1. Presentation to NHF and VSNW Round-Table 19 th February 2014 Lynne Livsey Health Partnership Coordinator Housing associations, health and social care: An overview of our sector

2. Our shared history From Middle Ages – charity and almshouses Victorian and Edwardian philanthropy 1920s new investment in social responsibility 1950s housing for migrant workers

3. A growing sector 1988 start of large-scale voluntary transfers with 2.3m councils homes transferred to HAs Now… housing associations annual turnover of £10b+ and provide 2.5m affordable homes for 5m people Still a force for social change and tackling poverty, inequality, poor housing and promoting health and wellbeing through community development.

4. The Housing Contribution Housing Associations spent c£746m on community projects in 2010/11:  £74m on health and wellbeing for 345,000 people  £60m on initiatives promoting independence for 1m people  £100m on safer stronger communities  £257m creating better places  £264m on better community spaces  £73m on learning and skills for 500,000 people  £80m on jobs and training for 270,000 people

5. The Current Context Policy drive towards closer integration with social care and health Diminishing funding Rising demand  For affordable and modern accommodation  For specialist and adapted accommodation  For neighbourhood investment  For housing support and community services  The impact of Welfare Reform on HA finances and health and wellbeing

6. Areas of Mutual Interest We are non-profit and invest for the long-term based on a good understanding of local needs We have a track record of responding flexibly to change and managing risk effectively We support choice and control and integrated care at home We are often dealing with the same people We recognise the importance of ‘doing things differently’.

7. Housing associations and health and social care Early intervention to manage demand Transform care pathways Risk reduction and management Better integration and co-ordination Make community connections

8. The Potential Prevention and early intervention Supporting choice and control for people with long-term conditions and complex needs Promoting reablement and tailored support Floating support, home adaptations, palliative care, rapid response, discharge support, community services & employment opportunities Partnerships with voluntary/community sector Working together to tackle health inequalities

9. The real competition? versus The VCS?