Supported Housing for HWB
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Transcript of Supported Housing for HWB
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The future of Supported Housing:Integration – if this is the answer, what is the question? Domini GunnDirector of Health and Wellbeing
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Supported Housing for HWB
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Service models that
are fit for purpose
Meeting changing needs
of partners & customers
Ensuring strategic fit with
future social care and health
priorities
VFM & social value of current
provisionUnderstanding
current & future demand
Making the best use of
community based assets
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But..• “The burning platform facing public services
means that business as usual is just not possible” King’s Fund
• The Graph of Doom• The Tsunami of Ageing• The rising cost of housing• Cuts in Supporting People• Increasing levels of homelessness• Crisis in mental health services..
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Family Mosaic – Health begins at home
• Assessments with 600 tenants over 65:– 92% of participants reported at least
one long-term health condition– a third suffered from depression– 40% have back pain and – 44% arthritis– half of participants felt lonely all or
some of the time.
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The impact …
• The first 445 people surveyed had made:– 1,719 planned GP visits – 159 emergency GP visits– 1,124 planned hospital appointments– 156 visits to A&E and– spent 455 nights in hospital.
Potential saving of £4.7 million per year
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Impact narrative• Achieving integration for Housing needs to be
about building an ‘impact narrative’, across a number of different outcomes or domains, drawing on a number of different evidence sources, including:
Case studiesEvaluation findingsDistance travelledCustomer feedback Inputs, outputs & outcomes
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CIH Outcomes
What & how do we deliver
A framework – using information as evidence
What does it cost?
Who is our target population?
What difference do we make?
Inputs Activities Outcomes
What can/should we say to commissioners?
Benefits
Nat
iona
l out
com
es re
leva
nt to
offe
r 1. Enhancing quality of life & recovery
2. Improving health
3. Delaying & preventing need for care
4. Safeguarding vulnerable people
5. Positive experience of care & supportA po
ssib
le li
brar
y of
rele
vant
evi
denc
e SP / contract outcomes
Improving lives
Ways to well-being
Evaluation findings
Use of resources
Customer satisfaction
-Assessment-Support & safety planning-User led-Supported housing-Floating support-Integrated health-End of life care-Specialist services -Review-Move on
Value
Case studies
Standards compliance
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Case studies-Individuals’ journeys
A framework – using information as evidence
National outcomes and local commissioning priorities
A possible library of relevant evidence
SP / contract outcomes-Economic well-being-Enjoy & achieve-Be healthy-Stay safe-Make a positive contribution-Positive move-on
Improving lives-Comfortable & secure homes-Adequate income-Safe neighbourhoods-Getting out and about-Friendships & learning-Keeping active & healthy-Relevant information
Ways to well-being (mental well-being)-Connect with others-Be active-Engage with things around you-Keep learning-Give Resources consumed
-Primary/secondary health-Social care
Satisfaction with services-Client satisfaction survey
Evaluation findings-e.g. Discharge project
Organisation Metrics-Finances-Meaningful use of time-Support networks-Physical health and well-being-Housing-Offending behaviour-Safety-Positive contribution
Enhancing QOL Improving health Delay / prevention Safeguarding Experience of care
Compliance – reg. standards
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Key challenges• Finding a balance between retrospective analysis, and what
will support your offer in the future
• There is plenty of research about what improves the lives of people – what is your role in this and what impact does your work have on national outcomes?
• Contacts & relationships – key success indicator
• Providers or commissioners?
• What are the local commissioning and health priorities? This will help to shape your offer in different areas
• Very little of the data collected now through monitoring tells health and care providers or commissioners about your expertise in relation to the national outcomes, so…
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How might we do it?• Constructing a narrative from different perspectives• Looking at costs AND benefits• Different measures require a different approach –
need to reflect local commissioning priorities• Critical analysis of your evidence base – where are
the gaps?• Focusing just on the national outcomes is likely to
limit what you can say• Coherent, evidenced, outcome focused, costed
case that can deliver high quality services
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The service Quality Tool – provider side
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SQT assessor side
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Linking ‘distance travelled’ to the calculation of social value
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The system will have a menu of person centred needs assessments and support plans already in place, but providers can also use their own, provided they read across to the outcomes framework applicable to the service.
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If there is evidence to demonstrate that the service provided more input than the service user recognises, there is an option to modify the service input score, with agreement from the commissioning authority.
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The Care Bill
A Bill to reform the law relating to:• Care and support for adults and the law relating to
support for carers• To make provision about safeguarding adults from
abuse or neglect• To make provision about care standards• To establish and make provision about Health
Education England• To establish and make provision about the Health
Research Authority, and for connected purposes.
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Radical change• Pulls together over 12 existing Acts into a
single modern framework • Fundamentally reforms how the law works
placing people’s wellbeing , needs and goals at the centre of decision making
• Individuals will no longer feel that they are battling to get the care and support they need
• Puts carers on a par with those for whom they care
• Better Care Fund etc – new money?
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Sharing resources
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CIH resources & tools• Service Quality Tool – SQT – DCLG sponsored• Social Value – housing related support• Working Together: older people’s service
remodelling• Working Together:
Safe at Home• Corporate partnership • Policy & practice
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Rhetoric to Reality
Chartered Institute of Housing: www.cih.org source of information, support and professional membership
What you need to know about the care bill - CIH briefing Creating housing choices for life – CIH briefing
CIH Tools: Service Quality (2014), VFM(2013) & Social Value (2014)
Developing your local housing offer for health and care - targeting outcomes – CIH framework doc
Hospital 2 Home resource packwww.dh.gov.uk/health/2012/10/hospital-2-home/