1. Adult Social Care & Health - Whats Housing Got to Do With It? Neil Revely Executive Director of People Services, Sunderland City Council Chair, Association of Directors of Adult Social Services, Housing Policy Network

2. Background to the Event ADASS & Policy Networks Housing Policy Network Needs of Directors of Adult Social Services The Donald Rumsfeld answer Developing a Regional Event Evaluate and amend accordingly

3. The Policy Context Marmot Review - to improve Health and Wellbeing, need to improve the social determinants of health Health and Social Care Act - Reforms the way health services are delivered, with Health & Well Being Boards responding to Local Needs Assessment Care Bill - An overarching vision for adult social care including an emphasis on housing solutions Better Care Fund – requires integration and needs to drive significant efficiencies

4. The Challenges The Economy Reductions in public resources Increasing demand and expectations Strategic shift to personalisation, early intervention, prevention, re-enablement, care at home Welfare reforms Changing the way agencies work with residents and communities Unlocking untapped assets and potential within communities

5. The Challenges - Ageing Population Life expectancy is rising By 2025/2030: –Over 65s will increase by 46% –Over 85s will increase by over 50% –28% increase in older people who have problems with daily living –67% increase in over 65 dementia cases Without changes this equates to a 150% increase in care costs 95% vulnerable residents want to live at home

6. The Opportunities Greater Partnership/Integration at all levels Health & Well Being Boards and CCGs Supported Living Options Extra Care Housing Supporting Intermediate Care Supported Housing Solutions Aids and Adaptations Telecare/Telehealth Developing Community Capacity

7. Why Integration Matters & making housing count Reduce Demand & Avoid Cost Prevent or reduce levels of demand; acute (inpatient, A&E and outpatient care), primary (community health) and social care (residential, intensive home care) Reduce Costs Reduce unit costs e.g., tariffs for condition specific interventions Reduce costs of pathways Reduce staffing costs/overheads Outcomes for People Most importantly much better for people and families

8. Final Thoughts The legislation and policy helps – but locally its about people and whether we want to do it! We need to use the burning platform of rising demand and reducing resources The Sectors needs to act more coherently Government needs to join up better A better evidence base is required Relationships are the key

9. Contact Details Neil Revely Executive Director – Health Housing & Adult Services Sunderland City Council Civic Centre Burdon Road Sunderland SR2 7DN Tel: 0191 5618953 E-mail: neil.revely@sunderland.gov.uk