1. A community based approach to delivering improved health outcomes

2. Home Group’s Health & Social Care services Historically accommodation based and SP funded. A strong reputation across 60 specialist mental health and learning disability services. Floating support services across the UK delivering Care and Support services to 5,000 clients in their own homes (cross tenure). 2013 – opportunity to develop our “personalised” approach successfully demonstrated through floating support. Opportunity to target health specific outcomes through a community based approach. What we do now “Good Death”, Support to young carers, Community based teams working with GPs, NHS bed management and discharge facilitation, mental health step down services.

3. Why palliative care is a feature of our work, 2011 Palliative care review – NE 65% of people want to die at home and just 20% likely too. The role of housing and care is pivotal to improving that position Home Group wanted to look at our role as a social landlord and care provider in delivering against the aims of the Palliative Care Review. 2013/14 Good Death Charter – 9 month NE pilot Relationship with Public Health – inspirational health colleagues.

4. Working with referral teams and families

5. Case Study

6. Outcomes (1) Qualitative and Quantitative data showed very positive outcomes since being supported by Home Group, although based on a small sample size. Qualitative Outcomes: - Feeling of being in control: 65% improvement - Quality of life: 74% improvement - Feeling of wellbeing: 87% improvement Quantitative Outcomes: - 10% reduction in A&E Attendances - 55% reduction in GP Consultations - 42% of client hospital admissions stayed constant

7. Outcomes (2) We worked in collaboration with SiDE (Social Inclusion through the Digital Economy) at Newcastle University. SiDE focussed on the role of digital technologies to support End of Life Care at home. Up to £1,000 was available to clients to enable them to select goods and services to improve their well-being, taking account of the trend towards personal budgets. 40% of clients chose digital technologies. Benefits from access to technology for clients and carers: - keeping in touch with friends, family and carers; - greater social engagement through chat lines, health fora, playing games online etc.; - skills development and recovery.

8. Future plans in health Partnerships work to date on health Marie Curie NHS Trusts /CCGs Local Authority's Social Care frameworks & Public Health. C&S providers Mental Health trusts Opportunity/Learning Volunteering. Design and influencing commissioners Products and Sales

9. The last word