Health, Housing and Adult Services Examples from Practice 22nd January 2019 Neil Revely ADASS Housing Policy Network Co-Chair and LGA Care & Health Improvement Adviser

Good Practice Examples - Strategic Approaches Central Bedfordshire – from a detailed evidence base the Council has developed an Investment Prospectus North Yorkshire – 15 year strategy has delivered 23 Extra Care schemes with a further 40 planned Essex – in collaboration with its 12 District Councils developed an Independent Living Programme (3 schemes completed, one onsite, 6 with planning and 1,400 units in the pipeline Greater Manchester – Health & Social Care Partnership LGA Housing Commission – Building our homes, communities and future 2016 LGA – Housing our ageing population 2017

Creating the stock we need – Supported Housing Strategy Utilising the opportunities presented through devolution, empower residents to live healthy, independent lives in a suitable home within their own communities and draw on their skills and strengths to contribute to health, wellbeing and economic growth within Greater Manchester. Our objectives: Support a social care system that is less reliant upon nursing and residential care Develop ‘asks’ of the system to assist in innovative delivery arrangements Oversee and advocate up-scaled provision of extra care Create confidence in the market for providers and developers Stimulate economic growth through development of new housing Focus has been on developing a evidence base to inform strategic direction - what we have and what future provision should look like; Supported Housing Census Housing LIN Predictive Model (SHOP@) – older people’s accommodation NW Market Sustainability Research Cost Benefit Analysis and financial models This data and our vision have been shared with localities (social care, housing and planning) as we work with them to facilitate delivery. 3

Good Practice Example – Learning Disabilities & Transforming Care Nimrod House, Newham (Look Ahead) Developed in 2016 to support the Transforming Care Programme Co-designed with customers, carers, families, clinicians and CQC Designed for people with complex needs Delivering impressive outcomes for individuals with complex, profound, and multiple needs Delivering significant efficiencies Winner - CIH UK Housing Awards 2017 (Outstanding approach to meeting specialist housing needs) Winner - National Learning Disabilities & Autism Awards 2017 (Supported Housing Award)

Good Practice Example – Derby City Council Healthy Housing Hub Advice and Support Prescribed Support Healthy Housing Assistance Partnership Links Evaluation demonstrates positive outcomes and efficiencies Highly Commended at The MJ Awards 2013

Good Practice Example – Birmingham & Care Villages Extra Care Charitable Trust 5 Care Villages Lifestyle, Security, and Care Aston University Evaluation NHS Costs reduce by 38% Social Care savings between 18% and 26% 46% Reduction in GP Visits 14.8% reduction in Depressive symptoms Aston Research Centre for Healthy Ageing - 2015

Good Practice Example – Havant Housing Association Provides step down beds / support for people in psychiatric units whose discharges are delayed A safe and inexpensive step down bed is provided in the community alongside a low-level community support service ‘Meet and greet’ service is provided at local psychiatric hospital to assist with safe transition to step down unit July 2016 – January 2017*, cost benefits of £98,987 compared to cost of people remaining in acute psychiatric bed *‘Reducing delayed transfers of Care – How housing associations are relieving pressures on the NHS’, NHF, 2017

Good Practice Example – Mansfield District Council Housing Options supporting Hospital Discharge: Mansfield District Council ASSIST* service: expedites hospital discharges and reduces admissions to Kings Mill Hospital 360° service to improve transition of people back home Housing staff on wards to provide triage service for people who are medically ready to go home Team works in A&E to identify people with social needs to free up medical time January 2015 – April 2016, total savings through reduction of acute bed days: £1,371,060** *ASSIST – Advocacy, Sustainment, Supporting Independence and Safeguarding Team ** Independent Evaluation conducted by Nottingham Trent University

Good Practice Example – Housing Services part of the integrated system Advice & Information Housing Officers Prevention Services – tenure blind DFGs Social Prescribing Safeguarding ‘eyes & ears’ London Borough of Hounslow as an example

Good Practice Example – One Housing Group Step Down Scheme Working with London Borough of Camden 10 Step down beds in an Extra Care Scheme Short Term reablement Facilitates early discharge Savings of between £400 & £700 per person per week 30% reduction in care package National Housing Federation – Home from hospital 2017