Our integrated care support services Harriet Bosnell Director

Our integrated care& support services Harriet Bosnell – Director – Curo Health, Care & Support www. curo-group. co. uk

Our Housing Offer • Healthy homes communities and neighbourhoods • More affordable housing • The Home as a point of integration and joined up services / Housing First model • Meeting health & care priorities • Information sharing and research – work with Public Health + 5 ways to wellbeing • Workforce development and employment

Intro to Curo • Housing Association and support provider with 12, 000 homes in the South West • 3, 000 people supported in independent living every week across Foyers, homelessness and mental health services, extra care • Community services to non-Curo residents and a social enterprise delivering ILS support to over 50 s • Innovation – asset based community development and CCG pilots www. curo-group. co. uk Tweet us @Ask. Curo

Our offer in B&NES Care respect openness fairness and trust • 550 current people with the Independent Living Service – social enterprise model of support to over 50 s • 2000 people living in Curo sheltered accommodation across 70 locations across B&NES • 65 supported units for homeless young people • The Wellbeing House + step-down • 32 units of supported short-stay accommodation for homeless families + single people

Measuring our social value • Outcomes- the specific changes an project or activity brings about for its beneficiaries e. g. Better health as measured by reduced GP visits • SROI – the £ value of the social, economic, environmental outcomes created by an activity or an organisation • Social value – the wider nonfinancial impacts especially on well-being of communities and individuals

Why we measure outcomes • Support customer insight • Develop new service ( ILS/ rural dementia challenge • Self-directed support & tracking of progress - motivation, choice and control • As a business health check • Have evidence for audits/ inspection • Meet the Social Value Act 2012 • Tender for contracts

Our approach • Measuring what matters – to us and links to values & objectives • Outside in thinking - what do stakeholders want to see results in? • Keeping it simple – cost effective and more effective • Golden thread between outcomes and budgets • Qualitative and Quantative • Check Plan Do Review

Measures that matter

Tools we use • Outcomes stars / journey wheel with customers • Outcomes Framework - preventative and enabling outcomes around health and wellbeing • Net Promoter Score ( NPS ) measured independently how likely service users are to recommend your service to someone else • Overall Service Satisfaction • Social Return on Investment • Stories / social media - compliments and complaints measures Sound insight – results in ability to grow services and innovate

Preventative Outcomes In the last year we have prevented: • 673 Hospital admissions • 530 Admissions to residential or nursing care • 458 repeat presentations at A&E • 730 repeat presentations at GP surgeries • People requiring a social services funded service on 1055 occasions

Enabling Outcomes In the last year we have enabled: • 274 people to be discharged from hospital • 49 people to be signed off from secondary mental health services • 51 people to obtain paid employment & come off /reduce reliance on means tested benefits (includes 14 Curo Apprenticeships)

Preventative outcomes

Enabling outcomes

Health Outcomes

Enjoyment and Achievement outcomes

Economic wellbeing outcomes

Safety Outcomes

We also… • Support people to access to Memory services • Ensure people receive further structured support , signposting and follow-up • Participated in a connecting activity e. g. coffee morning • Benefitted from taking up new technology and learning • Volunteering, Training, Work, Education opportunities • Help in setting up new groups or activities – Connexus • Make over 80 - safeguarding alerts and support people impacted

Social Return on Investment • • Evidences our return to the Public Purse through the reduction of demand on other services (e. g. NHS) 7 principles; involve stakeholders, understand what changes, value what matters, do not over-claim, be-transparent, verify SROI Network website Service SROI to public purse Independent Living Service £ 4, 432, 217 Mental Health (W-s-M) £ 96, 642 Teenage parents £ 228, 000 Temporary Accommodation £ 1, 591, 513 Young Persons Service £ 1, 464, 544 Sheltered £ 5, 135, 106 Total: £ 12, 948, 022

Social Return on Investment calculations • Homelessness (£ 24000+) Source: DCLG August 2012 • Hospital Admission (£ 1806) • Admissions A&E (£ 363) Source: NHS JSNA (2012) Source: Average cost of A&E visit NHS • Residential Care (£ 450 per week) Source: Local Authority weekly Res Care payment (x 26 as accepted cost saving) • GP Attendance (£ 25) Source: Accepted as cost per GP visit • Taken to custody (£ 3380) Source: accepted minimum to process and take through to court) • Stepdown – saves at least £ 100 K every 10 weeks to public purse

Contact details Harriet. bosnell@curo-group. co. uk (01225) 366167 or 07753 435556