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Improving Health Through the Home

Explore the connection between housing and health, and learn how innovative housing solutions can support independent living and improve well-being. Discover the challenges and opportunities in housing, and the importance of integration in reducing demand and costs.

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Improving Health Through the Home

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  1. Improving Health Through the Home 9th November 2015Health & Housing MoU- A North East Commitment Neil Revely Executive Director People Services, Sunderland City Council Chair, Association of Directors of Adult Social Services, Housing Policy Network

  2. Memorandum of Understanding • NHS England initiated discussions with the Housing and Care sector • ADASS hosted the process supported by DH and PHE • Live action plan • Regional/Local action and implementation

  3. Housing – not new in supporting Health & Care! • Public health in the mid-19th century established to tackle the cause of infectious diseases – poor housing & sanitation • Much of what the social housing sector does was born out of the public health movement • Better designed and better housing standards fundamental to improvements in health and daily living since early 20th century • Modern planning and design fundamental in supporting independent living • Home adaptations and disabled facilities grants long established • Innovative new models of housing supporting current and future generations to live independently

  4. The Policy Context • Marmot Review - to improve Health and Wellbeing, need to improve the social determinants of health • Health and Social Care Act - Reforming health services and creating Health & Well Being Boards • Care Act - An overarching vision for adult social care including an emphasis on housing solutions • Better Care Fund – requires integration and needs to drive significant efficiencies • Five Year Forward View – Healthy New Towns • Memorandum of Understanding – Improving Health through the home

  5. The Challenges – Growing Demand • Life expectancy is rising • Over 65s - 11.4% increase between 2010 and 2014 • Over 65s in need of care will increase by 40% between 2005 and 2020 • Pupils with a Learning Disability will increase by 26% between 2014 to 2023 (2x the overall pupil increase) • Without changes this equates to a 150% increase in care costs • 95% older households want to live at home

  6. The Challenges • The Economy • Reductions in public resources • Increasing demand and expectations • Strategic shift to personalisation, early intervention, prevention, re-enablement, care at home • Welfare reforms • Changing the way agencies work with residents and communities • Unlocking untapped assets and potential within communities

  7. The Challenges – Housing • Housing supply (all tenures) • Provision of affordable homes (all tenures) • Registered Providers – rent reductions, right to buy, and housing related care costs • Improving the housing offer for older households (all tenures) including supporting downsizing through attractive accommodation options • Enabling people with housing and care needs to live at home independently – including new developments, links with welfare reform and capital

  8. Bad housing and the numbers Homes that: • Failed to meet the decent homes standard • Overcrowded against bedroom standard • Failed Housing Health and Safety Rating System – HHSRS Impacted on: • 3.6 million children • 8.2 million working age adults • 2 million pensioners • 4 in 10 private renters – 3.3 million people NatCenresearch for Shelter 2013

  9. Making Housing Count – the opportunities • Provide a real choice for independent living – bungalows, extra care apartments, downsizer homes and retirement housing • Older households in future proofed modern housing – choice of tenure, affordable to heat, level access • Well designed to maximise ‘home for life’ aspiration • Evolve the housing offer to meet new and emerging demand and aspirations • Keeping people central to their communities • Improved outcome for people, carers, families • Improved property conditions • Willing partner supporting integrated working and substantial health and social care efficiencies

  10. Why Integration Matters & Making Housing Count Reduce Demand & Avoid Cost • Prevent or reduce levels of demand; acute (inpatient, A&E and outpatient care), primary (community health) and social care (residential, intensive home care) Reduce Costs • Reduce unit costs e.g., tariffs for condition specific interventions • Reduce costs of pathways • Reduce staffing costs/overheads Outcomes for People • Most importantly much better for people and families

  11. Final Thoughts • The legislation and policy helps – but locally its about people and whether we want to do it! • We need to use the burning platform of rising demand and reducing resources • The Sectors need to act more coherently • Government needs to join up better • A better evidence base is required • Relationships are the key • The Memorandum of Understanding is a real opportunity – let’s use it!

  12. Contact Details Neil Revely Executive Director People Services Sunderland City Council Civic Centre Burdon Road Sunderland SR2 7DN Tel: 0191 5618953 E-mail: neil.revely@sunderland.gov.uk

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