FIT FOR THE FUTURE Leading the way in health & care HEALTHCARE & HOUSING: THE BIG OPPORTUNITY? Chair: Andrew van Doorn, HACT Anne Marie Connolly, Public Health England Kevin Beirne, One Housing Group Amy Swan, National Housing Federation #fitforthefuture @SocialEnt_UK Health and housing: The big opportunity Kevin Beirne Group Director of Housing Care & Support 2 3 Strategic integration • FT partnership agreement • Care Support Plus model • clinical inputs • joint service protocols • Alternative to admission • Redesign care pathways • Leveraging NHS estate www.onehousinggroup.co.uk 4 Intensive supported housing • 15 new-builds: £60m investment • Self-contained units & communal • Beautiful places • Specific design is key • Expert staff team • Person focused offer www.onehousinggroup.co.uk 5 6 Place in the recovery pathway Intensity of support Relapse Relapse increases the need for high intensity services. Blocked placements Blocked placements delay the transfer of service users from high intensity services. x High risk Care support service providers unwilling or unable to take on highrisk service users. Recovery www.onehousinggroup.co.uk 7 Pathway population • • • • • Out of area placements Full range of complex needs Long term placements 14 month stay Overall annual saving of £0.5 million • 100% improved management of mental health www.onehousinggroup.co.uk 8 Care Support Plus Assessment and support planning Clinical supervision CPA Medication management CBT, therapeutic interventions Psychiatric consultancy Tenancy sustainment Occupational therapy Life skills Clinical psychology Budgeting and finance Training Training and employment Common recording www.onehousinggroup.co.uk Care co-ordination Medication prescription Mental health assessment Statutory orders 9 10 11 Care support plus • Effective alternative to hospital • Hospital stay reduced from 2,800 to 404 bed days • 23 hospital admissions avoided • Highly effective risk management • ADL improved from 4.05 to 6.37 • Demonstrably improved customer outcomes • £440k per annum financial efficiency www.onehousinggroup.co.uk 12 Acute services • • • • • • • CCG commissioned 500 customers a year Alternative to acute Average stay of 14 days Night centre and line Person focused 60% savings on acute admission www.onehousinggroup.co.uk 13 Upshot 80% health referrals 50% are new 500 people per year (average two week stay) 87% avoid acute 15% reduction rate www.onehousinggroup.co.uk 13 Reablement • • • • 10 short stay units Hospital discharge Multi-disciplinary teams Reablement six week programme • Tailored telecare • Working directly with CCG www.onehousinggroup.co.uk 15 Build for technology • Quality build & design • Highest telecare specification • On call & sensors • Personalised approach • Unobtrusive www.onehousinggroup.co.uk 16 NHS-RSL partnering • • • • • • NHS trusts & FT’s Joint venture approach NHS surplus land RSL equity - upfront No planning Optimise potential www.onehousinggroup.co.uk 17 Our NHS • • • • • • • Leverage change Community sensitivity Secure health uses Social value Need to transform business NHS campus model Housing based supply chain www.onehousinggroup.co.uk 18 Golden threads • Understanding NHS & working hand-in-hand • Confidence in outcomes & soft cultural change • Recovery, aspiration and integration www.onehousinggroup.co.uk 19 £40m of social investment in 2013 1,000 care & support units in next corporate plan Shared not-for-profit values 20 22 The way forward • • • • • • Build on Care Support Plus Investment in integrated health & housing Redesign of pathways £1bn billion efficiency for NHS Transform recovery Aspiration and parity of esteem www.onehousinggroup.co.uk 23 Contact slanham@onehousinggroup.co.uk Sarah Lanham Business Development Director www.onehousinggroup.co.uk 24 FIT FOR THE FUTURE Leading the way in health & care HEALTHCARE & HOUSING: THE BIG OPPORTUNITY? Chair: Andrew van Doorn, HACT Anne Marie Connolly, Public Health England Kevin Beirne, One Housing Group Amy Swan, National Housing Federation #fitforthefuture @SocialEnt_UK