1. PUTTING HEALTH BACK INTO HOUSING Health and Housing Conference Presentation by Gloucestershire Affordable Housing Landlords Forum (GAHLF) 27 th February 2014

2. PUTTING HEALTH BACK INTO HOUSING GAHLF is... a partnership of the leading affordable landlords in the County who manage around 27,000 social or affordable homes Our purpose is to improve housing and communities including to some of the most vulnerable residents

3. PUTTING HEALTH BACK INTO HOUSING Extracts from Gloucestershire Health Profile 2013 The health of people in Gloucestershire is generally better than the England average. Deprivation is lower than average, however about 16,300 children live in poverty. Life expectancy for both men and women is higher than the England average, however Life expectancy is 7.0 years lower for men and 4.8 years lower for women in the most deprived areas of Gloucestershire than the least deprived areas. The H&WBB 5 priorities for Gloucestershire are reducing obesity, reducing harm caused by alcohol, improving mental health, improving health and wellbeing into older age, and tackling health inequalities.

4. PUTTING HEALTH BACK INTO HOUSING Social Inequalities in health today... Marmot Report 2009 “ Tackling inequality in health is now one of the primary objectives for the NHS” “Inequalities in health are linked to the conditions in which people are born, grow, live, work and age. Those living in the most deprived neighbourhoods have a life expectancy 10 years shorter than those from the wealthiest”

5. PUTTING HEALTH BACK INTO HOUSING Social Inequalities in health today... Marmot report 2009 “Action on health inequalities requires action across all social determinants of health... Action taken by the department of Health and the NHS alone will not reduce health inequalities”

6. PUTTING HEALTH BACK INTO HOUSING Social Inequalities in health today... The Care and Support Bill establishes a new wellbeing principle and a duty to: Support independence ; Enable recovery ; Avoid crisis Prevent, reduce & delay more intensive interventions in health & care Involve individuals and the community (asset based) Take a “Whole Person” view of health care & support needs & delivery, moving away from episodic care Develop “Whole systems” working with organisational boundaries being secondary The new bill outlines an even greater imperative and emphasis for partner organisations to work together to address health inequalities.

7. PUTTING HEALTH BACK INTO HOUSING Social Inequalities in Gloucestershire... 44,000 Gloucestershire residents experience significant deprivation There are eight areas in Gloucestershire that appear in the national top 10% of those most deprived across all areas of deprivation Evidence has shown that residents in those areas are more likely to experience more low birth weight babies, higher rates of prevalence of heart disease and more likely to be dependent on Community & Adult Care services, have lower incomes, high unemployment rates and a poorer living environment compared to the rest of the county

8. PUTTING HEALTH BACK INTO HOUSING GAHLF focuses on prevention... Managing homes, communities and people for whom some are the most vulnerable in our society and who live in some of our most deprived communities As social landlords it is our role to ensure we provide homes which are decent, warm and safe and deliver services which are inclusive and collaborative which naturally leads to better health outcomes for our tenants and their families

9. PUTTING HEALTH BACK INTO HOUSING GAHLF targets interventions and adding value locally... Providing tenant support and training where needed; offering welfare advice; social enterprise opportunities; work programmes and provide guidance back into work through asset based approaches through our service offer.

10. PUTTING HEALTH BACK INTO HOUSING GAHLF takes different approaches; listens to our stakeholders, and works with our partners... Working with and listening to our residents and our partners to support our more vulnerable residents particularly the older people and those with health issues based on their needs and not what we think.

11. PUTTING HEALTH BACK INTO HOUSING Our focus is on mental and emotional health and wellbeing There is an inherent link between housing and health and the impacts on our residents Between April 2010 and March 2013, we have invested £27.4 million in our homes and communities

12. PUTTING HEALTH BACK INTO HOUSING Our safe, warm and well programme.... Building new homes and upgrading existing homes means that residents have new kitchens and bathrooms; upgraded central heating systems, new safe by design windows and doors and re-wires resulting in houses which are easy to heat and cheaper to run. 15,000 improvements have been made in 3 years; 2,700 energy efficiency improvements have been made including PV cells, Band A rated boilers, wrapping properties; district heating systems and ground source heat pumps We estimate that our safe, warm and well programme contributes to an NHS saving of around £1.43 million per annum

13. PUTTING HEALTH BACK INTO HOUSING Our supported housing programme... Our work with older and vulnerable residents in falls prevention training, well being clinics and social activities in warm, safe environments has a significant impact on: Trips and falls which has an impact on paramedic services; GP services and hospital admissions Falls are a contributory factor to around 40% of care home admissions. Our work reduces care home admissions by up to 3 years, saving local authorities around £1.8 million in costs Social isolation which could lead to depression which could lead to a 40% increase in GP visits We estimate that our supported housing programme savings to the NHS and local authority care costs of around £4.37 million per annum

14. PUTTING HEALTH BACK INTO HOUSING Our lifetime homes programme... In 2012-2013 we spent £2.125 million, upgrading 2,004 homes for our older and vulnerable residents to support independent living through a variety of home upgrades including ramps, rails, stair lifts, walk-in-showers and over bath showers. We have built 300 new homes ensure access to the property is wheel chair friendly with a design which will assist future adaptations. This has an impact on both NHS services in terms of reducing trips and falls and other services like future admission to local authority care homes through supporting independent living. We estimate that our supported housing programme savings to the NHS around £164K per annum and local authority care costs of around £8.46 million per annum

15. PUTTING HEALTH BACK INTO HOUSING Moving forward.... We would like to work with you on a joint pilot study linked to our work ; then evaluate the results and see how we could collaborate to create future efficiencies and service offers to our residents and your clients

16. PUTTING HEALTH BACK INTO HOUSING Thank you and Questions ?