1. Delivering Care Services as part of the Housing Needs Solution John McLean Fold Housing Association 3 rd June 2015

2. Supported Housing Telehealth Brain Bus Staying Put Day Care FOLD Home Your own Home Telecare General Needs Sheltered Housing Hub & Spoke Choice

3. Fold at a Glance 31 years of expertise in Housing, Care & Support 6,200 homes / 27,000 Telecare & Telehealth Users 800 Housing and Care Staff Social Enterprise of £40m Tr Accountable to a professional voluntary board Our service users sit on the Board.....Providing choice for families and others in need of housing, care & support.....Providing choice for families and others in need of housing, care & support

4. Key Stakeholders Housing / Care Operating Environment Housing / Care Operating Environment DSD’s Housing Division NIHE’s DPGDSD’s Governance & Inspection Private Funders HSCT’s Housing Associations Joint Management Partners RQIA Supporting People.....Living independently as possible in the community.....Living independently as possible in the community Residents Carers DHSSPS

5. Older People 470,000 (25%) Older People by 2050: Living Alone Living to greater ages More with longstanding chronic illnesses Many will be owner occupiers 320,000 (16%) over 75 yrs

6. Dementia 1% of Population living with dementia Projected growth Now19,000 201723,000 205160,000 People living aged 60 + 11.2% dementia 10% stroke 5% Cardiovascular 2% Cancer

7. Choice and personalisation

8. Integrated Care and Support Models Housing support Care Planning MealsLaundryMinimal support with personal care Maximum support with personal care Housing with care Yes Extra Care Yes No Supported Care YesNo YesNo Sheltered housing YesNo.....Living as independently as possible in the community.....Living as independently as possible in the community

9. Supported Housing Housing Support for Vulnerable People Housing Support for Vulnerable People Pay Rent & Bills Claim the right benefits Manage Money Cook Look after the house Go Shopping Keep Safe Clean the house Attend Church.....Living as independently as possible in the community.....Living as independently as possible in the community Return to Education

10. Sheltered Housing Fold has 2,500 units 8,000 sheltered units in NI Only 3% voids 53% tenants 75+ Poor health in 50% males / 38% of females 87% considered accessible / very accessible 94% satisfied with heating 99% felt safe 42% dissatisfied with mobility scooter storage

11. Housing with Care & Extra Care Person centred care 24hr Support & Peace of Mind Enables independence Promotes integration into the community Prevents social isolation Dual funded, cost effective model Underpins Transforming your Care Strategy Barn Halt - Best Practice Extra Care model

12. FOLD Telecare.....Living as independently as possible in the community.....Living as independently as possible in the community

13. FOLD Telehealth TF3 Consortium.....Living as independently as possible in the community.....Living as independently as possible in the community

14. Outcomes in Telehealth BMJ Report published 2012 45% reduction in mortality rates 20% reduction in emergency admissions 15% reduction in A&E visits 14% reduction in elective admissions 14% reduction in bed days 8% reduction in tariff costs Quality of life remains broadly the same Patient satisfaction very high - age is no barrier “ Telehealth promises: better quality and more appropriate care for each patient; more efficient use of healthcare resources reduces the need for expensive hospital care. Will break down barriers relating to clinical change”

15. HIA Staying Put - DFGs 80% Older People prefer to remain in their own home Fold assists 700 – 900 applicants pa Preventative service Every £1 spent on adpatations saves NHS £7 An average adaptation saves H&SC system £10k 32% risk of admissions due to falls without adaptations Drops to 10% risk after adaptation Postponing entry to residential care saves £29k pp pa Enhances health, well being and quality of life

16. Challenges to be overcome Cuts in revenue / capital funding Increasing regulatory requirements Adhoc commissioning amid poor planning Contradictions in strategies across departments Bespoke solutions offering limited flexibility Unrealistic view of risk

17. Delivering Care Services as part of the Housing Needs Solution Thank you john.mclean@foldgroup.co.uk