@jitscotland JIT is a strategic improvement partnership between the Scottish Government, NHSScotland, COSLA and the Third, Independent and Housing Sectors Care & Repair’s offer Amanda Britain

JIT is a strategic improvement partnership between the Scottish Government, NHSScotland, COSLA and the Third, Independent and Housing Sectors Messages from partners 1.Speak with one voice 2.Realise that others may not understand your world 3.Be confident about your contribution 4.Make your offer clear 5.Focus more on planning, less on structures 6.Help solve some of the short term pressures 7.Be ready to work with different local arrangements 8.Be patient, but persistent

Argument s Noise Choice Control Independenc e A launchpad A base Security Memories Safety Friends Family Privacy Home is.....

JIT is a strategic improvement partnership between the Scottish Government, NHSScotland, COSLA and the Third, Independent and Housing Sectors It helps when the building is right  Older people, disabled people spend more time at home  ‘Age friendly’ homes prolong independence & help offset the adverse experience of disability  Suitable neighbourhoods that are clean, safe places with easy access to services give people confidence to  live independently,  maintain their social networks  participate in the wider community

JIT is a strategic improvement partnership between the Scottish Government, NHSScotland, COSLA and the Third, Independent and Housing Sectors....and housing does so much more  Housing services, particularly adaptations, handyperson services-  prevent falls and accidents,  reduce delays in discharge from hospital,  increase home security and energy efficiency,  help extend the use of assistive technology, and  signpost people at risk to other services  Housing organisations are often key community anchors

JIT is a strategic improvement partnership between the Scottish Government, NHSScotland, COSLA and the Third, Independent and Housing Sectors It brings financial benefits  Unsuitable housing increases costs the public purse through increased injury rates, treatment and care costs.  Adaptations improve outcomes at a lower cost,  Extra care housing costs less than care homes and provides a better quality of life  Housing support services delay or avoid admission to care homes.

9 Health and wellbeing outcomes Strategic commissioning plan should set how these will be delivered

JIT is a strategic improvement partnership between the Scottish Government, NHSScotland, COSLA and the Third, Independent and Housing Sectors Health and Wellbeing Outcomes Outcome 2 People, including those with disabilities, long term conditions, or who are frail, are able to live, as far as reasonably practicable, independently and at home or in a homely setting in their community

Adapting for Change Demonstration Sites 9

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

JIT is a strategic improvement partnership between the Scottish Government, NHSScotland, COSLA and the Third, Independent and Housing Sectors To develop and test key aspects of the approach recommended by the Adaptations Working Group to inform a revision of the national policy framework for housing adaptations, and to provide learning to improve practice

JIT is a strategic improvement partnership between the Scottish Government, NHSScotland, COSLA and the Third, Independent and Housing Sectors Key issues Self-directed support approach A single funding pot, with tenure neutral access and eligibility Greater focus on prevention and early intervention Adaptations for people with dementia Making adaptations more attractive at the same cost Adaptations as one response in an integrated menu of options Partnership governance, including people using services Improved data collection on impact and effectiveness Helping people to help themselves – more than funding 12

JIT is a strategic improvement partnership between the Scottish Government, NHSScotland, COSLA and the Third, Independent and Housing Sectors 5 Demonstration Sites Aberdeen o Lead: Bon Accord Care Borders o Lead: Social Work (OT) with Care & Repair Falkirk o Lead: Social Work Fife o Lead: Housing & Neighbourhood Services Lochaber o Care & Repair

JIT is a strategic improvement partnership between the Scottish Government, NHSScotland, COSLA and the Third, Independent and Housing Sectors AFC TEC Objectives 1.To ensure that technology enabled care forms an integral part of adaptations processes and reviews of people’s home environment 2.To test approaches for active case finding and improved collaboration 3.To improve approaches to asset management 4.To test and provide illustrations of the role that housing organisations can play in supporting people to use technology

JIT is a strategic improvement partnership between the Scottish Government, NHSScotland, COSLA and the Third, Independent and Housing Sectors Adaptations Network To share learning across Scotland  From demonstration sites, other initiatives in Scotland & elsewhere Focus on practice improvement, in line with AWG recommendations Part of a developing wider Housing Learning Network

Key national agendas….. …..and opportunities 16

JIT is a strategic improvement partnership between the Scottish Government, NHSScotland, COSLA and the Third, Independent and Housing Sectors Current Activity Delayed Discharge Task Force, 200,000 days ambition Housing-based intermediate care (step up/step down) Proposals for other ‘housing’ support –Housing options advice in hospital –Single point of contact for housing services Care & Repair Fast-track adaptations Small repairs and changes eg key safes Practical tasks – shopping, cleaning Coordinating access to housing & community services Linking, signposting to other services ?Housing options advice Delayed discharge 17

JIT is a strategic improvement partnership between the Scottish Government, NHSScotland, COSLA and the Third, Independent and Housing Sectors Current Activity £30m Fund over 3 years from 2015/16 Focus on expanding use of technology – telecare, home health monitoring, video-conferencing Issues around uptake, asset management, ongoing use Related home safety activities - SFRS Care & Repair Case finding – people and carers who would benefit and want it Installation and maintenance Supporting ongoing use Linking/signposting to other services Technology enabled care 18

JIT is a strategic improvement partnership between the Scottish Government, NHSScotland, COSLA and the Third, Independent and Housing Sectors Current Activity Following on from Reshaping Care for Older People Supporting frail older to live independently and out of hospital Early stages – will be area focused, with housing involvement Care & Repair Housing health checks Case finding Coordinating services in housing sector (private sector) ?Fast track services Linking/signposting to other services ?Housing options advice Frailty programme 19

JIT is a strategic improvement partnership between the Scottish Government, NHSScotland, COSLA and the Third, Independent and Housing Sectors Current Activity National dementia strategy, 5 test sites 12 months support post diagnosis required Commitment 5: safe & supportive home environment Focus of Adapting for Change sites and TEC Care & Repair Case finding Dementia friendly, tailored services Specific support for use of technology (and other equipment) Home health checks following diagnosis Dementia programme 20

JIT is a strategic improvement partnership between the Scottish Government, NHSScotland, COSLA and the Third, Independent and Housing Sectors 1.Are these the right contributions that Care & Repair make, or could make? 2.What needs to happen for you to realize these opportunities? 3.Can you link, coordinate between yourselves or with others to make your ‘offer’ more attractive? 21