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Housing and Health: Working in Partnership
- 1. FCHO Health and Well-Being OfferFCHO Health and Well-Being Offer and Hospital2Homeand Hospital2Home Dave Smith Customer First Director First Choice Homes Oldham
- 2. FCHO Health Commitment – Why?FCHO Health Commitment – Why? Care Act responsibilities GMCA and GM Housing Providers commitments Oldham Locality Plan and identified needs FCHO key strategic objective It is the right thing for us to do
- 4. FCHO Health EngagementFCHO Health Engagement Oldham Health and Well-Being Board Oldham Locality Plan Development Urgent Care Alliance Relationships with Key Partners
- 5. Consultation to develop offerConsultation to develop offer
- 7. Over 65’s 62% of all bed days Why Hospital DischargWhy Hospital Dischargee?? 18% increase in >65 emergency admissions £820m spent on delayed discharges 2.7m days lost to delayed discharge 1.5m days lost to delayed transfer of care 54% report discharge planning not started early enough Discharge Problems
- 8. The Discharge ServiceThe Discharge Service 18 month pilot – commenced April 2016 100% FCHO funded and employed Based at Royal Oldham Hospital (PAT) Part of new Integrated Discharge Team Managed by Discharge Co-Ordinator (PCFT) Led and co-ordinated by Oldham Council
- 9. The Discharge ServiceThe Discharge Service Patient Assessment and Discharge Plans Single point of housing contact Assess asap after admission “Commission” FCHO and RP’s services Co-ordinate and liaison with other key discharge service providers (e.g. support, care and health)
- 10. Housing Services UtilisedHousing Services Utilised Housing Options Advice and Homelessness Temporary Accommodation and Rehousing Care and Support (e.g. resettlement) Repairs Cleaning and clearance (e.g. hoarders) Aids and Adaptations Warm and Safe Homes Community Support and Development
- 11. Early OutcomesEarly Outcomes 93 discharge cases supported 60% RP’s/40% private 40% TA/rehousing required – 60% permanently rehoused Now includes Care Home discharges Saving £298 per night in hospital Saving £143 per night in care home
- 13. Other Partnership ServicesOther Partnership Services Oldham Warm Homes Oldham CCG, Council and OHIP Investment fund of £250k Payment by results Heating and insulation improvements >3500 out of fuel poverty
- 14. Other FCHO H&WB ServicesOther FCHO H&WB Services Disability Living Service – c800 supported Aids & Adaptations – 2300 adapted homes Trusted Assessors - £120k/>1000 minors pa >3k sheltered/extra care/retirement homes Independent Living Service – c400 clients OMBC Helpline service – c3500 clients Tenancy Support Service – c1500 clients pa Common Access Point - >400 vulnerable
- 15. What NextWhat Next Housing Options for Older People Service New Health, Care and Housing Board Step Up/Step Down Accommodation? A&E Service? Mental Health Services? Learning Difficulties?
- 16. The right kind of home 30 November 2016 | By Kate Youde QUESTIONS?
Editor's Notes
- GMCA and GM Housing Providers Commitments Growth and Reform Reduce demand for services and inequalities GMHP Offer and Ask & Memorandum of Understanding Agreement GMHP Health and Well-Being Group 3 investable propositions agreed – Warm Homes, Hospital Discharge, HOOP Oldham Locality Plan Taking control of own lives and health Prevention and education Improve access to services in the community – place based integrated services Self help and resilience through community and voluntary sector FCHO Key Strategic Objectives Excellent landlord New homes Thriving communities – H&WB and employment It is the right thing to do for our customers and town
- GMCA and GM Housing providers agreed in broad terms through an offer and ask that has then been embedded into a memorandum of understanding shared aims and objectives, housing’s roles and priorities and the main interventions housing will take and deliver on to improve health outcomes and reduce health inequalities. These are summarised in this model of the main areas for us to concentrate on.
- FCHO were founding members of Oldham Health and Well-Being Board – one of the few housing providers in the country at that time. FCHO were fully engaged in developing the Oldham Health and Social Care Locality Plan and shaping the delivery of the plan and the £1.5bn savings required across GM – no other GM HP was originally engaged in developing locality plans in their boroughs so we wrote a standardised submission for all 10 borough’s based on our approach Oldham Urgent Care Alliance Health & Social Care commissioners/providers Prevent demand, delayed discharge & re-admission
- CIH engaged to help us research and develop our offer – we wanted to ensure that whatever we did had the most impact Individual consultation with all the key partners on what issues they wanted us to consider and address and what were the areas we could have most impact on
- We didn’t approach our partners telling them what we were going to do - nor did we go seeking funding from them. Ours was a genuine offer of what can we do for you and we are willing to resource it. Surprised some – especially our council – however it meant we didn’t have the door shut us on and partners were then prepared to work with us.
- Royal Oldham Hospital reported between 35-50 delayed discharges at any time and some go on for weeks Some of the problems are simple issues for housing to resolve – cleaning, repairs, minor adaptations, housing options advice, temporary accommodation and rehousing, tenancy support. However they were difficult for the ROH to resolve and they didn’t have service providers to deliver these solutions. Many ROH were unaware of our services and were therefore not accessing them leading to further unnecessary delayed discharges.
- CLES now engaged in delivering a full independent evaluation to help the partnership consider whether the service will be mainstream funded and continue.
- Self sustaining project which ha snow won many national awards
- We didn’t think our service was unusual or ground breaking but it seems these services are unusual and our service has now featured twice in Inside Housing articles and on BBC radio reports.