1. More than Just the Numbers Delivering Healthcare Closer to Home Chris Smith – Group Director of Business Development

2. Group Structure

3. ‘Traditional’ housing services Independent Living Service Older Persons accommodation and Extra Care provision Specialist accommodation for mental and physical disabilities What do we mean by ‘Healthcare’?

7. Niche and Specialist Provision The Gateway

8. Niche and Specialist Provision Dementia Care

9. But it’s more than that Population and place Targeted help and support in community High intensity support or specialist housing

10. Taking a life-course approach Life Course Starting well Ageing well Living well Refuge support Troubled families Teenage Parents Specialised housing Adapted housing Home based support Tackling isolation Mental health support Homeless interventions Healthy lifestyle choices Access to employment

11. Starting Well Providing good quality homes Early help services Care leavers and young parents Family intervention projects Tackling fuel poverty Financial inclusion Working with local schools Providing safe environments to live

12. Living Well Employability and apprenticeships Financial help and advice Affordable housing Neighbourhood investment and regeneration Social investment Specialist accommodation and support Inclusion and cohesion Health and Wellbeing programmes

13. Ageing Well Home adaptations Specialist accommodation and support (Sheltered housing and extra care) Assistive technology Floating support Income maximisation Tackling social isolation Emerging focus on dementia

14. Lots of activity that assists in prevention and better wellbeing but……………………….. Where is the strategic coordination? Who pays and who benefits?

15. And…….increasing challenging environment for Registered Providers 1% rent decrease for social landlords from 2016 Extended Right to Buy – loss of stock and rental income Universal credit and continuing welfare reform Market shift – PRS/focus on owner-occupation Emphasis on core business – sustainability of ‘added value’ activity Impact on individuals and communities?

16. And……….increasing challenging environment for Key Partners An ageing population A increasing number of children and adults with complex care needs A 35% increase in emergency hospital admissions in the last decade Increasing life expectancy among young adults with complex and long-term care needs Cut backs in ‘Supporting People’ funding Continued downward pressure on health and social care budgets

17. Social Services Spending – where the money goes

18. What Can Registered Providers do? Specialist accommodation Community based prevention/intervention solutions Social prescribing Living better/wellbeing solutions Short-term interventions to independence Asset based solutions

19. But We Need to Change Co-production of services? More strategic commissioning across services and larger boundaries? Understand what works Take some risks!

20. Why Now? None of us can continue as we are High profile campaigns around mental health, dementia, prevention Devolution – an opportunity surely! Shrink together or shrink alone!