Post on 26-Dec-2015
Housing’s Offer to Health.CIH Research for
Leicestershire2013
‘Housing Matters’
Menu Today
• A bit about the scope of housing
• Housing and health• Background to the
research• Where housing fits into our
H&WB & ICB priorities• Opportunities together to
deliver better outcomes at less cost to the whole system - exactly what ITF is all about
Aids & adaptations
Advice & assistance
Affordable warmth
Housing Growth
PrivateSector
Housing
TenancyMgt
Housing Options
Strategic Housing
Support services
Housing
The Scope of Housing – a Provider & an Enabler
Contributors to Health Outcomes
Smoking 10%
Diet/Exercise 10%
Alcohol use 5%Poor sexual health
5%
Health Behaviours 30%
Education 10%
Employment 10%
Income 10%
Family/Social Support 5%Community Safety 5%
Socioeconomic Factors 40%
Access to care 10%
Quality of care 10%
Clinical Care 20%
Environmental Quality 5%
Built Environment 5%
Built Environment 10%
Local Impacts
• 354 excess winter deaths in Leicestershire (2012)• 10.5% of Leicestershire children were classed as living in
poverty in 2011 • Asthma and other respiratory diseases are exacerbated by
poorly heated homes• 416 early deaths due to heart disease and strokes in
Leicestershire (2012)• Homeless people use A & E more than housed people• Delayed hospital discharges due to unsuitable homes• Mental ill health is exacerbated by housing problems
A Bit of Background• Some existing joint work but often to separate
agendas &different languages. • Intuitive recognition that housing, social care and
health are interlinked as pillars for H&WB • H&WBB/ICB driving change & a focus on
priorities and outcomes• HSP brings people together with an interest in
housing services – but limited health input so far• ITF agenda makes it even more important to
understand where housing can make a difference
• HSP commissioned Chartered Institute of Housing (CIH) in Spring 2013 to identify a local housing offer to health
• Cross agency group steering this work • HSP has considered report and suggested 5
areas for joint work to make a difference
Introduction The Leicestershire Housing Offer Partnership Working Next StepsAppendices National Overview Research and Evidence Positive Practice
The CIH Report
Getting it Right from Childhood
Good quality homes Affordable warmth Delivering new homes Safe environments and
communities Safe play spaces and
green spaces Access to advice and
support Partnership working
linking things together
Managing the Shift to Early Intervention and Prevention
Providing supported housing
Homelessness prevention
Advice and assistance
Supporting timely and appropriate hospital discharge
Supporting our Ageing Population
Warm, decent and secure homes Reduce admissions/support hospital
discharge Aids and adaptations and assistive
technology Advice and assistance Home Improvement Agencies Dementia – early signs, home design &
support Handy person schemes –low level
support Partnership working to combat loneliness
& isolation Housing options advice and support Community engagement and cohesion
Mental Health and Wellbeing
Providing supported housing
Resident support Advice and assistance Promotion of dementia
friendly homes and communities
Mental health awareness and referral skills
ICB Priorities & Housing
Supporting Independence/Step Up/Step Down Warm, decent and secure homes Reduce admissions/support hospital discharge Aids and adaptations and assistive technology Advice and assistance Home Improvement Agencies Dementia – early signs, home design & support Handy person schemes –low level support Partnership working to combat loneliness & isolation Housing options advice and support Community engagement and cohesion
Where Can We Start? Involve housing options in the hospital
discharge pathway so that housing barriers/solutions are actioned quickly
Establish a handy persons support service – linked to previous item but has wider benefits around prevention
Take the First contact Scheme into GP surgeries to signpost people to advice and services
Secure money to deliver a targeted affordable warmth programme
Develop model for joined up holistic services for older people's support and care
How Would This Help?Getting it right from childhood
Early intervention and prevention
Supporting our ageing population
Mental health & wellbeing
Supporting independence
Step Up/Step Down
Hospital 2 Home discharge pathway
x x x x
Handy person support
x x x x x
First Contact scheme in Primary Care
x x x x x x
Targeted affordable warmth programme
x x x x x x
Older person holistic support/care
x x x x x
Getting More Resources Into the System?
• Many older owner occupiers are revenue poor/capital rich
• Equity Release schemes available
• A need to join together to manage expectations and make Equity Release a choice.
Next Steps• Comment on the report and
approach • Commit to involving housing at
the start of change programmes• Agree how health will be actively
engaged in the Housing Services Partnership
• Identify resources to commission work around the 5 priority areas to develop business cases
• Seek Leicestershire Together support to promote Equity Release