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Adult Social Care & Health - What’s Housing Got to Do With It?. Neil Revely Executive Director of People Services, Sunderland City Council Chair, Association of Directors of Adult Social Services, Housing Policy Network. Background to the Event. ADASS & Policy Networks

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Adult social care health what s housing got to do with it

Adult Social Care & Health- What’s Housing Got to Do With It?

Neil Revely

Executive Director of People Services, Sunderland City Council

Chair, Association of Directors of Adult Social Services, Housing Policy Network


Background to the event
Background to the Event

  • ADASS & Policy Networks

  • Housing Policy Network

  • Needs of Director’s of Adult Social Services

  • The Donald Rumsfeld answer

  • Developing a Regional Event

  • Evaluate and amend accordingly


The policy context
The Policy Context

  • Marmot Review - to improve Health and Wellbeing, need to improve the social determinants of health

  • Health and Social Care Act - Reforms the way health services are delivered, with Health & Well Being Boards responding to Local Needs Assessment

  • Care Bill - An overarching vision for adult social care including an emphasis on housing solutions

  • Better Care Fund – requires integration and needs to drive significant efficiencies


The challenges
The Challenges

  • The Economy

  • Reductions in public resources

  • Increasing demand and expectations

  • Strategic shift to personalisation, early intervention, prevention, re-enablement, care at home

  • Welfare reforms

  • Changing the way agencies work with residents and communities

  • Unlocking untapped assets and potential within communities


The challenges ageing population
The Challenges - Ageing Population

  • Life expectancy is rising

  • By 2025/2030:

    • Over 65s will increase by 46%

    • Over 85s will increase by over 50%

    • 28% increase in older people who have problems with daily living

    • 67% increase in over 65 dementia cases

  • Without changes this equates to a 150% increase in care costs

  • 95% vulnerable residents want to live at home


The opportunities
The Opportunities

  • Greater Partnership/Integration at all levels

  • Health & Well Being Boards and CCGs

  • Supported Living Options

  • Extra Care Housing

  • Supporting Intermediate Care

  • Supported Housing Solutions

  • Aids and Adaptations

  • Telecare/Telehealth

  • Developing Community Capacity


Why integration matters making housing count
Why Integration Matters & making housing count

Reduce Demand & Avoid Cost

  • Prevent or reduce levels of demand; acute (inpatient, A&E and outpatient care), primary (community health) and social care (residential, intensive home care)

    Reduce Costs

  • Reduce unit costs e.g., tariffs for condition specific interventions

  • Reduce costs of pathways

  • Reduce staffing costs/overheads

    Outcomes for People

  • Most importantly much better for people and families


Final thoughts
Final Thoughts

  • The legislation and policy helps – but locally its about people and whether we want to do it!

  • We need to use the burning platform of rising demand and reducing resources

  • The Sectors needs to act more coherently

  • Government needs to join up better

  • A better evidence base is required

  • Relationships are the key


Contact details
Contact Details

Neil Revely

Executive Director – Health Housing & Adult Services

Sunderland City Council

Civic Centre

Burdon Road

Sunderland SR2 7DN

Tel: 0191 5618953

E-mail: [email protected]


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