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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.
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
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
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/