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Integration: A New Direction for Health and Housing

This presentation discusses the Memorandum of Understanding (Dec. 2014) and its principles, context, and framework for shared action plan. It highlights the importance of collaboration, prevention, and shifting resources out of hospitals, and explores future models of care. It emphasizes the role of housing associations in investing in decent housing, people, and place to improve health outcomes and reduce inequalities. The challenges and key messages for the sector are also discussed.

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Integration: A New Direction for Health and Housing

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  1. Dr Lynne Livsey, Health Partnership Coordinator National Housing Federation Presentation to NE Housing LIN Meeting Middlesbrough, 15th April 2015 The Memorandum of Understanding – A new direction in integration?

  2. Priorities for health commissioners • Persistent health inequalities • Ageing population • Unmet mental health needs • Premature deaths • Complex conditions • Prevention • Health promotion • Self-care • Shifting resources out of hospitals • Designing integrated services • Early intervention

  3. The desire for collaboration isnot new! Since social need is complex it can rarely be divided so that each part is satisfactorily dealt with by a separate service…….. ……because problems are complicated and interdependent, co-ordination in the work of social services of all kinds is crucial. In many cases effective help will continue to depend upon the assistance of more than one organisation” Report of the Committee on Local Authority and Allied Personal Social Services, July 1968. (The Seebohm Report).

  4. The Memorandum of Understanding (Dec 2014) Principles Context Framework Shared action plan

  5. Shared Commitment to • Healthy homes, communities and neighbourhoods to: • Reduce inequalities • Deliver better health outcomes

  6. Getting serious about prevention “………the future health of millions of children, the sustainability of the NHS, and the economic prosperity of Britain all now depend on a radical upgrade in prevention and public health” (NHS, 5 Year Forward View 2014:3)

  7. Other relevant documents…. • Care Act 2014 implemented from 1st April • NHS 5 Year Forward View (2014) • PHE ‘From ‘Evidence to Action’ (2014) • Dalton Review (2014) • Due North Report (2014)

  8. Future models of care • NHS England 5 year forward view proposes new models of care - whole system approaches across primary, community, secondary and social care. • •There is a new models of care learning network led by NHSE, Monitor, TDA, LGA – working with 6 areas over next 6 months to translate some of the best models internationally to an England context. • •More detail of proposed ideas for new models of care, can be found in chapter 3 of NHSE’s 5 year forward view http://www.england.nhs.uk/ourwork/futurenhs/5yfv-ch3/

  9. The building blocks

  10. Where can housing help?

  11. Take a life-course approach Life Course Starting well Living well Ageing well Mental health support Homeless interventions Healthy lifestyle choices Access to employment Refuge support Troubled families Teenage Parents Specialised housing Adapted housing Home based support Tackle isolation

  12. What makes a difference? • Decent and affordable housing • Employment and access to adequate income (minimise debt) • Good child-care and education • Healthy life-style choices • Supportive and healthy neighbourhoods • Good social networks

  13. What needs to happen? Change social conditions and the economic and political systems that sustain and increase social and health inequality. • Collaborative action – Central Government, Regional and Local Agencies and communities • Invest in economic growth and fair distribution of proceeds • Build on regional and community assets • Invest in people and place

  14. What can housing associationsdo? • Invest in decent housing • Invest in people and place • Become part of the platform of opportunity and forge strong relationships with Public Health • Target resources – improve the health of the poorest fastest • Adopt a life-course approach • Invest in evidence, research and evaluation – look at data-sharing and partnership opportunities

  15. Some challenges • Silos persist • Competitive contract culture • Mismatch - commissioning cycles and long-term investment • Evidence about integrated services is mixed! • Risk, Reduction, Resources • Housing left holding the ‘baby’

  16. Some key messages for our sector • Clear aims and objectives • Multi-agency governance – strategic and operational • Build evaluation into planning stage • Be prepared to invest to demonstrate innovation • Involve service users • Include health economics in evaluation • Think about time-scales • It’s all about people

  17. What is your experience of Integration/ • What is working well in your areas? • What are the barriers? • What needs to change? • What additional skills, information and knowledge do you need?

  18. Emily Bird Policy Lead, Health and Wellbeing Emily.bird@housing.org.uk Follow@natfedemily on Twitter Look at the Health Partnership Hub http://www.housing.org.uk/policy/health-care-and-housing/health-hub/

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