joining up commissioning sue adams, care & repair england
TRANSCRIPT
Joining up CommissioningSue Adams, Care & Repair England
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/ respiratory conditions, mental health, arthritis and rheumatism
Housing also linked to acute problems eg. falls
The Building Research Establishment quantifies the costs to the NHS of specific aspects of poor housing as over £600 million per year
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
People over 65 account for:
◦37% NHS Primary Care spend (c.£27bn)
◦46% Acute Care spend (c.£ 27bn)
◦12% of total NHS budget is on community health care (largely older people) (c. £12bn)
• 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
90% in mainstream housing
75% home owners
Older people living independently at home are high priority for older people, social services and health
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)
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]
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
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
Do you have local examples to share?
What do you see as main challenges?
Ideas for overcoming the challenges?