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