The NHS England webinar on February 23, 2017, addressed transforming care and the future funding of supported housing, highlighting the importance of supported housing in healthcare and the proposed exemption from local housing allowance caps. It discussed the consultation process for establishing a new funding model expected by April 2019 to ensure the sustainability of supported housing. The document also details the revisions to the Care and Treatment Review (CTR) policy aimed at enhancing support for individuals with learning disabilities and autism, emphasizing better quality and more frequent reviews.

1. www.england.nhs.uk
Learning Disabilities:
Share and Learn Webinar
23 February 2017
Topic One:
Transforming care and the future
funding of supported housing
Amy Swan, NHS England
Topic Two:
Care and Treatment Review – key
changes in the refreshed policy
Maggie Graham and Gavin Harding,
NHS England
#improvingLD @NHSEnglandSI

2. www.england.nhs.uk
The Future Funding
of Supported
Housing
Amy Swan, Housing Lead – Transforming Care
23rd February 2017

3. www.england.nhs.uk 3
Contents
• Supported housing impact
• Proposed local system
• Supported housing review
• Recent consultation and overall review timetable
• NHS England response

4. www.england.nhs.uk
Supported housing and health
• Supported housing is a
central part of an effective
care system.
• The home as a place of
rehabilitation, treatment and
care
• Enables the management
of long-term
conditions/disability in the
community
Person at home
Health care
Housing
Social care

5. www.england.nhs.uk
CSR15 – LHA cap announcement and
supported housing impact
53,000
30%
£50 41% 80% £68
No. of households
entering supported
housing each year
that could face a
shortfall
30% of incoming
households would
face at least £50 a
week shortfall
Of existing schemes
would be at risk of
closure
Of planned new
homes would not be
built
Weekly average
shortfall for affected
tenants

6. www.england.nhs.uk
Proposed local system
6
• Exemption: The supported housing sector will be fully exempt
from the Local Housing Allowance (LHA) cap
• Consultation: setting out their preferred option for the future
funding for the sector, expected to be implemented at the
earliest by April 2019.
• New system: be an additional grant to councils to top-up
supported housing rents. This additional grant would be ring-
fenced.

7. www.england.nhs.uk
Research into size, scope and cost of the
sector
71% 71%
79%
61%
9% 9%
9%
14%
9% 8%
5%
16%
5% 5%
3% 4%
3% 4%
3% 2%1% 1%
1% 2%
2%
2%
0%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Great Britain England Wales Scotland
For older people For disabled people
Hostels For people with mental health problems
For young people (16-25) Refuges and safe houses
Others (not classified)
Supported accommodation review

8. www.england.nhs.uk
41%
18%
34%
7%
c£4.12bn
HB spend in SH per
annum in Great Britain
Older people NOT in
Specified
Accommodation
(£1.67bn – 359,000 SH
units)
Working age people in
Specified Accommodation
(£1.42bn – 157,500 SH
units)
Older people in Specified
Accommodation
(£0.73bn – 103,000 SH units)
Working age people NOT
in Specified
Accommodation
(£0.30bn – 32,000 SH
units)
Sources: Local authority survey, provider survey and CORE Social lettings 2014/15 (DCLG).
Base: 177 Housing Benefit team respondents, 83 Commissioners and 65 providers across Wales and Scotland.

9. www.england.nhs.uk
Consultation and timetable
• Consultation closed
Feb 13th
• Green Paper to follow
Spring 2017 with more
detail
• Autumn 2017 –
detailed model
announced
• Shadow year
arrangements in place
• Commencement of
new funding model
Consultation and timetable

10. www.england.nhs.uk
1. Fair access to funding, including the detailed design of
the ring fence and any additional protections
2. Clarifying local roles and responsibilities
3. Arrangements to provide oversight and assurance
4. The appropriate balance between local flexibility and
stability for providers
5. Developing a funding model for short term
accommodation, including hostels and refuges
Consultation themes

11. www.england.nhs.uk
1. Protecting existing and future tenants
2. Providing certainty through localised funding
3. Allocation of funding and new supply
NHS England response
Supported housing must remain closely aligned
to health priorities and outcomes.

12. www.england.nhs.uk
Contact details
12
amyswan@nhs.net
07730 371 076

13. www.england.nhs.uk
Questions?

14. Care and
Treatment
Review
Policy
23 February 2017
Policy Refresh 2017

15. www.england.nhs.uk
Hello from us
• Gavin Harding MBE
• Maggie Graham
NHS England Learning Disability Programme

16. www.england.nhs.uk
• About the CTR policy review
• When will it be coming out?
• What’s changing?
• Supporting everyone better
• PERSONAL principles
What we will be talking about

17. www.england.nhs.uk
• CTR Policy came out in 2015
• What is the policy and why change it?
• Over 2,000 CTRs carried out
• We asked lots of people for feedback
• Over 700 people took part
• We have used the feedback to make the policy even
better
• Revised policy and materials launched at the end of
March
Care and Treatment Reviews - CTRs

18. www.england.nhs.uk
• Focus on quality
• Clearer and stronger
• For people with learning disabilities, autism or
both
• Purpose and “spirit” of CTRs
• Roles and responsibilities
• Relationship to CPA
• Clear actions, by who and when in CTR
reports
• Clearer role for providers
How will the new policy be different?

19. www.england.nhs.uk
• When should CTRs happen?
• 6 months for people in acute, non-secure settings
• More often for children and young people in hospital –
every 3 months
• Every year for people in secure settings
• Keep the right to request a CTR
• CTR panel decide and explain why if repeat CTR should
be more or less often
• ‘Blue Light’ protocol is example of best practice only
How will the new policy be different?

20. www.england.nhs.uk
• CTRs for children and young people: Care
Education and Treatment Reviews, or CETRs
• Need to have less questions - more discussion
• Key Lines of Enquiry KLOEs
• Highlight concerns more clearly
• More detail about CTR actions and following up
• Hospital discharge standards
• More on medication
How will the new policy be different?

21. www.england.nhs.uk
• The person, families and advocates
• More and better information
• Better communication about outcomes of CTR
and actions / follow up
• CTR panel members
• Examples of good practice
• New templates
• Principles and standards
Supporting everyone better
Tell me
CTR Panel

22. www.england.nhs.uk
Based on the word personal
person centred and family centred
evidence based
rights led
seeing the whole person
open, independent and challenging
nothing about us without us
action based
living life in the community
CTR principles and standards

23. www.england.nhs.uk
Any questions?