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Housing, health, social care & older people Joining up Commissioning Sue Adams, Care & Repair England
Housing and Health Causal Links Many of the chronic health conditions experienced by older people have a causal link to, or are exacerbated by, particular housing conditions These include heart disease, stroke, COPD/ Housing also linked to acute problems eg. falls respiratory conditions, mental health, arthritis and rheumatism The Building Research Establishment quantifies the costs to the NHS of specific aspects of poor housing as over £ 600 million per year
Efficiency Health - a key driver for any public expenditure, including housing related Public health now a local authority function Failure of housing will impact on health and care service demand Integration - Better for people
The Ageing Link People over 65 account for: ◦ 37% NHS Primary Care spend (c. £ 27 bn) ◦ 46% Acute Care spend (c. £ 27 bn) ◦ 12% of total NHS budget is on community health care (largely older people) (c. £ 12 bn)
Acute Care • More than 70 % of hospital bed days are occupied by emergency admissions • 10% of patients admitted as emergencies stay for more than two weeks, but account for 55 % of bed days • 80% of emergency admissions who stay for more than two weeks are patients over 65
Where older people live 90% in mainstream housing 75% home owners Older people living independently at home are high priority for older people, social services and health
What does integrated housing for older people include? Fast adaptations to existing home Fast smaller odd jobs & repairs eg. to enable hospital discharge, falls prevention Information and advice about housing and care – housing options workers, including move on help Good supported housing options (all tenure)
Rhetoric into Reality Integrating Housing Help into the Hospital Setting ‘If only I had known…’ two reports Cost benefit evaluation and ‘how to’ info Self Help Housing Information linked to major long term health conditions (stroke, heart disease, dementia, respiratory, macular disease, arthritis) www. careandrepair-england. org. uk [click Home from Hospital] [email protected] org. uk
Local Commissioning example North Somerset – Weston Hospital Led by Supporting People Utilising all of the SP funded voluntary sector services within Home from Hospital Partnership Early days re: truly joint commissioning but seen as paving the way/ building evidence
Early days. . . Main gain is to health and social care. Will need health ‘buy in’ to continue due to SS funding only for critical and housing funding low priority Adult social care uncertainty – housing mentioned in White Paper but to what extent? Identifying common outcomes drivers
What next……. .
Creating Solutions - Questions Do you have local examples to share? What do you see as main challenges? Ideas for overcoming the challenges?