Mind the Gap how housing can help to address growing health inequalities Amanda Britain Lead for Housing Joint Improvement Team

Equally well: Task Force (2008) 1.Improving the whole range of circumstances and environments that offer opportunities to improve people's life circumstances and hence their health. 2.Addressing the inter-generational factors that risk perpetuating Scotland's health inequalities from parent to child, particularly by supporting the best possible start in life for all children in Scotland. 3.Engaging individuals, families and communities most at risk of poor health in services and decisions relevant to their health. 4.Delivering health and other public services that are universal, but also targeted and tailored to meet the needs of those most at risk of poor health. We need to prevent problems arising in the future, as well as addressing them if they do.

1.Housing.....and health and social care integration 2.Update on current developments

Housing – in or out? “It will be important that partners ensure that housing services are fully included in the integrated approach to service planning and provision, and that health and social care planning and local housing strategies are mutually supportive.” Policy Memorandum

Housing – in or out? “It is the Scottish Ministers’ intention to use these powers to describe what is meant by the broad term “social care”, which extends beyond social work functions to include, for example, some aspects of housing provision by local authorities.” Policy Memorandum

Housing sector views  Support for  the principles underpinning the Bill  focus on outcomes  Concern that  proposals will not address ‘disconnect’ with housing  engagement with housing will be left to local decision  decisions being made without discussion with housing partners

The housing contribution 1.Co-ordinated strategic planning of the supply and quality of housing and related services across tenures and stages of life 2.Providing individuals with information and advice on housing options 3.Directly providing or facilitating, ‘fit for purpose’ housing for rent and for sale / part sale, that gives people choice and a suitable home environment 4.Providing local, personal, preventative services such as “handyperson” schemes 5. Building capacity in local communities.

Issues for Housing Sector 1.Scope of integration  Sorting out the ‘partnership’ services - housing support, homelessness, housing with care, housing adaptations 2.National outcomes  Ensuring that people homes and the wider community is a recognised part of delivering 7 national outcomes 3.Governance arrangements  Putting in place arrangements to ensure alignment of priorities, plans, investment and services/supports 4.Strategic planning/strategic commissioning  Ensuring alignment between JSCPs and LHSs 5.Locality planning  Including the housing sector as a key partner at locality level

Partnership not integration

Current developments 1.Housing contribution statements 2.Housing adaptations 3.Dementia – housing’s contribution 4.Contribution to prevention 5.Housing with care

Housing Contribution Statements  Introduced as formal requirements in 2013  As part of joint strategic commissioning plans  Sets out housing’s contribution to Joint Strategic Commissioning  Just older people in 2013 – but will apply to all  Issues identified within HCSs  Access to, and use of, data  Planning processes between housing and partners in health and social care  The resource implications of the JSCP agenda for housing

 Survey gathering feedback from housing local authorities & RSLs  How was it for you? How can we improve?  Regional feedback & discussion sessions  Testing & developing approach to Housing Need & Demand Assessment  Reviewing data sources in health and social care Housing Contribution Statements: next steps

Independently chaired group to consider streamlining and case for more fundamental change Guiding principles Case for fundamental change 15 opportunities for change within existing framework Housing adaptations

Adaptations: next steps  Scottish Government undertaken to follow recommendations, to extent possible  Practice exchange event on 5 December  Organised by JIT  Badged with ALACHO, SFHA, CIH, Care & Repair, ADSW  Policy review process started  Setting up external advisory group

Awareness raising events

Personalised support flexible and person-centred services to promote participation and independence Community connections Support to maintain and develop social networks and to benefit peer support for both the person with dementia and the carer Environment adaptations, aids, design changes and assistive technology to maintain the independence of the person and assist the carer 8 pillars of support

Dementia: next steps  Contributing the housing and housing support to national developments  12 months post diagnostic support  Testing the ‘Environment’ pillar  2 main components  Housing options advice  Dementia friendly communities – test sites/local exemplars

Housing support services Handyperson services Care & Repair Social networks Community Support the housing sector’s contribution to the development and delivery of preventative services

Active & healthy ageing Allowing older people to remain longer in the labour market, to participate actively in society and to live independently as long as possible

Key themes I want to have fun and enjoy myself I wish to be able to contribute to society for as long as I want and to be treated with respect Don’t talk about me without me I wish to remain connected to my community and friends

Preventative services: next steps  Case study examples  JIT and SG website  Housing as community anchor organisations  Contribution to active ageing, and age friendly communities & neighbourhoods  All tenures, community focussed, ‘social connectedness’  Up to 5 innovation sites

Housing with care  Report on recent housing with care developments  CIH – case study approach  Finding ways to use existing housing  Upgrading existing sheltered housing  Using general needs housing  Focus going forward  hub and cluster developments  Models for people with complex needs

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