions and           •   Transport and Distribution
     a wide range of sectors, industries       •   Productivity of Māori Land
     and enterprises including iwi/Māori       •   Growing Businesses
     and local government.
                                               Opportunities were cross-regional,
     In July 2015, the Manawatū-               however some were more suited to
     Whanganui Regional Growth                 particular parts of the regions than
     Study Opportunities Report was                                                   1
                                                                                        Manawatū-Whanganui Regional Growth
                                               others.                                Study Opportunities Report, Ministry of
     released. From a long list of                                                    Business, Innovation and Employment &
     over 80 opportunities, eight were                                                Ministry for Primary Industries, July 2015.
     identified as priorities for the region                                          www.mbie.govt.nz/info-services/sectors-
                                                                                      industries/regions-cities/regional-growth-
     and government to advance.                                                       programme/pdf-image-library/manawatu-
     These included:                                                                  growth-study-combined.pdf

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Master Plan Quality Care and Lifestyle for Older People - Accelerate25
Further Development -                                              Confirming the Way Forward                                    Te Pae Tawhiti
     Developing the Quality Care                                        - Accelerate>25: Manawatu-                                    Following the release
     and Lifestyle for Older People                                     Whanganui Region Economic                                     of the Action Plan and
                                                                                                                                      drawing on the potential
     Opportunity                                                        Action Plan                                                   for improving economic
                                                                                                                                      outcomes for Māori,
     Following the release of the Regional Growth Study,                In August 2016, the Accelerate>25: Manawatū-                  a further strategy was
     Horowhenua District Council (HDC) was invited to                   Whanganui Region Economic Action Plan was released            developed: Te Pae
     lead the more detailed investigation and further                   with the purpose of providing a practical ‘road map’ to       Tawhiti. Te Pae Tawhiti
     development of the Quality Care and Lifestyle for Older            accelerate social and economic growth in the region           provides a long-range
     People opportunity, with a view to providing actions to            through to 2025 by advancing the eight identified             economic development
     implement the opportunity.                                         opportunities and related enablers2.                          strategy for Māori
                                                                                                                                      and is guided by
     To assist with this opportunity, a team of local, regional,        Included alongside the release of the Action Plan was
                                                                                                                                      Māori aspirations and
     national and international interest experts were                   a pledge from government to make available initial
                                                                                                                                      preferences.
     convened from across the public-private spectrum to                financial support of $250,000 for the Quality Care and
     form a Steering Group. The Steering Group included                 Lifestyle for Older People project. This support was          Project Lift shares some
     members from HDC, Massey University, Mid-Central                   tagged to the project priorities as detailed in the Action    of the development
     DHB, DNA, Ministry of Social Development (MSD),                    Plan. These priorities are constructed on the basis of        priorities and ways of
     Electra Limited, and through the support of MBIE a                 providing a stepped implementation approach over              working set out in Te Pae
     subject expert from the Netherlands.                               time. The framework for priorities was as follows:            Tawhiti. We anticipate
                                                                                                                                      opportunities to work
     Over the eight months that followed, the Steering Group            A    Immediate Priorities: Create a Master Plan.
                                                                                                                                      together on Oranga
     engaged with a wide range of stakeholders (domestic
                                                                             Medium-Term Priorities: Create a co-design               Kaumātua (Vitality for
     and international) to test thinking and to inform the              B
                                                                             lab to start the process of designing and testing        Older Māori) and Hanga
     proposed approach. Significant depth and detail were
                                                                             solutions in the market.                                 Whare (Housing) as our
     added to the opportunity. This approach was then
                                                                                                                                      strategies progress.
     included in the Accelerate>25 Economic Action Plan.
                                                                                                                                      We share a desire to
                                                                                                                                      work collaboratively
                                                                                                                                      with multiple partners to
                                                                                                                                      improve the wellbeing of
                                                                                                                                      all our older people.

     2
      Accelerate>25 Manawatū-Whanganui Region Economic Action Plan, August 2016. www.horizons.govt.nz/HRC/media/Media/Accelerate%20
     25/Manawat_-Whanganui-Economic-Action-Plan-August-2016-WEB.PDF

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Project Vision                                                                                                                                                                                                                 PART
                                                                                                           Project Overview                                                                                                     TWO
 Our vision is for Horowhenua to become a hothouse
 for next-generation services, products and social                                                         A shift in demographics is creating    At present, people providing               for a co-design lab to work. Strong
 practices that will enhance the lifestyle and                                                             change for our society. Over           services to older people generally         backing from Horowhenua District
 economic wellbeing of New Zealand’s                                                                       the next 30 years, people in the       work in silos. Accountability and          Council with an existing network of
 growing older population                                                                                  developed world will live longer.      performance requirements within            community and private providers
                                                                                                           The proportion of the population       organisations and agencies                 will support this initiative to thrive
 We want to help showcase                                                                                  over 50 will grow.                     hinder cross-disciplinary and              and prototype a wide range of
 and test innovation. Our                                                                                                                         cross-sectoral working. Sectors            ideas. Levin/Taitoko’s proximity,
                                                                                                           If we tackle this shift as an          tend to deal with the issues               its close relationships with its
 proposal is to create
                                                                                                           opportunity, we can harness            they’re accountable for rather             neighbours, and its willingness to
 a platform that will
                                                                                                           technology, medical advancements       than approaching older people              back this opportunity will ensure
 attract investment
                                                                                                           and the contribution of our older      holistically.                              commitment long past a political
 and support for
                                                                                                           citizens to create an inclusive and                                               cycle.
 enterprises that
                                                                                                           prosperous society. Acting now         The resulting lack of alignment
 bring aged care                                                                                           to meet this opportunity will help     across products and services for           The opportunity is to:
 and lifestyle                       The Quality Care and                                                  us avoid potential costs. Costs        older people has not delivered a           •   enhance the quality of life
 solutions
 to market.
                                   Lifestyle for Older People                                              like rocketing healthcare, reduced     customer-centric model focused                 of older people by ensuring
                                                                                                           wellbeing as we age and the loss       on the total needs of older people.            they participate in relevant
 We want                           Opportunity - Project Lift                                              of human capital.                      Project Lift aims to bring all parties         communities.
 a catalyst                                                                                                                                       together. We believe the potential
                                                                                                           We are not alone in seeing an                                                     •   transform Levin/Taitoko and
 economy that                                                                                                                                     for maximum innovation and lowest
                                                                                                           opportunity in this shift. Around                                                     the Horowhenua district into
 will improve                The Quality Care and Lifestyle for Older People project                                                              cost-creation is in an integrated
                                                                                                           the world people are innovating                                                       an inclusive lifestyle centre
 quality of                    has continued to advance since the release of the                                                                  co-design approach with ageing
                                                                                                           to address the challenges that                                                        specialising in innovation for
 life for older                 Accelerate>25 Action Plan. To reflect the action                                                                  people at the centre of the process.
                                                                                                           arise with ageing. Technology is                                                      living while embracing older
 people,                      orientation of the project and our desired outcomes
                                                                                                           bringing people and information        The co-design process is                       people.
 especially in                          we have a new name, Project Lift.
                                                                                                           closer together. Mobility is           borrowed from science and                  •   increase incomes by attracting
 regional towns.
                                                                                                           becoming safer and more                technology where multi-disciplinary            new investment, skills and job
                                                                                                           accessible for young and old.          collaborations successfully                    opportunities to the area.
                                                                                                           Governments are trialling new ways     problem solve and bring new                •   create a pilot prototype for
                                                                                                           to support and deliver people’s        solutions to market. We propose                living that embraces older
                                                                                                           health needs. And investment           trialling an innovation co-design              people and roll it out across
                                                                                                           managers are offering more savvy       lab. Our lab will bring all interested         other parts of the region (and
                                                                                       Project Mission     investment options for creating        parties together to explore the                the world).
                                                                                                           retirement income and supporting       needs of our ageing citizens,
                                                                                                                                                                                             To realise this opportunity, we
                                                                                  Our mission is to help   better money management. These         design potential solutions, and
                                                                                                                                                                                             need a framework and method
                                                                              contribute to a better New   are just a few of many examples.       rapidly test their viability without the
                                                                                                                                                                                             for Project Lift. We present our
                                                                       Zealand and bring economic and                                             high costs of large scale failure. We
                                                                                                           The market for innovation is already                                              framework on page 27. Our
                                                    reputation advantages to Horowhenua and our region                                            see Levin/Taitoko as a typical rural
                                                                                                           large and growing.                                                                method, a co-design lab, is
                                                                                                                                                  community with a disproportionate
                                                                                                                                                                                             detailed in section 6 of this Master
                                                                                                                                                  ageing population which can
                                                                                                                                                                                             Plan.
                                                                                                                                                  provide the perfect environment

20                                                                                                                                                                                                                                    21
Our Framework -                                                                 Health &
                                                                                     Wellbeing
     Learning From Local and
     International Strategies                          Personal
                                                                                                                          Social &
                                                      Growth &                      ds
     for Ageing                                       Fulfilment              l Nee                                       Cultural
                                                                            ra                                           Inclusion
                                                                          tu       logic
                                                                                        al Needs
                                                                        ul      cio
     Drawing on local and international
                                                                             So

                                                                    C
                                                                                          og
     strategies and the literature on                                                ysiol ical N
     ageing, our team have adopted                                                 Ph            e
     a human-centric model for                                                         Psycholo

                                                                                                      ed
                                                                                                        s
     Project Lift. We want to create

                                                                                                gic
     a community which gives older

                                                                                                   al Need
     people the best chances of
                                                 Mobility &
     meeting their individual needs:
                                               Accessibility                                     s
     physiological, psychological
     sociological and cultural. This                                                                                     Housing
     requires having the best products,                                                                                  & Shelter
     services and social practices in
     seven areas. We have adopted
     these as our project areas. The
     project areas support older people to
     reach their potential and in turn actively
     contribute to communities. Together the
     project areas form a mutually reinforcing                     Sustenance                     Information &
     structure for older people. For example, good                 & Nutrition                   Communication

                                                                                                                                       We want to create a
     nutrition is associated with social inclusion and
     housing arrangements. People who share meals are
     more likely to eat well.
                                                                     Figure 1: Human centric model of needs and pleasures

                                                                                                                                       community that gives
     Figure 1 illustrates our framework. For Project Lift, the       applied over the seven selected pillars for inclusive lifestyle
     project areas are a framework for organising activities
     promoting wellbeing for older people. We will use these         precincts that are easy to get around. And in meeting

                                                                                                                                       older people the best
     project areas to guide the process of researching,              the needs of older people, we will be generating
     testing and evaluating solutions for older people. We           opportunities for business growth and diversification for
     expect solutions will enhance the lives of older people         the region.
     across many of these areas.

     Success in these seven areas will mean we are
     supporting the wellbeing of older people through the
                                                                     Project Lift offers a unique opportunity to produce wins
                                                                     both for the wellbeing of older people and for economic
                                                                     growth for Levin/Taitoko and the Horowhenua district.
                                                                                                                                       chances of meeting
                                                                                                                                       their needs
     development of fit-for-purpose products, services               We outline the potential benefits of Project Lift next.
     and environments. Many of these changes will benefit
     other parts of the community – for example, shopping

22                                                                                                                                                             23
Success and Benefits – Outcomes Model                                                                                              Businesses attracted to                                 Transform the
                                                                                                                                        design, pilot and deliver                              lives and living
     Our outcomes model below gives a high-level overview               While this is a linear representation, we imagine Project      solutions for older people                                standards of
     of the expected benefits derived from our proposed                 Lift will create positive feedback loops between activities        (existing and new)                                  older people in
     co-design process (Figure 2). The coloured boxes                   and outcomes – older people’s wellbeing, impacting the                                                                   Horowhenua
                                                                                                                                        Clusters and synergies
     represent the activities and outcomes of Project Lift.             community, and the wider economy.                                                                                          through
                                                                                                                                       develop between private,
     The monochrome boxes show the flow on effects of                                                                                 non-profit and government                                   Project Lift
     Project Lift for local businesses and the economy. These                                                                               stakeholders
     then flow into outcomes for older people and ultimately
                                                                                                                                        Increased reputational
     the high-level outcomes on the far right.
                                                                                                                                       gains for Horowhenua and
                                                                                                                                              stakeholders
                                                                                                   Older people thrive
                                                                                                   and are empowered                  Increased financial capital,           Social and
                                                                                                  to actively meet their               skills and knowledge flow               Cultural
                                                                                                          needs                              into the district                Inclusion            Grow the
                                                                                                                                                                                             district’s economic
                                                                Improvement of                                                                                         Personal
                           Co-design of
                                                             existing programmes                                                      Full and effective utilisation   Growth and
                                                                                                                                                                                               base and wider
                          person-centric                                                                                               of financial capital, skills,                            contribution
                                                             and solutions (goods,                                                                                     Fulfilment
                           solutions for                                                                                                 knowlege, culture and
                           older people
                                                            services and practices)                                                                                                                through
                                                             as part of Project Lift                                                      assets of the district           Sustenance           opportunities
                                                                                                                                                                          and Nutrition          provided by
                                                                                                       The community
                                                                                                                                          More jobs and better         Social and cultural
                                                                                                     benefits from, and
                                                                                                                                                                       Information  and
                                                                                                                                                                                                 Project Lift
                                                                                                 is vibrantly transformed                 incomes distributed                   inclusion
                                                                                                      by older peoples’                  amongst the people of         communication
                                                                                                        contribution                          Horowhenua
                            Individual                                                                                                                                    Mobility and
                       solutions assessed                    Innovative solutions                                                        Project Lift results in
                                                              designed, piloted,                                                                                          Accessibility
                           and selected                                                                                                increased rating base and
                       for their outcomes                  delivered and leveraged                                                            national tax
                       alignment, synergy,                  as part of Project Lift                                                                                    Health and
                          feasibility and                                                                                                                              Wellbeing
                           affordability                                                                                                Project Lift results in a
                                                                                                    Project Lift boosts
                                                                                                                                      better return on government         Housing and
                                                                                                  Horowhenua’s socio-                                                                             Apply the
                                                                                                 economic performance                    and social investment                Shelter
                                                                                                  by being the place to
                                                                                                                                                                                                successes of
                                                                                                   go for older person                   Project Lift enables                                    Project lift
                                                                                                   lifestyle innovation               government to more easily                                throughout NZ
                                                                                                                                       achieve its policies and                                 and the world
                                                                                                                                             strategies                                        (as applicable)
     Figure 2. High level representation of Project Lift and anticipated outcomes

24                                                                                                                                                                                                                25
Early Returns                                                Benefits for Older People                               Older people understand
                                                                                                                            that their needs are                                                            Older people
     The Horowhenua community has already derived                 Project Lift will develop community-based models
                                                                                                                          important and are being                                                         benefit from well
     benefits in the process of developing Project Lift to this   (prototypes) of care or product innovation to
                                                                                                                                 addressed                                                                  delivered and
     stage. These benefits are:                                   introduce into the day-to-day lives of older
                                                                  people. The products, services and social                                                                                               tailored solutions
     •   a raised awareness in the district of our ageing         practices developed through Project Lift will help                                                                                      Older people have
                                                                                                                           Older people aware of
         population and the chance to reframe this                integrate older people into communities so they                                                                                        input into, and own
                                                                                                                           the fact that solutions
         challenge as an opportunity                              can continue to contribute in whatever forms they                                                                                       the solutions that
                                                                                                                            (goods, services and
     •   a raised awareness among Council and other               choose, well beyond retirement age. The ability         practices) exist that can                                                       meet their needs
         people associated with Project Lift of the potential     of older people to contribute could be achieved             meet their needs
         of co-design as a way of generating, testing and         through the use of design and technology to
         implementing people centred solutions                    adapt their living environment – the house,                                                       Solutions for older
     •   strengthened networks among older people,                shopping areas, and social spaces – to changes                                                    people delivered in
         service providers, councillors, academics and            in their capacity as they age.                                                                   a joined-up, person-
         businesses who are part of the ecosystem that will                                                                                                             centric way
                                                                  If successful, solutions could later be extended
         participate and benefit from the project
                                                                  into the mainstream community throughout the
     •   a shared understanding of Project Lift’s vision,         region, and beyond.
         mission and how we will get there
                                                                                                                              Older person’s
     These early benefits have in turn resulted in:               Community Benefits                                         individual needs
                                                                                                                           accurately identified                                                            Older people
     •   increased readiness of the ecosystem around              Being active participants in solution development        on the independence                                                             thrive and are
         older people to innovate toward our project vision       as well as taking up new opportunities offered                continuum                                                                   empowered
                                                                                                                                                                    Tailored solutions
                                                                  through Project Lift innovation, older people will                                                 developed by, and                    to actively meet
     Medium to Longer-Term Benefits                               be better able to contribute to their communities.        Older people make                        with, older people                      their needs
                                                                  Finding ways to include and value older people           choices regarding the                      related to where
     We expect Project Lift to deliver benefits to older          means they can maintain a sense of place and              solutions they want                        they are on the
     people, the community and the local economy. If our          meaning in their lives as well as a positive outlook.          and need                           independent living
     solutions work well, benefits could extend nationally        These are important aspects of wellbeing.                                                              continuum
     and globally.

     Figures 3-5 outline the immediate and long-term
     benefits we expect to see in three outcome areas:
     wellbeing for old people, enhanced community
     wellbeing and economic growth and prosperity for
     Levin/Taitoko. Our outcomes maps model the process
     of intervention from needs development through to                                                                                                Older people’s privacy maintained and protected
     long-term identifiable differences in people’s lives.
     These models mirror the stages within a co-design                                                                                                Older people’s security maintained and protected
     process and beyond to benefits realisation in the real
                                                                  Figure 3. Outcome map for the wellbeing of older                           Feedback on solution delivery to older people used for improvement
     world.                                                       people.

26                                                                                                                                                                                                                             27
in turn, reduce the demands on
         Community assisted to                                                      Older people’s reputation,     Knowledge Benefits                          social services as people maintain              Project Lift seen
       identify ways in which older                                                leadership skills and mana                                                                                            internationally as the place
                                                                                                                   A further benefit of Project Lift is        independence and gain choice
       people can contribute (paid                                                   provide leadership and                                                                                             to go to be involved in cutting
                                                                                                                   knowledge development. Learning             through improved quality of life.
               and unpaid)                                                        motivation to the community                                                                                           edge high-value solutions for
                                                                                                                   from our experience, people
                                                                                    Older people’s knowledge       making public policy decisions                                                                older people
        Older people can identify                                                                                                                              Figure 5. Outcome map for economic
         the ways in which they                   Older people’s                         means that more           could make better informed social           transformation
                                                  contribution to                  unrecognised opportunities      investment decisions.
                                                                                                                                                                                                         Project Lift engages high-
       personally can contibute to
                                                  the community                     are identified and profited                                                                                         value private, nonprofit and
        the community (paid and
                unpaid)                          celebrated by the                              from               By having a rigorous methodology                                                      government stakeholders
                                                    community                                                      for assessing the value of social
                                                                                  Older people provide capital     initiatives, the co-lab approach                                                     Project Lift creates ‘virtuous
                                                    Older people                  where they are able to do this   can meet the government’s                                                             cycle’ which leads to more
                                                   feel that their                      (as appropriate)           criteria for social investment. Our                                                       and more growth
                                                   contribution is                                                 experience could steer decision
                                                       valued                      Older people fill skills gaps
            Older people have a                                                                                    makers toward high-quality social              Stakeholders motivated to
          range of opportunities                                                  Older people’s positive values   investment, where scarce funds                 be involved in Project Lift
          through which to make                                                    and wisdom transmitted to       can achieve the greatest social
         their contribution to the                                                     the next generation         returns. Effective investment will,
                community

                                                                                                                          Project Lift well
                                                       Working                                                       conceptualised and planned                   High international profile                      Project
                                                    and voluntary                                                                                                for Project Lift as the global                 Lift boosts
     Economic Benefits                          environments tailored                                                                                             design lab for older living                 Horowhenua’s
                                                   to facilitate the                                                                                                                                         socio-economic
     In the process of developing                contribution of older                                                                                                                                       performance by
     solutions that work for older people,        people (transport,
     Levin/Taitoko will attract new
                                                                                              The                                                                                                            being the place
                                                length of work periods                   community                                                                                                            to go for older
     investment, expertise and business                  etc.)
                                                                                     benefits from, and                                                                                                      person lifestyle
     opportunities, driving economic                                                                                   Key messages for Project
                                                                                         is vibrantly                                                                                                           innovation
     development. Businesses                    Cost of older people                                                        Lift identified
     developing products for aged care           contributing to the                    transformed                                                                    Well branded and
     will be able to test their ideas in a     community met (either                  by older peoples’                   Key stakeholders                           marketed Project Lift
     fast and inexpensive environment          pay/ remuneration out                    contribution                  identified and channels for                    for local, regional and
     with confidence in the reliability of       of pocket expenses                                                    communicating with them                      international visability
     the results.                                 where necessary)
                                                                                                                                                                 Project Lift has the capacity
     Figure 4. Outcome map for                                                                                                                                   and capability to attract high
     community wellbeing                                                                                                                                              value stakeholders

                  Older people’s safety maintained while making a contribution back to the community                                                      Project Lift well implemented on the ground

28                                                                                                                                                                                                                                        29
How will we Know
     we are Successful?
     We are developing an evaluation
     plan for Project Lift (see section 5
     for more detail).

     The evaluation will capture
     learnings from the co-design
     experience and identify a robust
     set of indicators to monitor short,
     medium and longer-term impacts
     of the project. Critical early tasks
     will be pulling together a suite of
     baseline measures with which to
     monitor progress against, and
     establishing a methodology that
     can give assurance that changes
     are attributable to Project Lift.

     We expect our baseline
     assessment to expand our
     understanding in each of the
     project areas for wellbeing, as
     well as cover expected changes
     to community wellbeing and the

                                            Project Lift could produce
     economy illustrated in our outcome
     models.

                                            wins for the wellbeing
                                            of older people and for
                                            economic growth for the
                                            Horowhenua district
30                                                                       31
PART
THREE                                                                                                                               Community Wellbeing                                These include indicators of                     Aim 1: Older people in
                                                                                                                                                                                                                                   1
                                                                                                                                    Strategy                                           loneliness, connectedness, use of               Horowhenua will be given
                                                                                                                                                                                       mobility services and elder abuse.              the opportunity to be involved
                                                                                                                                                                                                                                       in decisions that affect them.
                                                                                                                                    Vision: Everyone in the                            We anticipate Project Lift will use
                                                                                                                                    Horowhenua district is thriving                    some of these indicators (and                   Aim 2: Older people in
                                                                                                                                                                                                                                   2
                                                                                                                                                                                       those from other strategies) to                 Horowhenua live in a
                                                                                                                                    The purpose of the Community
                                                                                                                                                                                       assess progress for older people.               connected and inclusive
                                                                                                                                    Wellbeing Strategy and the
                                                                                                                                                                                                                                       society full of social activity
                                                                                                                                    supporting Community Wellbeing
     Strategic Context                                                                                                              Committee is to ensure that
                                                                                                                                                                                       Positive Ageing Action Plan
                                                                                                                                                                                       2016-2019
                                                                                                                                                                                                                                       and opportunity.
                                                                                                                                    every person thrives. Within this                                                                  Aim 3: Older people in
     In this section, we show why Levin/Taitoko and the Horowhenua district are perfectly poised to                                 strategy, our goal is for all older                                                            3
                                                                                                                                                                                                                                       Horowhenua are equipped
                                                                                                                                    people / kaumātua and people                       Vision: To ensure that
     innovate toward a lifestyle centre inclusive of older people                                                                                                                                                                      with good information and
                                                                                                                                    with disabilities in the Horowhenua                Horowhenua residents are
                                                                                                                                                                                                                                       empowered with the means to
                                                                                                                                    district to live meaningful lives, play            empowered to make choices
                                               engages and honours the people of                                                                                                                                                       navigate and access services.
     Why Levin/Taitoko                                                                    Horowhenua 2040 Strategy                  an active role in community life,                  enabling them to live a satisfying
                                               the community. We will build on our                                                                                                     and healthy lifestyle
                                                                                                                                    and thrive.                                                                                        Aim 4: Older people in
     and the Horowhenua                        existing track record of looking out for                                                                                                                                            4
                                                                                          Vision: Intergenerational                                                                                                                    Horowhenua live in a safe,
                                               older people.                                                                        This goal is aligned with                          Horowhenua embraces older
                                                                                          wellbeing in a spectacular                                                                                                                   secure and healthy
     District                                                                             Horowhenua                                Horowhenua’s Long Term Plan3                       residents as a highly valued
                                                                                                                                                                                                                                       environment, physically,
                                               The needs and contributions of our                                                   which states: Our older people                     integral part of the community.
                                                                                                                                                                                                                                       socially and financially.
     The Horowhenua district and               older people are recognised in the         The Horowhenua 2040 Strategy              have access to opportunities that                  The Positive Ageing Action
     township of Levin/Taitoko offer fertile   Horowhenua 2040 Strategy, our              aims to improve living standards          enable them to live a satisfying and               Plan4 incorporates ideas that will              Aim 5: Older people in
     soil for innovation for older people                                                                                                                                              encourage our older people to               5
                                               Community Wellbeing Strategy,              by investing in four outcome areas:       healthy lifestyle. It is also aligned                                                              Horowhenua are recognised,
     and regional growth. We have the          our Positive Ageing Plan 2016-             an exuberant economy, a stunning          with our goals for resilient and                   be active within the community                  celebrated and supported for
     commitment, the leadership, the           2019, and our goal of becoming             environment, thriving communities         connected neighbourhoods.                          whilst being supported by the                   their contribution to the
     people, the reputation, as well as        an Age-friendly Community. These           and vibrant cultures. With the                                                               facilities, events and services they            community and are given
     existing opportunities for change and     are mutually reinforcing strategies.       associated enabling infrastructure,       By working collaboratively,                        need to ensure a positive ageing                opportunities to work,
     development to leverage success for       They build on and align with national      this strategy results in a portfolio of   individual agencies and specific                   experience. The plan aligns with                volunteer and grow.
     Project Lift.                             and international initiatives that         projects phased over 23 years, and a      programmes and initiatives can                     the values New Zealand’s Positive
                                               aim to encourage the inclusion of          spatial plan.                             contribute to a positive result                    Ageing Strategy5 and the New               We anticipate Project Lift will create
                                               older people into communities and                                                    through their accumulated impacts                  Zealand Healthy Ageing Strategy            both new opportunities for older
     A Commitment                              supports the people to stay well, safe     Project Lift aligns and supports our
                                                                                                                                    on their customers.                                (more on these in the Appendix).           people and mechanisms for older
                                                                                                                                                                                                                                  people to access both existing and
     to Helping Older                          and active into their old age.             goals for people in the ‘Transition       The Community Wellbeing Strategy                                                              new opportunities.
                                                                                          from Work’ life stage within the          monitors the wellbeing of older
     People Thrive in the                      Our local strategies provide a             ‘Thriving Communities’ outcome            people through several indicators.
     Horowhenua                                positive base for Project Lift to          area.
                                               develop new and enhanced
     The Horowhenua District Council           services, products and social                                                        3
                                                                                                                                     Horowhenua District Council. Horowhenua: 2015 – 2025. (PAGE 2) http://www.horowhenua.govt.nz/Council/Plans-Strategies/Long-Term-
     is leading the charge toward an           practices, enabling older people                                                     Plan-2015-2025
     inclusive lifestyle community by          to flourish. We outline each of these                                                4
                                                                                                                                        Horowhenua District Council, (2016.) Horowhenua Positive Ageing Action Plan, 2016-2019.
     proposing a co-design process that        strategies next.
                                                                                                                                    5
                                                                                                                                        MSD Positive Ageing Strategy, Ministry of Health, Healthy Ageing Strategy REF

32                                                                                                                                                                                                                                                                          33
%
                                                                                                                                                                                        30
     Age-Friendly Communities                                                 Existing Investment and Development                          Figure 6: Proportion of population aged                  12.1%     14.9%        18.5%        22.1%      23.3%       25.3%
                                                                                                                                           65 years and over in Horowhenua,
                                                                              Opportunities                                                2005–2056 (projected) by age group           25
     Horowhenua is currently working towards becoming an                                                                                                                                                                                                          6
                                                                                                                                           Source: Statistics NZ, National                                                                           5
     age-friendly community. Ensuring older people are seen                   Right now, creative thinking for older people can feed       population projections, by age and sex,      20                                  2            3
     as an important part of all populations gave rise to the                 into other planning opportunities.                           2016 (base) to 2068 lifestyle
                                                                                                                                                                                                                2
     World Health Organization’s (WHO) Age-friendly City                                                                                                                                15                                               8           9            8
     and Community model. This model has been adopted                         For example, Horowhenua District Council is in the                                                                     1                      6
                                                                              midst of developing a strategy to transform Levin/                                                                                5
     by hundreds of communities around the world now                                                                                              85+ Years             75 - 84 Years   10
     recognised as age-friendly by the WHO. Age-friendly                      Taitoko’s Town Centre. The Levin/Taitoko Town                                                                          4

     communities recognise that a good life in our later years                Centre Development Strategy will present enormous                                                         5                       9           10           11          10          11
                                                                                                                                                  65 - 74 Years                                      7
     depends not just on the individual but on where we live                  opportunities for access and mobility of older people.
     – do we feel secure, can we access the services we                                                                                                                                 0
     need and are we able to participate in the community as                  Central government’s investments in the Roads                                                                         2006      2016         2026         2036        2046        2056
     we wish? The Office for Seniors in the Ministry of Social                of National Significance (RoNS) will transform the                                                                                                 Year
     Development is advocating for age-friendly communities                   landscape of Horowhenua. The RoNS investment in
     in New Zealand and Horowhenua has accepted the                           State Highway 1 - known as the Wellington Northern
     challenge.                                                               Corridor (WNC) - will ultimately reduce the travel time
                                                                                                                                           Horowhenua’s Social Infrastructure                               An Older than Average Population
                                                                              between Wellington and Levin/Taitoko by 40 minutes
     Project Lift focuses on people transitioning out of the                  at peak travel times. As well as improving connectivity
                                                                              to Wellington, this initiative is prompting thinking about   Te Takeretanga o Kura-hau-pō, Culture and Community              Horowhenua is located in the heart of the lower North
     paid workforce. Our project areas align with the goals of
                                                                              integrating roading infrastructure and networks with the     Centre, Levin/Taitoko opened in September 2012. A                Island, with a population of nearly 32,000 residents.
     New Zealand’s Positive Ageing strategy6, Horowhenua’s
                                                                              needs of users in mind.                                      community heart and hub, the centre brings together              Statistics New Zealand identified Horowhenua as the
     Positive Ageing Plan and other initiatives discussed
                                                                                                                                                       library services, as well as services and            fifth oldest District behind Waitaki, Central Otago, Kapiti
     above.
                                                                              Agencies like the Mid Central District Health Board are                  facilities for community, business, youth,           and Thames-Coromandel. Approximately 7000 people
     We share the focus on health and wellbeing, inclusion                    already investing in increased primary and secondary                   and tourism.                                           over the age of 55 with a range of levels of dependency
     and making the most of the skills and talents offered by                 healthcare solutions in Levin/Taitoko and are open to                                                                         across the population group currently reside in the
                                                                              alternative ways of delivering services.                            Nationally, Te Takeretanga o Kura-hau-pō                  region.
     older people. What Project Lift offers is a process for
                                                                                                                                           has become a flagship of its kind - a relevant and
     realising these goals by putting older people at the heart
                                                                                                                                           convenient destination to complement people’s lives              Figure 6 shows the proportion of people over 65
     of a collaborative co-design process. We will maximise
                                                                                                                                           at home, school and work. Recreational, cultural,                will grow to nearly one in five of people living in the
     the likelihood of new ideas working for older people.
                                                                                                                                           learning, digital and social experiences are located in          Horowhenua district by 2026 and one in four by 2056.
     Project Lift will provide test cases and exemplars for
                                                                                                                                           one convenient, modern and accessible facility in the            The number of people aged 85 and older is expected to
     policy goals within and across these areas.
                                                                                                                                           heart of Levin/Taitoko. This concept and venue support           more than triple by the middle of the century. Projections
     In addition to these strategies, we see opportunities for                                                                             the activities that enable social inclusion of older people      indicate that all ethnic populations in New Zealand will
     Project Life to leverage off initiatives already live in the                                                                          with the rest of the community.                                  gradually age over the coming decades, reflecting the
     community.                                                                                                                                                                                             combined effect of reducing fertility rates (people having
                                                                                                                                           Te Takeretanga o Kura-hau-pō reflects the richness               fewer children) and people living longer.
                                                                                                                                           and diversity of the community and showcases all that
                                                                                                                                           is great about Horowhenua. Well connected to local               Levin/Taitoko and the Horowhenua district host an
                                                                                                                                           activities, businesses, institutions and organisations,          existing and growing market in which to test new
                                                                                                                                           Te Takeretanga o Kura-hau-pō contributes to the social           products, new services and new ways of doing things.
                                                                                                                                           and economic prosperity of the Horowhenua district.              The region is a perfect location for innovation for older
                                                                                                                                                                                                            people, which in turn will stimulate economic growth for
     6
         except goal 9 which focuses on employment). MSD Positive Ageing Strategy                                                                                                                           the district.

34                                                                                                                                                                                                                                                                        35
Size and Scale                                               Readiness to Innovate.

     Levin/Taitoko is a service centre for the surrounding        People in Horowhenua are ready to work in new ways
     rural area and is a magnet town for retirees.                to achieve the community they want. Our conversations
                                                                  with people and groups in the community demonstrate a
     With a population of nearly 21,000 people, Levin/Taitoko     willingness to change. We have a track record of making
     is small enough to trial collaborative, cross-disciplinary   new initiatives work here like the Social Sector Trial and
     design processes, and large enough to see if proposed        Children’s Team. We can build on this experience.
     solutions work.
                                                                  Accessibility to Expertise and Markets
     Natural and Cultural Assets to Attract
     People and Support Wellbeing                                              Levin/Taitoko is on the doorstep of
                                                                                   Wellington and Palmerston North,
     With unspoilt sandy beaches,                                                     both centres offer concentrated
     expansive green landscapes                                                           expertise in governance,
     and friendly people,                                                                   business development and
     Levin/Taitoko and the                                                                    subject matter experts. We
     Horowhenua district                                                                       can draw on the experience
                                                                                                 and expertise of people in
     offer plenty of scope                        We believe Levin                                these centres in our co-
     for recreation. And the
     diverse cultures and                        and Horowhenua                                    design processes and
                                                                                                   easily keep decision-
     history enrich the lives                   have the conditions                                makers in the loop as
     of people who live here.
     Levin/Taitoko offers an                   to support innovation                               Project Lift develops.
                                                                                                   With four airports in
     attractive place to invest,                  for older people.                                easy reach and the
     work and play.
                                                                                                  expressway connecting
     Labour and                                                                                 both south to the capital
                                                                                               and further north, Levin/
     Manufacturing
                                                                                             Taitoko offers easy access to
     Expertise                                                                             people and business.

     Retaining its ‘small town New                                                      We believe Levin/Taitoko and
     Zealand feel’, and nature-based                                                 Horowhenua have the conditions to
     lifestyle, Levin/Taitoko and Horowhenua                                    support innovation for older people. The
     are still very much a thriving business centre.                    following section outlines both the need and the
     We already have skilled people in manufacturing,             aspiration for older people in the district according to
     construction, the social sector, agriculture, horticulture   our seven project areas.
     and technology to draw on.

36                                                                                                                             37
PART
 FOUR                                                                                               Stakeholder Views

                                                                                                    Throughout 2016 and 2017, we
        Current State | Future State                                                                convened a series of stakeholder
                                                                                                    engagement sessions with older
        In this section, we outline what we have now (current state) and then                       people in Horowhenua and their
                                                                                                    service providers (like health and
        outline how we imagine a future that fully includes and meets the needs of                  social providers). Participants
        older people (future state). The future state is essentially our vision of an               said that support services were
        exemplary lifestyle centre designed with older people in mind                               delivered in a fragmented way
                                                                                                    with different services delivered by
        An Overview of the Current State                                                            individual agencies based on their
                                                                                                    own funding incentives and service
                                                                                                    standards. Also, at times people
        As noted in section 3, Levin/Taitoko has one of the oldest populations in the country
                                                                                                    were unable to afford care and
        with nearly one in five people aged 65 or over.
                                                                                                    found it hard to access separate
        We also note that our current younger generations are expected to live longer.              funding entitlements to get support.
        And we’ll be enjoying a good level of health into our senior years.
                                                                                                    Participants identified social
        Our population is culturally diverse. At the last census, the majority of people in         isolation and social exclusion as
        Horowhenua identified European as one of their ethnicities (82%). However, we also have     key concerns.
        a higher than average proportion of people identifying as Māori (22.8%). Our Pasifika and
                                                                                                    A lack of transport options was also
        Asian communities are also well established (Figure 7).
                                                                                                    a perceived barrier to accessing
        We need to future proof our region so our experience of life is rewarding as we age,        social goods. For example, it is
        rather than feeling like a burden. Now is the time to act.                                  30 minutes to a level 2 hospital.
                                                                                                    However, services from Public
        How well is our current generation of older people being served?                            Health Organisations are provided
                                                                                                    locally.

                                                                                                    Housing is low cost. However,
                                                                                                    housing quality, suitability and
                                                                                                    availability for older people is a key
                                                                                                    challenge.

          European          Maori         Pacific          Asian         Middle           Other     Participants also identified some
                                          Peoples                     Eastern/ Latin                positive signals. The travel time
            82.4%          22.8%                           3.4%                           1.8%      to/from Wellington is estimated to
                                                                       American /
              vs             vs             4.8%             vs                             vs      drop to sub one hour. In addition,
                                                                         African
             74%           14.9%              vs           11.8%                          1.7%      new services were being created
                                            7.4%                           0.3%                     nationally to meet current and
                                                                             vs                     future needs.
        Figure 7. Ethnic breakdown of the Horowhenua                       1.2%
        district vs the national average, 2013

38                                                                                                                                           39
An Overview of the                                   The Seven Project Areas – What we have now and what we want to see
     Future State
                                                          Housing and Shelter
     We want Levin/Taitoko and Horowhenua to thrive.
     For that to happen we need to have a district that   Housing and Shelter is a primary need and has a clear                   Papakainga housing models that integrate older Māori
     provides opportunities for everyone from all walks   and well-established impact on the health of occupants.                 into their communities. Models for Papakainga housing
     of life, including older people, to flourish. We     Affordable and appropriate housing protects people                      – literally a nurturing place to return to – will support
     recognise that some factors constrain wellbeing      from hazards and promotes good health and well-                         connection with the whenua and the whanau. These
     across our seven project areas. Tackling             being. The older population is as diverse as any in our                 connections, in turn, support cultural inclusion and the
     problems in one area will provide dividends in       society, and older people live in all kinds of dwellings.               intergenerational sharing of wisdom, resources and
     another.                                             Regardless of this diversity, there are a number of                     culture.
                                                          common housing hazards older people face, and with
     We want a district where older people are not                                                                                Future State
                                                          an ageing population, this has significant implications
     excluded or isolated because of low incomes or
                                                          for older people in our community.
     poor mobility. We want a built environment - from                                                                            Research conducted by Davey (2006) suggests the vast
     houses to our town centres and beyond - that         Current State                                                           majority of New Zealand home owners would like to age
     support mobility and access for older people.                                                                                in place7. That is, people want to live in non-institutional
     Access to food, health services, other people and                                                                            housing in the community. This research concluded
                                                          Our stakeholder meetings suggested housing in the
     whanau, and activities that keep people active,                                                                              that a continuum of housing types and options for older
                                                          region is low cost. However, housing quality, suitability
     curious, and hungry for life.                                                                                                people would need to be developed, with appropriate
                                                          and availability for older people is a key challenge. Our
                                                          existing housing stock was built with families in mind                  levels and types of service provision. Housing options
     We want people to have choices about where
                                                          with large houses and large sections. These are not fit-                could vary from staying in the family home to specially
     and how they live and have access to enabling
                                                          for-purpose for an ageing population and do not provide                 designed units and supported accommodation in the
     technologies in health, social connectivity and
                                                          the comforts and technologies that will enable positive                 community. We anticipate a range of housing options in
     opportunities for learning. We want opportunities
                                                          ageing experiences.                                                     the future, including Papakainga housing that supports
     for people to support and contribute to their
                                                                                                                                  Māori preferences and aspirations.
     communities across leisure, caring and business
                                                          At present, there is an increase in the number of
     activities. As our district grows and attracts                                                                               Figure 8 on the next page outlines how Project Lift will
                                                          retirement villages and rest homes for those who can
     new people and new skills, we want to have the                                                                               work toward housing and shelter solutions that support
                                                          afford them and want a facility dedicated to catering
     mechanisms already in place for people to share                                                                              the wellbeing of older people.
                                                          for their later years. Research suggests this is not
     their experiences and talents.
                                                          the preferred options for most people, neither is it
     We want people mechanisms that encourage             affordable.
     people to appreciate each other and the unique
                                                          Hui with Māori progressing Te Pae Tawhiti suggest the
     histories that we all contribute to our diverse
                                                          Hanga Whare priority (Housing) is common ground with
     communities.
                                                          Project Lift. Māori in the district are looking to develop

                                                          7
                                                            Davey, J. (2006). “Ageing in Place”: The Views of Older Homeowners on Maintenance, Renovation and Adaptation. Social Policy Journal
                                                          of New Zealand, 27. Ministry of Social Development. Wellington. https://www.msd.govt.nz/about-msd-and-our-work/publications-resources/
                                                          journals-and-magazines/social-policy-journal/spj27/ageing-in-place-the-views-of-older-homeowners-27-pages128-141.html

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