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www.england.nhs.uk
Learning Disabilities: Share and Learn Webinar
23 February 2017
Topic One: Transforming care and the future funding of supported housing
Amy Swan, NHS England
Topic Two: Care and Treatment Review – key changes in the refreshed policy
Maggie Graham and Gavin Harding, NHS England
#improvingLD @NHSEnglandSI
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The Future Funding of Supported Housing
Amy Swan, Housing Lead – Transforming Care23rd February 2017
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Contents
• Supported housing impact• Proposed local system• Supported housing review• Recent consultation and overall review timetable• NHS England response
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Supported housing and health
• Supported housing is a central part of an effective care system.
• The home as a place of rehabilitation, treatment and care
• Enables the management of long-term conditions/disability in the community
Person at home
Health careHousing
Social care
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CSR15 – LHA cap announcement and supported housing impact
53,000
30%£50 41% 80% £68
No. of households entering supported housing each year that could face a shortfall
30% of incoming households would face at least £50 a week shortfall
Of existing schemes would be at risk of closure
Of planned new homes would not be built
Weekly average shortfall for affected tenants
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Proposed local system
• Exemption: The supported housing sector will be fully exempt from the Local Housing Allowance (LHA) cap
• Consultation: setting out their preferred option for the future funding for the sector, expected to be implemented at the earliest by April 2019.
• New system: be an additional grant to councils to top-up supported housing rents. This additional grant would be ring-fenced.
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Research into size, scope and cost of the sector
Great Britain England Wales Scotland0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
71% 71%79%
61%
9% 9%
9%
14%
9% 8%
5%
16%
5% 5%3% 4%
3% 4%3% 2%1% 1% 1% 2%
2% 2%0%
For older people For disabled people HostelsFor people with mental health problems For young people (16-25) Refuges and safe housesOthers (not classified)
Supported accommodation review
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41%
18%
34%
7%
c£4.12bn
HB spend in SH per annum in Great Britain
Older people NOT in Specified Accommodation(£1.67bn – 359,000 SH units)
Working age people in Specified
Accommodation(£1.42bn – 157,500
SH units)
Older people in Specified Accommodation(£0.73bn – 103,000 SH units)
Working age people NOT in Specified Accommodation
(£0.30bn – 32,000 SH units)
Sources: Local authority survey, provider survey and CORE Social lettings 2014/15 (DCLG). Base: 177 Housing Benefit team respondents, 83 Commissioners and 65 providers across Wales and Scotland.
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Consultation and timetable
• Consultation closed Feb 13th
• Green Paper to follow Spring 2017 with more detail
• Autumn 2017 – detailed model announced
• Shadow year arrangements in place
• Commencement of new funding model
Consultation and timetable
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1. Fair access to funding, including the detailed design of the ring fence and any additional protections
2. Clarifying local roles and responsibilities3. Arrangements to provide oversight and assurance 4. The appropriate balance between local flexibility and
stability for providers5. Developing a funding model for short term
accommodation, including hostels and refuges
Consultation themes
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1. Protecting existing and future tenants 2. Providing certainty through localised funding 3. Allocation of funding and new supply
NHS England response
Supported housing must remain closely aligned to health priorities and outcomes.
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Questions?
Care and Treatment Review Policy
23 February 2017
Policy Refresh 2017
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Hello from us
• Gavin Harding MBE
• Maggie Graham
NHS England Learning Disability Programme
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• About the CTR policy review• When will it be coming out?• What’s changing?• Supporting everyone better• PERSONAL principles
What we will be talking about
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• CTR Policy came out in 2015• What is the policy and why change it?• Over 2,000 CTRs carried out• We asked lots of people for feedback• Over 700 people took part• We have used the feedback to make the policy even
better• Revised policy and materials launched at the end of
March
Care and Treatment Reviews - CTRs
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• Focus on quality• Clearer and stronger
• For people with learning disabilities, autism or both
• Purpose and “spirit” of CTRs• Roles and responsibilities• Relationship to CPA• Clear actions, by who and when in CTR
reports• Clearer role for providers
How will the new policy be different?
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• When should CTRs happen?• 6 months for people in acute, non-secure settings• More often for children and young people in hospital –
every 3 months• Every year for people in secure settings• Keep the right to request a CTR• CTR panel decide and explain why if repeat CTR should
be more or less often• ‘Blue Light’ protocol is example of best practice only
How will the new policy be different?
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• CTRs for children and young people: Care Education and Treatment Reviews, or CETRs
• Need to have less questions - more discussion• Key Lines of Enquiry KLOEs• Highlight concerns more clearly• More detail about CTR actions and following up • Hospital discharge standards• More on medication
How will the new policy be different?
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• The person, families and advocates • More and better information• Better communication about outcomes of CTR
and actions / follow up
• CTR panel members• Examples of good practice• New templates• Principles and standards
Supporting everyone betterTell me
CTR Panel
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Based on the word personal
person centred and family centred
evidence based
rights led
seeing the whole person
open, independent and challenging
nothing about us without us
action based
living life in the community
CTR principles and standards
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Any questions?
