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Getting to Grips with Integration

This article explores the role of housing in the journey of integration, particularly in the context of localism, decentralization, and the big society. It also highlights the importance of housing in public health, personalization, and community integration through case studies and evidence.

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Getting to Grips with Integration

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  1. Getting to Grips with Integration The role of housing Caroline Hawkings Policy Officer 9 December 2011

  2. Integration is a journey... not a destination.

  3. Housing is a critical milestone on the journey.

  4. Context Housing providers have much to contribute in a landscape where... • Localism is the ethos – doing everything at the lowest possible level • Decentalisation is the process – giving away power to individuals, communities and local institutions • Big society is the outcome – where people & neighbourhoods have more power & responsibility & use it to create better services & outcomes

  5. Public Health • Growing clinical evidence on importance of built environment and physical neighbourhoods inc Marmot Review. •  Housing is a health investment in itself: reduced incidence of respiratory disease & less use of acute services • PH White Paper Nov 2010 – LAs take a more active lead on public health, & NHS providers to look beyond traditional services to wider therapies and types of support. • PH update July 11 ‘effective spend on prevention will release efficiency savings elsewhere.’

  6. Personalisation ‘a broad range of choice in the local care and support market, including housing options, and personalising the way in which care and support services are delivered’Think Personal, Act Local 2010 • Think Local, Act Personal • Social Care Vision: Capable Communities and Active Citizens

  7. Health & social care

  8. Case Study: Saving NHS funds through transitional housing • Havebury Housing Association in partnership with NHS • Transformed an unused managers flat – to transitional flat • Charge £155 per week inc service charge v hospital bed c£400 a day saving NHS £2,800 pw • Saves social services avoids likely registered care • Articulate value in quick cash savings, not only long-term value

  9. Case Study: Extra care promoting community integration • Moorlands Court, a joint venture: Local Council Community Services & CHS Group. • A big move: from move from residential care to 35 unit extra care facility. • Big changes for residents & their relatives, CHS staff & organisation. • Big gains: increased physical function, increased independence & increased integration. • Focus for community activities: luncheon clubs, meeting rooms

  10. Case Study: MHA extending services to the community • Each scheme manager offers a menu of services to residents, as well as personal care provided through MHA’s domiciliary care service. • Through surpluses & charitable income MHA funds national network of 50 Live at Home services: community services and neighbourhood activities • MHA funds managers for the groups, plus local committee & volunteers • Increased independence & integration of services

  11. Case Study: Providing Portable Care • Housing 21 Portable Care Pilot in Bristol, with Bristol City Council & North Bristol NHS Trust. • Impact on patients & staff when care is transferred from the extra care setting to hospital. • Care workers supported 4 residents through 17 formal care visits. • Shared information on care needs, family circumstances, medication, eating & drinking • Improved communications • Discharge home instead of to residential care.

  12. Housing central to health & social care Communicate & Participate Health & Wellbeing Boards Evidence for JSNAs Healthwatch Directors of Public Health The Key?

  13. Contacts & Information Email: caroline.hawkings@housing.org.uk Telephone: 020 7067 1090 www.housing.org.uk/careandsupport www.thinklocalactpersonal.org.uk/Browse/commissioning/blueprint/

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