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Integrating Housing, Health and Care in Leicestershire

Integrating Housing, Health and Care in Leicestershire. Our vision for Health and Care Integration in Leicestershire. Integration Policy Context – the 6 pillars. Integrating Housing Health and Care The story so far….

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Integrating Housing, Health and Care in Leicestershire

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  1. Integrating Housing, Health and Care in Leicestershire

  2. Our vision for Health and Care Integration in Leicestershire

  3. Integration Policy Context – the 6 pillars

  4. Integrating Housing Health and CareThe story so far… • “Housing Offer to Health” developed through the Housing Services Partnership in collaboration with CIH and the Health and Wellbeing Board • An opportunity to transform housing support into a new integrated offer county wide, historically fragmented services across multiple organisations • Recognising and capitalising on the part housing can play in maximising health, wellbeing and independence in the home • Transformation Challenge Fund bid secured £1m funding from DCLG • Programme team worked with partners and stakeholders to challenge and redesign existing systems, and break down barriers to change • New Integrated Housing MOT developed and tested, streamlined DFG processes, maximising prevention opportunities, housing as a key component of hospital discharge • Business Case evidences benefits for customers, commissioners and the Leicestershire pound • Lightbulb is about making a difference

  5. Housing and Hospital Discharge: Testing a Key Component of Lightbulb • Collaboration between 3 CCGs, Leicestershire Partnership Trust, Adult Social Care and District Councils • Steering Group of key partners for oversight and governance of project • Operates on 3 acute hospital sites plus Bradgate Mental Health Unit • Funded from the BCF • The Housing Discharge scheme provides: • Housing specialist (s)– working directly with patients and hospital staff to identify housing problems that are a barrier to discharge and putting in place the right steps to address them • Furniture packs – where required and appropriate • Rent deposit/rent in advance – funding to access the private rented sector for housing where appropriate • Low level housing related support – toassist with the transition from hospital to home and provide support with setting up a new tenancy or managing the existing home • Works across 3 UHL hospital sites and Bradgate Mental Health Unit

  6. Overview of Interventions • Access Private Rented Accommodation • Accessed Social Housing • Supported with rehousing in future (Housing Application form) • Eviction issues resolved • House Clearance/supported family with hoarding or clearance issues • Furniture move - for ground floor existence with package of care • Supported to approach local authority for temp accommodation • Benefit Advice (support to apply for new claim or reapply) • Mediation to return to family / friends with long term plan for re housing • Negotiated with Landlord for repairs • Furniture pack provided • Heating fixed / temporary accommodation arranged whilst being fixed • Minor repairs (i.e. fix loose carpet / locks) • Supported with reconnection (out of area)

  7. Referrals and Themes • 362 referrals to the acute hospitals service in 2015/16 • 224 referrals April – Nov 16 • April – Nov 2016 data analysis themes: • Primary reason for involvement was homelessness, unsuitable home or unclean home • On average, contact is made within a day of referral to the team • Average time taken for the team to resolve the case was 6 days • 115 referrals to Bradgate Unit service in pilot period; • 79 referrals April – Nov 16 • Primary reasons for referral are homelessness and family refusing return. Other interventions included: • Support with life skills • Debt advice and support with rent arrears

  8. Measuring Impact - 1 • 357 UHL patients analysed • Comparing service usage pre and post intervention • Using PI Care Trak PI tool • Comparison one month pre/post intervention: • 70% reduction in emergency admissions • 56% reduction in A&E attendances • 50% increase in ‘no activity’   • Comparison three months pre/post intervention: •  57% reduction in emergency admissions • 54% reduction in A&E attendances • 27% increase ‘no activity’

  9. Measuring Impact - 2 • 84% reduction in NHS costs for this cohort of patients in the three months post intervention • Reduction in emergency admissions alone from this cohort of patients at the three month post intervention point indicates a potential saving to the health economy of around £220,00 • Bradgate Unit • 920 delayed bed days classified as a housing delayed transfer of care - £219k saving • Embedded community follow up has measurable impact on readmissions • 40 service users continued to receive support in the community following discharge from the Bradgate Unit; of these only one was readmitted

  10. Next Steps • Liaison with housing providers to improve the supply of  move on/interim supported accommodation for patients (particularly those leaving the Bradgate mental health unit) who do have not permanent accommodation to return to • Housing workshops for consultants and health leads planned for end Jan – these will: • set out the national and local housing landscape and challenges, for example implications of Welfare Reform, homelessness legislation and local housing supply • raise awareness of the role and work of the Hospital Housing team • examine a number of case study examples to illustrate practical and realistic solutions • include a tour of a local supported housing project • Successful LLR Homeless Trailblazer bid includes reference to homeless hospital patients • Hospital housing discharge support embedded as part of new Lightbulb service

  11. Next Steps • Workshop today gives more detail on the entire Lightbulb Housing offer – hospital discharge support is just one component. • Lightbulb Business Case • Currently in process of being approved across council partners in Leicestershire with a view to implementation of the new integrated offer in entirety in 2017. • Weblink to Lightbulb Business Case http://politics.leics.gov.uk/ieListDocuments.aspx?CId=135&MId=4607&Ver=4 (Agenda Ref Number 499)

  12. For Further Information about Leicestershire’s Integration Programme Contact: Cheryl Davenport Director of Health and Care Integration Cheryl.Davenport@leics.gov.uk 0116 305 4212 07770 281610 Visit: www.healthandcareleicestershire.co.uk Follow:@leicshwb Read: our Stakeholder Newsletters http://www.healthandcareleicestershire.co.uk/health-and-care-integration/health-and-care-integration-newsletters/

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