'Housing Matters' ‘Housing Matters’ Housing’s Offer to Health. CIH Research for Leicestershire 2013
A bit about the scope of housing Housing and health Background to the research Where housing fits into our H&WB & ICB priorities Opportunities together to deliver better outcomes at less cost to the whole system - exactly what ITF is all about Menu Today
Contributors to Health Outcomes Health Behaviours 30% Socioeconomic Factors 40% Clinical Care 20% Built Environment 10% Smoking 10% Education 10% Access to care 10% Environmental Quality 5% Diet/Exercise 10% Employment 10% Quality of care 10% Built Environment 5% Income 10% Alcohol use 5% Poor sexual health 5% Family/Social Support 5% Community Safety 5%
354 excess winter deaths in Leicestershire (2012) 10.5% of Leicestershire children were classed as living in poverty in 2011 Asthma and other respiratory diseases are exacerbated by poorly heated homes 416 early deaths due to heart disease and strokes in Leicestershire (2012) Homeless people use A & E more than housed people Delayed hospital discharges due to unsuitable homes Mental ill health is exacerbated by housing problems Local Impacts
Some existing joint work but often to separate agendas &different languages. Intuitive recognition that housing, social care and health are interlinked as pillars for H&WB H&WBB/ICB driving change & a focus on priorities and outcomes HSP brings people together with an interest in housing services – but limited health input so far ITF agenda makes it even more important to understand where housing can make a difference HSP commissioned Chartered Institute of Housing (CIH) in Spring 2013 to identify a local housing offer to health Cross agency group steering this work HSP has considered report and suggested 5 areas for joint work to make a difference A Bit of Background
The CIH Report • Introduction • The Leicestershire Housing Offer • Partnership Working • Next Steps Appendices • National Overview • Research and Evidence • Positive Practice
Good quality homes Affordable warmth Delivering new homes Safe environments and communities Safe play spaces and green spaces Access to advice and support Partnership working linking things together Getting it Right from Childhood
Providing supported housing Homelessness prevention Advice and assistance Supporting timely and appropriate hospital discharge Managing the Shift to Early Intervention and Prevention
Warm, decent and secure homes Reduce admissions/support hospital discharge Aids and adaptations and assistive technology Advice and assistance Home Improvement Agencies Dementia – early signs, home design & support Handy person schemes –low level support Partnership working to combat loneliness & isolation Housing options advice and support Community engagement and cohesion Supporting our Ageing Population
Providing supported housing Resident support Advice and assistance Promotion of dementia friendly homes and communities Mental health awareness and referral skills Mental Health and Wellbeing
ICB Priorities & Housing Supporting Independence/Step Up/Step Down • Warm, decent and secure homes • Reduce admissions/support hospital discharge • Aids and adaptations and assistive technology • Advice and assistance • Home Improvement Agencies • Dementia – early signs, home design & support • Handy person schemes –low level support • Partnership working to combat loneliness & isolation • Housing options advice and support • Community engagement and cohesion
Involve housing options in the hospital discharge pathway so that housing barriers/solutions are actioned quickly Establish a handy persons support service – linked to previous item but has wider benefits around prevention Take the First contact Scheme into GP surgeries to signpost people to advice and services Secure money to deliver a targeted affordable warmth programme Develop model for joined up holistic services for older people's support and care Where Can We Start?
Many older owner occupiers are revenue poor/capital rich Equity Release schemes available A need to join together to manage expectations and make Equity Release a choice. Getting More Resources Into the System?
Comment on the report and approach Commit to involving housing at the start of change programmes Agree how health will be actively engaged in the Housing Services Partnership Identify resources to commission work around the 5 priority areas to develop business cases Seek Leicestershire Together support to promote Equity Release Next Steps