1. 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

2. 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

3. 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 – 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

4. 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)

5. 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

6. 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

7. 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

8. 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

9. 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

10. 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