The transfer of the responsibility for youth-healthcare and healthcare provided to the long-term ill and elderly to the municipality is accompanied by a lot of reforms. In commission of the Municipality of Rotterdam Veldacademie is working on integrally mapping the existing accommodations. As a follow-up to the inventory of the sector Nursing and Caretaking the assignment is focussed on locations for healthcare for the disabled, youth-healthcare, mental healthcare and well-being.
Motivation for the decentralisation that will take effect from January 1, 2015 is that municipalities are closest to inhabitants and can provide healthcare more effective, at a lower cost and with less bureaucracy . The reforms have a large impact on the organisation, financing and accommodations for healthcare and well-being. In order to realise the previously stated ambitions it is crucial to have a good knowledge position as starting point. The inventory on healthcare accommodations in the sector Nursing and Caretaking has not only contributed to the dialog between principal Municipality of Rotterdam and the various stakeholders, such as healthcare providers and building owners, but it has also shown that different developments influence each other at the local level.
It's not only the organisation and financing of the healthcare accommodations, but also those of the welfare locations that is subject to change. Just the development that the elderly will keep living at home independently for a longer time leads to a changing programming of the healthcare and welfare locations. This shift runs parallel to the transfer of many welfare locations, like community centres, by municipalities to self-organisations. From a first exploration at the neighbourhood level, among which the pilots for nursing homes and the inventory on welfare locations in the area Noord, it becomes apparent that the reorientation of these different actors brings with it opportunities and departure points for cross-pollination. Moreover these sub-studies show which effects new policies have on building and neighbourhood and open perspectives on new programming and preservation of social value.
Veldacademie is implementing a similar methodology in the urban (and sometimes regional) inventory of locations for healthcare for the disabled, youth-healthcare, mental healthcare and welfare. The accumulation of these inventories provides an unique overview on the situation in the various neighbourhoods of Rotterdam and additional insight into the question how the different healthcare and welfare parties can collaborate in the future. The demand and energy coming from the neighbourhood plays a leading role in this. A good overview of the existing accommodations and target groups in the different sectors can facilitate the process to accommodate required programs per area.
Eventually the explorations at the smaller scale will lead to additional insights into the shifts that will occur throughout the city. Beyond the city limits the inventories haven't gone unnoticed either, which has lead to exploratory talks with various large cities.