FIT FOR THE FUTURE Leading the way in health & care HEALTHCARE & HOUSING: THE BIG OPPORTUNITY? Chair:Andrew van Doorn, HACT Anne Marie Connolly, Public Health England Kevin Beirne, One Housing Group Amy Swan, National Housing Federation

Health and housing: The big opportunity Kevin Beirne Group Director of Housing Care & Support 2

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FT partnership agreement Care Support Plus model clinical inputs joint service protocols Alternative to admission Redesign care pathways Leveraging NHS estate Strategic integration 4

15 new-builds: £60m investment Self-contained units & communal Beautiful places Specific design is key Expert staff team Person focused offer Intensive supported housing 5

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Place in the recovery pathway Intensity of support Recovery Blocked placements Relapse Blocked placements delay the transfer of service users from high intensity services. Relapse increases the need for high intensity services. High risk x Care support service providers unwilling or unable to take on high- risk service users. 7

Pathway population Out of area placements Full range of complex needs Long term placements 14 month stay Overall annual saving of £0.5 million 100% improved management of mental health 8

Assessment and support planning Medication management Tenancy sustainment Life skills Budgeting and finance Training and employment Clinical supervision CBT, therapeutic interventions Occupational therapy Clinical psychology Training Common recording CPA Psychiatric consultancy Care co-ordination Medication prescription Mental health assessment Statutory orders Care Support Plus 9

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Effective alternative to hospital Hospital stay reduced from 2,800 to 404 bed days 23 hospital admissions avoided Highly effective risk management ADL improved from 4.05 to 6.37 Demonstrably improved customer outcomes £440k per annum financial efficiency Care support plus 12

CCG commissioned 500 customers a year Alternative to acute Average stay of 14 days Night centre and line Person focused 60% savings on acute admission Acute services 13

500 people per year (average two week stay) 80% health referrals 50% are new 87% avoid acute 15% reduction rate Upshot 13

10 short stay units Hospital discharge Multi-disciplinary teams Reablement six week programme Tailored telecare Working directly with CCG Reablement 15

Quality build & design Highest telecare specification On call & sensors Personalised approach Unobtrusive Build for technology 16

NHS trusts & FT’s Joint venture approach NHS surplus land RSL equity - upfront No planning Optimise potential NHS-RSL partnering 17

Leverage change Community sensitivity Secure health uses Social value Need to transform business NHS campus model Housing based supply chain Our NHS 18

Golden threads Understanding NHS & working hand-in-hand Confidence in outcomes & soft cultural change Recovery, aspiration and integration 19

Building development capacity Service expertise and ethos £75 million supported housing investment 5,000 homes in development 1,000 motivated care & support staff Rigorous quality systems CQC complaint £40m of social investment in ,000 care & support units in next corporate plan Shared not-for-profit values 20

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Build on Care Support Plus Investment in integrated health & housing Redesign of pathways £1bn billion efficiency for NHS Transform recovery Aspiration and parity of esteem The way forward 23

Sarah Lanham Business Development Director Contact 24

FIT FOR THE FUTURE Leading the way in health & care HEALTHCARE & HOUSING: THE BIG OPPORTUNITY? Chair:Andrew van Doorn, HACT Anne Marie Connolly, Public Health England Kevin Beirne, One Housing Group Amy Swan, National Housing Federation