Health social care housing Emily Bird National Housing

Health, social care & housing Emily Bird National Housing Federation

The voice of housing associations • 1, 200 independent housing associations in England • 2. 5 million affordable homes for more than 5 million people • 700 members provide care & support for older & vulnerable people

Poor housing = poor health BMA: ‘multiple housing deprivation appears to pose a health risk that is of the same magnitude as smoking and, on average, greater than that posed by excessive alcohol consumption’

Improving health outcomes • • Good quality affordable housing Green space Specialist accommodation Support services

Delivering cost savings • Housing related support saves £ 315 m a year from health & social care budgets • £ 11, 751 person per year saved by specialist housing for people with mental health problems £

Keys to Health • • • Tackle inequalities in Peterborough 2 health trainers in partnership with PCT Community based initiative One client lost one stone in weight in just 6 weeks Another who was smoking 40 cigarettes per day has quit.

Direct Labour Organisation • Facilitating timely hospital discharge • Black Country Housing home improvement service • Helped over 4, 500 people in Sandwell & Dudley with repairs & adaptations • Estimated savings of £ 120 per day

Other examples • Supported living step-down following discharge from psychiatric hospital – PCT block purchased flats – Saves £ 22, 000 per client per year to health & social care • Extra care housing – Partnership: PCT, council, housing association • Scheme for people with mental health problems – Flexible, personalised support

Risks to the health of vulnerable people • Major cuts to housing related support funding • Uncertainty over investment in supported housing • Questions over the future of housing benefit = Loss of preventative health & care benefits

Making the links. . . • Local assessment of housing need should be considered alongside health & social care needs • Outcomes frameworks should integrate with housing interventions

Making the links. . . • Health & wellbeing boards need to include housing • Commissioners should be responsible for the most excluded, or risk worsening inequalities

What can housing bring to the party? • EVIDENCE • Clinically-led commissioning • Outcomes indicators • Trusted provider • QIPP agenda • Community organisation

Resources from the Fed • Invest in Housing, Invest in Health – Examples for health commissioners & partners • Housing for health: worlds aligned – Data & tools for housing providers to use • Health & Social Care Bill briefing www. housing. org. uk/health

Emily Bird 020 7067 1180 emily. bird@housing. org. uk ?