How can housing associations support independent living

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Explore innovative ways to integrate health, housing and care Discover how housing associations can achieve value for money whilst helping residents retain independence

Healthcare

How can housing
associations support
independent living?
Roy McNally
Foundations

Foundations
National body for home improvement agencies
Department for communities and local government

what’s a home improvement agency?
Interventions in the home
older / vulnerable client group

Why home improvement agencies?
Design their services around the needs of the client
Project manage works in the home
Protection from rogue traders
Casework to bring in other assistance measures

Interesting facts………..
65 + age group will make up 28% of population by 2028 (England)
People born today can expect to live to 100 years
Living longer but with multiple health conditions
In UK 80 % of over 65s live in own home

NHS
primary and secondary care service
SOCIAL CARE
community care
PUBLIC HEALTH
health improvement
HOUSING
Essential………often overlooked!

Why are housing interventions so important?
• Deliver substantial benefits
• To the client – wellbeing
• To the public purse –
independence away from
statutory services
• Outcomes that cut across
statutory frameworks
• Better Care Fund – forcing
integration

Longitudinal impact studies
• 20th Century drop in Infant Mortality
related to house building not just health
innovations
• 19th & 20th Century rises in life
expectancy overwhelmingly associated
with environmental factors
• Where you live matters
• Hilary Thomson’s review of 39 studies
1887-2012 confirms health improvements
from housing

Non-integration – A long history
operating in silos
siege mentality
poor data-sharing
sovereignty

Where do I go?
What do I do?
They’ll want me to go
in a home?
I’m cold and can’t
afford to heat the
house?
I can’t get upstairs
to the bathroom?
I’m feeling depressed!
Money problems
I don’t want to be a
burden to my kids!
I can’t cope
If anything
happens to me
who’ll look after
my little dog?
I miss doing the
garden
Home
security
Respiratory problems
Fear of crime / social isolation
Slips trips & falls
Mental Health issues
Financial abuse / Rogue Traders

This is the plan This is the plan This is the plan This is the plan

Better Care Fund – Turning it inside-out?
Forcing integration
Planned at CCG / H&WBB
Supports Prevention
Expects Innovation

BCF – A mechanism to force integration
New Care Bill emphasises ‘duty’ to integrate
Driven by austerity – no new money
Seeks reduction in duplication and cost
Designed to protect Social Care budget
Reduce expenditure in ‘acute’ to invest in prevention

B
Social care expenditure by user 2011/12
A
D
C
A – Older people (65 and over) £8.79 bn
B – Adults with physical disabilities (18-64) £1.58bn
C – Adults with learning disabilities (18 – 64) £5.19 billion
D – Adults with mental health needs (18-64) £1.15 billion
Source PSSEX1 England, 2011-12 Final Release

Austerity – Cost & Cause effective solutions
• Funding pressures – doing nothing no longer an option
But……
• A opportunity to leverage other non-public purse
funding.
• An opportunity to develop more creative partnerships
which are both more cost-effective and cause-effective

The Liverpool Healthy Homes Example
Reducing health inequalities
Focus on environmental / lifestyle
Focus on most deprived SOA
BRE estimate save £50M

The Bolton Example
Self–assessment of well-being
Common assessment framework
Predictive modelling software
HIA / Housing integral to plan

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07525905384
@McNallyRoy
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www.foundations.uk.com

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Thoothukudi Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet

Call Girls Service

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