Housing associations already deliver a range of services to promote health, wellbeing and independence for many different populations including older people and those with enduring mental health problems. Recent reforms to the health system, including measures to increase co-operation and joint commissioning of services with the social care sector, will both create opportunities for housing associations and have implications for the ways in which housing associations enter into the healthcare market.
At IRRV Scotland Conference 2018 in Crieff Deven Ghelani, Founder and Director of Policy in Practice, was invited to speak about analysis and policy updates on Universal Credit.
In his presentation Deven talked about the Social Security Act in Scotland and Universal Credit, covering how different demographic groups are likely to be impacted. He highlighted analysis that Scottish local authorities can do with the household level data they collect on their local income households and gave examples of how other local authorities use this data to identify, target and track vulnerability.
For further details please contact hello@policyinpractice.co.uk or visit www.policyinpractice.co.uk.
Long-term care: Integrating health and social care -- Tim Muir, OECDOECD Governance
This presentation was made by Tim Muir, OECD Secretariat, at the 6th Meeting of the Joint OECD DELSA-GOV Network on Fiscal Sustainability of Health Systems, held at the OECD Conference Centre, Paris, on 18-19 September 2017
Long-term care: Integrating health and social care - Albert Veraart, NetherlandsOECD Governance
This presentation was made by Albert Veraart, Netherlands, at the 6th Meeting of the Joint OECD DELSA-GOV Network on Fiscal Sustainability of Health Systems, held at the OECD Conference Centre, Paris, on 18-19 September 2017
The fiscal sustainability of long-term care and its impact on health systems ...OECD Governance
This presentation was made by Tim Muir, OECD, at the 4th meeting of the Joint DELSA/GOV-SBO Network on Fiscal Sustainability of Health Systems, held in Paris on 16-17 February 2015.
At IRRV Scotland Conference 2018 in Crieff Deven Ghelani, Founder and Director of Policy in Practice, was invited to speak about analysis and policy updates on Universal Credit.
In his presentation Deven talked about the Social Security Act in Scotland and Universal Credit, covering how different demographic groups are likely to be impacted. He highlighted analysis that Scottish local authorities can do with the household level data they collect on their local income households and gave examples of how other local authorities use this data to identify, target and track vulnerability.
For further details please contact hello@policyinpractice.co.uk or visit www.policyinpractice.co.uk.
Long-term care: Integrating health and social care -- Tim Muir, OECDOECD Governance
This presentation was made by Tim Muir, OECD Secretariat, at the 6th Meeting of the Joint OECD DELSA-GOV Network on Fiscal Sustainability of Health Systems, held at the OECD Conference Centre, Paris, on 18-19 September 2017
Long-term care: Integrating health and social care - Albert Veraart, NetherlandsOECD Governance
This presentation was made by Albert Veraart, Netherlands, at the 6th Meeting of the Joint OECD DELSA-GOV Network on Fiscal Sustainability of Health Systems, held at the OECD Conference Centre, Paris, on 18-19 September 2017
The fiscal sustainability of long-term care and its impact on health systems ...OECD Governance
This presentation was made by Tim Muir, OECD, at the 4th meeting of the Joint DELSA/GOV-SBO Network on Fiscal Sustainability of Health Systems, held in Paris on 16-17 February 2015.
Ageing: Fiscal implications and policy responses -- John Beard, World Health ...OECD Governance
This presentation was made by John Beard, WHO, at the 6th Meeting of the Joint OECD DELSA-GOV Network on Fiscal Sustainability of Health Systems, held at the OECD Conference Centre, Paris, on 18-19 September 2017
Katherine Hempstead: "Left in Limbo: Obamacare’s Shaky Insurance Exchanges" 6...reportingonhealth
Katherine Hempstead's slides from the Center for Health Journalism webinar, "Left in Limbo: Obamacare’s Shaky Insurance Exchanges," 6.7.17
More info: https://www.centerforhealthjournalism.org/content/left-limbo-obamacares-shaky-insurance-exchanges
Technological progress might be a major cost driver for health insurance but at the same time it can provide insurers with the tools to effectively control rising costs
The 2015 challenge manifesto sets out what we believe are the essential components of a new health and care system and how they might look and be experienced by people using and working in health and care, and the wider public. It also sets out some shared ‘asks’ of politicians and policymakers that are essential to achieve this vision.
DELSA/GOV 3rd Health meeting - Gijs VAN DER VLUGT, Camila VAMMALLE, Claudia H...OECD Governance
This presentation by Gijs VAN DER VLUGT, Camila VAMMALLE and Claudia HULBERT was made at the 3rd Joint DELSA/GOV Health Meeting, Paris 24-25 April 2014. Find out more at www.oecd.org/gov/budgeting/3rdmeetingdelsagovnetworkfiscalsustainabilityofhealthsystems2014.htm
Advocacy Interest Group Inaugural MeetingAcademyHealth
The inaugural meeting of AcademyHealth's newest Interest Group (IG), the Advocacy IG, was hosted on June 25, 2012 at the AcademyHealth Annual Research Meeting. Unique to AcademyHealth, this IG cultivates grassroots efforts to communicate the value of health services research to those in both the public and private sectors.
Westminster Insight: Delivering Universal Credit full service Policy in Practice
Deven Ghelani, Founder and Director, Policy in Practice, was invited to speak at Westminster Insight's Welfare Reform Conference on the subject of Universal Credit full service roll out.
In his talk he covered Universal Universal Credit rollout to date and looked forward to managed migration. Giving practical examples and tips, Deven referenced the House of Commons Library tool as well as Policy in Practice's LIFT Dashboard which is helping a number of local authorities to understand which households will struggle with Universal Credit. He gave examples of how other local authorities use this data to identify, target and track vulnerability.
For more information contact hello@policyinpractice.co.uk or visit www.policyinpractice.co.uk
"Social investment", data analysis & targeting public expenditures - Andrew B...OECD Governance
This presentation was made by Andrew BLAZEY, New Zealand at the 13th Annual Meeting of OECD-Asian Senior Budget Officials held in Bangkok, Thailand, on 14-15 December 2017
Ageing: Fiscal implications and policy responses -- John Beard, World Health ...OECD Governance
This presentation was made by John Beard, WHO, at the 6th Meeting of the Joint OECD DELSA-GOV Network on Fiscal Sustainability of Health Systems, held at the OECD Conference Centre, Paris, on 18-19 September 2017
Katherine Hempstead: "Left in Limbo: Obamacare’s Shaky Insurance Exchanges" 6...reportingonhealth
Katherine Hempstead's slides from the Center for Health Journalism webinar, "Left in Limbo: Obamacare’s Shaky Insurance Exchanges," 6.7.17
More info: https://www.centerforhealthjournalism.org/content/left-limbo-obamacares-shaky-insurance-exchanges
Technological progress might be a major cost driver for health insurance but at the same time it can provide insurers with the tools to effectively control rising costs
The 2015 challenge manifesto sets out what we believe are the essential components of a new health and care system and how they might look and be experienced by people using and working in health and care, and the wider public. It also sets out some shared ‘asks’ of politicians and policymakers that are essential to achieve this vision.
DELSA/GOV 3rd Health meeting - Gijs VAN DER VLUGT, Camila VAMMALLE, Claudia H...OECD Governance
This presentation by Gijs VAN DER VLUGT, Camila VAMMALLE and Claudia HULBERT was made at the 3rd Joint DELSA/GOV Health Meeting, Paris 24-25 April 2014. Find out more at www.oecd.org/gov/budgeting/3rdmeetingdelsagovnetworkfiscalsustainabilityofhealthsystems2014.htm
Advocacy Interest Group Inaugural MeetingAcademyHealth
The inaugural meeting of AcademyHealth's newest Interest Group (IG), the Advocacy IG, was hosted on June 25, 2012 at the AcademyHealth Annual Research Meeting. Unique to AcademyHealth, this IG cultivates grassroots efforts to communicate the value of health services research to those in both the public and private sectors.
Westminster Insight: Delivering Universal Credit full service Policy in Practice
Deven Ghelani, Founder and Director, Policy in Practice, was invited to speak at Westminster Insight's Welfare Reform Conference on the subject of Universal Credit full service roll out.
In his talk he covered Universal Universal Credit rollout to date and looked forward to managed migration. Giving practical examples and tips, Deven referenced the House of Commons Library tool as well as Policy in Practice's LIFT Dashboard which is helping a number of local authorities to understand which households will struggle with Universal Credit. He gave examples of how other local authorities use this data to identify, target and track vulnerability.
For more information contact hello@policyinpractice.co.uk or visit www.policyinpractice.co.uk
"Social investment", data analysis & targeting public expenditures - Andrew B...OECD Governance
This presentation was made by Andrew BLAZEY, New Zealand at the 13th Annual Meeting of OECD-Asian Senior Budget Officials held in Bangkok, Thailand, on 14-15 December 2017
Parallel Session: Achieving High Quality, Financially Sustainable HealthcareNHSScotlandEvent2013
Achieving financially sustainable healthcare now and in the future is likely to mean changes to how and where people access services. This means that NHSScotland needs to consistently deliver high-quality care at a lower cost and against rising expectations and demand. This session investigates the current thinking and practice around the critical links between improving quality and delivering on efficiency. Professor Cam Donaldson, author of ‘Credit Crunch Healthcare’, challenges delegates on their thinking around ‘traditional’ delivery of efficiencies and how this can impact on improving quality. Sally Campbell from NHS North West England also describes the journey to delivering best value in HR services.
See more on the 2013 NHSScotland Event website http://www.nhsscotlandevent.com/resources/resources2013/resources
Jacquie White, Deputy Director of NHS England Long Term Conditions, Older People & End of Life Care and Claire Cordeaux SIMUL8 Executive Director for Health & Social Care were invited by Centers for Medicare & Medicaid Services to discuss how NHS England work in chronic disease.
Investing in specialised services - the prioritisation framework, pop up uni,...NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Presentation given by Eric C. Schneider, MD, Senior Vice President for Policy and Research of The Commonwealth Fund at the University of Michigan Institute for Healthcare Policy and Innovation in Ann Arbor, MI on December 7, 2017.
Presentation by Mike Kenny, Associate Commercial Director, Innovation Agency: The NHS Landscape at Excel in Health: understanding the NHS as a market place on Tuesday 26 February 2019 at Vanguard House, Daresbury.
Commissioning for outcomes,
Wednesday 21 January 2015 - 13.00 to 13.45
Hosted by Bob Ricketts CBE, Director of Commissioning Support Services and Market Development for NHS England.
Rising energy costs and welfare cuts continue to put a strain on household budgets, with the worst affected being forced to choose between heating, eating or paying the rent.
Investment in physical improvements to homes have gone some way to helping households save energy. However there is growing recognition that the way people use their homes is a critical determinant of how much energy is actually saved.
But given many households may be under heating their homes, how best can we help residents to safely manage their use? And how can we reach many residents with limited resources?
This webinar will talk you through findings from the Count Us In project, and will cover:
• What works when helping residents change their behaviour
• The national smart meter roll out and how this could help
• How best to deliver effective engagement with limited resources
• The right messages to use with residents
• What help and resources are available to support you
• An opportunity to ask questions and share your experiences
Universal Credit is a new benefit being introduced by the Government, replacing six existing benefits and providing a monthly payment to households. It is the biggest current threat to landlord income. Its rollout is slow, and this allows housing associations the opportunity to prepare for its introduction.
Universal Credit is a new benefit being introduced by the Government, replacing six existing benefits and providing a monthly payment to households. It is the biggest current threat to landlord income. Its rollout is slow, and this allows housing associations the opportunity to prepare for its introduction.
Now that the dust has begun to settle after last month’s local elections across the capital, it would seem that the time is now right to step back and assess what the results will mean for housing associations, our businesses and the sector at large.
• Why did Labour buck the national trend?
• Why did the UKIP onward march stop short of the M25?
• What does the shock result in Hammersmith & Fulham mean for large-scale development projects in west London?
• And is NIMBY-ism becoming the acceptable face for those opposed to immigration?
Welfare reform has thrown up many challenges but one in particular has cast a long shadow for housing associations providing supported housing – changes to the way housing costs are paid for when providing supported accommodation.
Under the previous DWP definition of “exempt accommodation” many of the commissioning arrangements within supported housing were not reflected. This led to concerns that tenants within supported housing schemes which are not classified as exempt would potentially be affected by welfare reform policies such as direct payments, the benefit cap and size criteria. The Federation has been working with partners to lobby DWP to resolve these issues. As a result of these lobbying efforts DWP have now created a new category called “specified accommodation”.
This protocol outlines a framework to help the National Housing Federation manage its social media activity. It covers blogging, podcasting, comments, Facebook, Twitter, YouTube, LinkedIn and other social sites.
ZGB - The Role of Generative AI in Government transformation.pdfSaeed Al Dhaheri
This keynote was presented during the the 7th edition of the UAE Hackathon 2024. It highlights the role of AI and Generative AI in addressing government transformation to achieve zero government bureaucracy
Presentation by Jared Jageler, David Adler, Noelia Duchovny, and Evan Herrnstadt, analysts in CBO’s Microeconomic Studies and Health Analysis Divisions, at the Association of Environmental and Resource Economists Summer Conference.
What is the point of small housing associations.pptxPaul Smith
Given the small scale of housing associations and their relative high cost per home what is the point of them and how do we justify their continued existance
A process server is a authorized person for delivering legal documents, such as summons, complaints, subpoenas, and other court papers, to peoples involved in legal proceedings.
This session provides a comprehensive overview of the latest updates to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (commonly known as the Uniform Guidance) outlined in the 2 CFR 200.
With a focus on the 2024 revisions issued by the Office of Management and Budget (OMB), participants will gain insight into the key changes affecting federal grant recipients. The session will delve into critical regulatory updates, providing attendees with the knowledge and tools necessary to navigate and comply with the evolving landscape of federal grant management.
Learning Objectives:
- Understand the rationale behind the 2024 updates to the Uniform Guidance outlined in 2 CFR 200, and their implications for federal grant recipients.
- Identify the key changes and revisions introduced by the Office of Management and Budget (OMB) in the 2024 edition of 2 CFR 200.
- Gain proficiency in applying the updated regulations to ensure compliance with federal grant requirements and avoid potential audit findings.
- Develop strategies for effectively implementing the new guidelines within the grant management processes of their respective organizations, fostering efficiency and accountability in federal grant administration.
Many ways to support street children.pptxSERUDS INDIA
By raising awareness, providing support, advocating for change, and offering assistance to children in need, individuals can play a crucial role in improving the lives of street children and helping them realize their full potential
Donate Us
https://serudsindia.org/how-individuals-can-support-street-children-in-india/
#donatefororphan, #donateforhomelesschildren, #childeducation, #ngochildeducation, #donateforeducation, #donationforchildeducation, #sponsorforpoorchild, #sponsororphanage #sponsororphanchild, #donation, #education, #charity, #educationforchild, #seruds, #kurnool, #joyhome
PPT Item # 9 - 2024 Street Maintenance Program(SMP) Amendment
Exploring housing's place in the local health economy
1. • Amy Swan, Project Manager (Health Partnerships),
National Housing Federation
• David Mcdaid, Research Fellow at LSE and Editor of
Eurohealth,
Exploring housing’s place in the
local health economy
3. ‘The NHS needs no more unresourced sticking
plasters. Neither will it benefit in the long run from
“handouts”, however generous.’
Alastair McLellan, editor of HSJ
‘We are about to run out of cash in a very serious
fashion.’
Tim Kelsey, NHS England's Director for Patients and Information
7. NHS begging bowls
• £30 billion gap in funds
• Better Care Fund
• Diversion of funding
from acute sector
• Demands for more staff
and the workforce crisis
8. Priorities for health
commissioners
• Persistent health
inequalities
• Ageing population
• Unmet mental
health needs
• Premature deaths
• Complex conditions
• Prevention
• Health promotion
• Self-care
• Shifting resources
out of hospitals
• Designing
integrated services
• Early intervention
9. Show me the money!
NHS providers
Lottery funding
DH innovation funding
Small CCG grants
CCG healthcare
contract
Public health tenders
10. A clear vision
Joint venture or
partnership with an
NHS provider
Host NHS services or
co-locate with health
Monitoring, health
checks, and signposting
14. Economic arguments embedded
Since 1999 the National Institute for Health and
Care Excellence has assessed case for investing in
health care interventions
2005 – extended to health promotion and public
health
2013 – extended to social care
Interventions need to be shown not only to be
effective but also cost effective
16. Economics can be one important
input into decision making process
Resources are not unlimited;
economic information can help
determine how best to make use
of resources but……
Cannot be used in isolation; many
other factors (fairness, equity,
political concerns etc) influence
Economics
18. Cost of hip fractures from falls in
Ireland
27%
1%
35%
6%
21%
10%
Hospital costs
Primary Care
Long-term care
Informal Care
Poor Quality of
Life
Drug Costs
6,813 fracture hospital
admissions
85% from falls
€260 million
€38,000 per case
O’Shea and Gannon, Irish Medical Journal, 2
19. Valuing the socio-economic contribution of older
people in the UK (2011)
• In 2010 positive
net contribution to
UK economy £40
billion rising to
£77 billion by
2030.
• Costs: takes
account of pension,
welfare, health
costs.
• Benefits: Tax
revenues, Consumer
Spending, Provision
http://www.goldagepensioners.com/Uploads/PDF/main-report.pdf
20. The costs of action
• The costs of action: What would it cost to intervene by
providing a preventive measure or treatment delivered by
a housing association?
• Estimating the resource requirements, staffing,
equipment, premises etc required to deliver a service by a
housing association
• Could compare this with cost of same service delivered
by other providers
• Can services be delivered more efficiently?
21. The cost effectiveness of action
• The cost-effectiveness of action: What is the balance
between cost of intervention and better outcomes, e.g.
health status, improved quality of life, educational
performance etc?
• Important to identify benefits of housing interventions
• Interventions can cost more money but they must then
achieve better outcomes
• Is it worth the extra cost to achieve this benefit?
22. Economics is about choice
CCG
Budget
More Mental Health
Services
More
Hip Replacements
24. Two Basic Needs: (A) Costs and
Outcomes; (B) 2+ Alternatives
Outcomes e.g
Quality of Life
Years (QALYs);
Independent
living; delayed
entry to nursing
Costs of usual
intervention
Costs of
Housing
Association
intervention
Outcomes (e.g
Quality of Life
Years (QALYs);
Independent
living; delayed
entry to nursing
homes
Traditionally NICE
considered cost per QALY
circa £30,000 considered
good value; But budgetary
25. Cost-Effectiveness Possibilities
CNew >
COld
New housing
intervention is
less effective
and more costly
New housing
intervention is
less effective
but less costly
New intervention
is more effective
but also more
costly
New intervention
is more effective
and less costly
ENew > EOld
CNew <
ENew < EOld
The
‘no go’
zone?
Cost-saving
0
No right or wrong answer: Each
society must decide how much it
is willing to pay for additional
?????
Uncertainty
So … is
it worth
it?
26. What do we know
about the
economic case
for investing in
housing to
promote and
protect health?
27. Limited but growing evidence base on effectiveness
Health commissioners most influenced by large
scale, well designed studies (usually randomised
controlled trials)
Limited but growing examples of interventions
that could be delivered by housing sector
Economic outcomes attached to some of these
studies
28. Limited but growing evidence base on effectiveness
Some examples:
Extra care housing
Reablement services
Floating support services
Independent housing for people with mental health
needs
Financial advice services
Home adaptation, insulation schemes
34. Making use of economic evidence
• When making a case refer to published studies on the
costs of poor health
• Report resources required to deliver housing intervention
and how this compares with current service costs if
possible
• Helpful to refer to any published studies on value for
money of intervention – doesn’t have to be delivered by
housing association
• The more rigorous the study – the more credibility it will
have with commissioners
35. Where to look for economic evidence
• Three useful starting points
• NHS Economic Evaluation Database
• US National Library of Medicine (Medline) database
• NICE website – guidelines on interventions
• Work with economists to model cost effectiveness –
opportunities for the housing sector to partner
universities in housing and health research
40. Presentation Tips
• Refer to robust evidence on effectiveness
• Apply local unit cost data when estimating
costs of service delivery
• Be transparent on strengths and weakness
of evidence
• Be conservative and cautious on strength
of evidence
• Present information on the economic case
for reaching specific population groups
41. Presentation Tips
• Focus on impact on quality rather than on
arguments that interventions will reduce
costs to the NHS
• Present some information on the costs of
the status quo
• Tailor the economic argument to different
stakeholders
• Look at budgetary impacts as well as cost
effectiveness
• Commit to ongoing monitoring of a service