Mind the Gap

how housing can help to address growing health inequalities

Amanda BritainLead for Housing

Joint Improvement Team

Equally well: Task Force (2008)1. Improving the whole range of circumstances and environments that

offer opportunities to improve people's life circumstances and hence their health.

2. Addressing the inter-generational factors that risk perpetuating Scotland's health inequalities from parent to child, particularly by supporting the best possible start in life for all children in Scotland.

3. Engaging individuals, families and communities most at risk of poor health in services and decisions relevant to their health.

4. Delivering health and other public services that are universal, but also targeted and tailored to meet the needs of those most at risk of poor health. We need to prevent problems arising in the future, as well as addressing them if they do.

1. Housing.....and health and social care integration

2. Update on current developments

Housing – in or out?

“It will be important that........partners ensure that housing services........ are fully included in the integrated approach to service planning and provision, and that

health and social care planning and local housing strategies are mutually

supportive.”

Policy Memorandum

Housing – in or out?

“It is the Scottish Ministers’ intention to use these powers to describe what is meant by the broad

term “social care”, which extends beyond social work functions to include, for example, some

aspects of housing provision by local authorities.”

Policy Memorandum

Housing sector views

Support for the principles underpinning the Bill focus on outcomes

Concern that proposals will not address ‘disconnect’ with housing engagement with housing will be left to local decision decisions being made without discussion with housing

partners

The housing contribution1. Co-ordinated strategic planning of the supply and quality of

housing and related services across tenures and stages of life

2. Providing individuals with information and advice on housing options

3. Directly providing or facilitating, ‘fit for purpose’ housing for rent and for sale / part sale, that gives people choice and a suitable home environment

4. Providing local, personal, preventative services such as “handyperson” schemes

5. Building capacity in local communities.

Issues for Housing Sector1. Scope of integration

Sorting out the ‘partnership’ services - housing support, homelessness, housing with care, housing adaptations

2. National outcomes Ensuring that people homes and the wider community is a recognised

part of delivering 7 national outcomes

3. Governance arrangements Putting in place arrangements to ensure alignment of priorities, plans,

investment and services/supports

4. Strategic planning/strategic commissioning Ensuring alignment between JSCPs and LHSs

5. Locality planning Including the housing sector as a key partner at locality level

Partnership ...... not integration

Current developments

1. Housing contribution statements

2. Housing adaptations

3. Dementia – housing’s contribution

4. Contribution to prevention

5. Housing with care

Housing Contribution Statements

Introduced as formal requirements in 2013 As part of joint strategic commissioning plans Sets out housing’s contribution to Joint Strategic

Commissioning Just older people in 2013 – but will apply to all

Issues identified within HCSs Access to, and use of, data Planning processes between housing and partners in

health and social care The resource implications of the JSCP agenda for

housing

Survey gathering feedback from housing local authorities & RSLs How was it for you? How can we improve?

Regional feedback & discussion sessions Testing & developing approach to Housing Need &

Demand Assessment Reviewing data sources in health and social care

Housing Contribution Statements: next steps

Independently chaired group to consider streamlining and case for more fundamental change

Guiding principles

Case for fundamental change

15 opportunities for change

within existing framework

Housing adaptations

Adaptations: next steps

Scottish Government undertaken to follow recommendations, to extent possible

Practice exchange event on 5 December Organised by JIT Badged with ALACHO, SFHA, CIH, Care & Repair,

ADSW

Policy review process started Setting up external advisory group

Awareness raising events

Personalised support flexible and person-centred services to promote participation and independence

Community connectionsSupport to maintain and develop social networks and to benefit peer support for both the person with dementia and the carer

Environmentadaptations, aids, design changes and assistive technology to maintain the independence of the person and assist the carer

8 pillars of support

Dementia: next steps Contributing the housing and housing

support to national developments 12 months post diagnostic support Testing the ‘Environment’ pillar

2 main components Housing options advice Dementia friendly communities – test

sites/local exemplars

Housing support services

Handyperson services

Care & Repair

Social networks

Community Support

the housing sector’s contribution to the development and delivery of

preventative services

Active & healthy ageing

Allowing older people to remain longer in the labour market, to participate

actively in society and to live independently as long as possible

Key themes

I want to have

fun and enjoy

myselfI wish to be able to

contribute to society for

as long as I want and to

be treated with respect

Don’t talk about

me without me

I wish to remain

connected to my

community and

friends

Preventative services: next steps

Case study examples JIT and SG website

Housing as community anchor organisations Contribution to active ageing, and age friendly

communities & neighbourhoods All tenures, community focussed, ‘social connectedness’ Up to 5 innovation sites

Housing with care

Report on recent housing with care developments

CIH – case study approach

Finding ways to use existing housing Upgrading existing sheltered housing Using general needs housing

Focus going forward hub and cluster developments Models for people with complex needs

Find out more.....

1. Housing and Regeneration

2. Joint Improvement Team

3. Chartered Institute of Housinghttp://www.cih.org/scotland

http://www.scotland.gov.uk/Topics/Built-Environment/Housing/access/ROOPH

http://www.jitscotland.org.uk/action-areas/housing/