1. Learn with us. Improve with us. Influence with us | www.cih.org Let’s Talk about Housing – why it matters for our health and wellbeing Domini Gunn: Director Health & Wellbeing

2. Learn with us. Improve with us. Influence with us | www.cih.org Who lives where? Home ownership falling 2001 70% : 2012 64% Private rented sector fastest growing 2001 10.1% : 2010 17.4% Average age first time buyers 41.5 years 2

3. Learn with us. Improve with us. Influence with us | www.cih.org Housing context Overall home ownership dipped from 68 per cent in 1992 to 64 per cent last year. Among the 35-44 age group it has dropped from 79 per cent to 63 per cent For those aged 45-54 it was down from 79 per cent to 71 per cent. For older people home ownership is on the rise – among the over 65s it jumped from 60 per cent to 76 per cent. For 55-64 it rose from 73 per cent to 77 per cent. 3

4. Learn with us. Improve with us. Influence with us | www.cih.org Cost of Housing Cost of buying a home in England has soared by more than 70 per cent in 10 years Cost of renting has jumped by almost a third Chartered Institute of Housing (CIH) May 2013. 4

5. Learn with us. Improve with us. Influence with us | www.cih.org Where older people live 90% in mainstream housing 75% home owners Equity rich (some): cash poor (many) Enabling older people living independently at home is a high priority for social services and health – and for older people! Alternatives when needed?

6. Learn with us. Improve with us. Influence with us | www.cih.org Where do younger people live? Some stay at home but social & economic issues Private rented sector - affordable, secure & sustainable? Social housing – access difficult for all but the most vulnerable What is the plan? 6

7. Learn with us. Improve with us. Influence with us | www.cih.org A Revolution in a Century Addressing the health and social problems arising from poor housing were key drivers of early housing improvement

8. Learn with us. Improve with us. Influence with us | www.cih.org A Revolution in a Century Life Expectancy in 1901 was 49yrs (women), 45yrs (men) Life Expectancy 2008 was 82yrs (women), 77yrs (men) with 50% living to 80 Start of the NHS in 1948 48% died before 65yrs - now it is less than 18%

9. Learn with us. Improve with us. Influence with us | www.cih.org The Challenge Can we rebuild that connection and put housing centre stage again? Does Housing understand health sector priorities? The NHS needs to make £20 billion of efficiency savings Integration with social care Role of Public Health Are we able to clearly set out how housing can contribute? What do you need to know about Housing?

10. Learn with us. Improve with us. Influence with us | www.cih.org Do health & social care get housing? In theory - but not so much in practice – why? Pressure to manage crisis & acute needs Planning & commissioning decisions often reverting to reactive short term solutions Funding short term Good relationships forged at a very local level Rhetoric often fails at point of delivery 10

11. Learn with us. Improve with us. Influence with us | www.cih.org Housing impact assessment – cost to health & social care Pick a number between £850m - £1.5b per annum Included & some unknown additional costs – delayed hospital discharge & returns – admissions to A & E – repeat GP visits – other emergency interventions eg asthma, cold homes, homelessness, end of life – prescription costs incl loneliness, anxiety, stress……etc 11

12. Learn with us. Improve with us. Influence with us | www.cih.org Leicestershire Building Blocks For Change First Contact 4 ways to warmth Homefinder Older People’s Housing Options Dementia support Delivering DFGs & minor adaptations Assistive technology Housing related support services Housing providers as community hubs 12

13. Learn with us. Improve with us. Influence with us | www.cih.org Joseph Rowntree Housing, health and social care agencies are not effectively collaborating to provide services for vulnerable people There is little evidence of three-way links between all the agencies. Links between social services and health are reasonably good, but both tend to exclude housing. 13

14. Learn with us. Improve with us. Influence with us | www.cih.org Where will we live? Staying well at home, & recovering and receiving treatment at home, is a priority Complex issue of supply and demand that needs to address location, tenure, security and affordability. Welfare reform will impact on access to housing but it is not just an issue of the “bedroom tax” Ageing population will need different housing models that provide choices, and link to support and care. 14

15. Learn with us. Improve with us. Influence with us | www.cih.org Economic sense We know that the economic rewards of investment in housing are enormous. Every £1 spent puts £3 back into the wider economy. Because every new home built creates jobs it protects jobs and gets people back into work. Maintenance & adaptations sustain & create jobs 90% building materials are manufactured in UK 15

16. Learn with us. Improve with us. Influence with us | www.cih.org But housing offers so much more…………….. A decent home is a fundamental building block to a healthy, independent and dignified life, providing the secure base people need to achieve their aspirations. “the right to housing should not be interpreted in a narrow or restricted sense which equates it with, for example, the shelter provided by merely having a roof over one’s head or views shelter exclusively as a commodity. Rather it should be seen as the right to live somewhere in security, peace and dignity.” V. Annex 1, General Comment No. 4 on the right to adequate housing (Article 11, § 1), § 7, adopted 13 December 1991. Committee on Economic, Social and Cultural Rights, the principal U.N. body responsible for housing 16

17. Learn with us. Improve with us. Influence with us | www.cih.org Rhetoric to Reality Chartered Institute of Housing: www.cih.orgwww.cih.org source of information, support and professional membership Hospital 2 Home resource pack www.dh.gov.uk/health/2012/10/hospital-2-home/ Integrating Housing Help into the Hospital Setting ‘If only I had known…’ www.careandrepair-england.org.uk [go to Home from Hospital] – Cost benefit evaluation and ‘how to’ infowww.careandrepair-england.org.uk Housing LIN www.housinglin.org.uk/www.housinglin.org.uk/

18. Learn with us. Improve with us. Influence with us | www.cih.org Thank you Domini Gunn, Director Health & Wellbeing Chartered Institute of Housing domini.gunn@cih.org 18