1. Personalisation, prevention & building partnerships
Housing LIN Conference 1 May 2013
Lorraine Jackson

2. To cover Policy Overview - Prevention & Integration
Housing
Care and Support Specialised Housing (CASSH) Fund
Care & Support Bill
Building Partnerships

3. Prevention overview
Current system geared to crisis response and is unsustainable
We recognise that Prevention means many things. We aim:
To support independence
Enable recovery
Avoid crisis
Prevent, reduce & delay more intensive interventions in health & care
To involve individuals and the community (asset based)
Actions:
Care & Support Bill
Evidence base
Support new forms of investment
Housing fund

4. Integration overview
Person centred co-ordinated and continuous care & support
Whole person view of health care & support needs & delivery
Moving away from episodic care
Whole systems working. Organisational boundaries are secondary
Addressing real & perceived barriers
National collaboration (DH, NHS England, Monitor, ADASS, ADCS, LGA, Public Health England)
May 2013 announcements:
Framework for integrated care
“Pioneer” programme
Housing action plan

5. Housing Care and Support Specialised Housing (CASSH) Fund
Up to £300m available over 5 years
The fund will be split into two phases, with phase one focusing on the ‘affordable’ sector, and phase two on the private sector.
We are at a decision point as to how we split the two phases and how we will operate phase two.
Disabled Facilities Grant (DFG)
The Department is investing £40 million into the Disabled Facilities Grant.
This brings to total DFG investment to £785m over the SR period
The draft Care and Support Bill
Wider housing influence
Responsibility for specialised housing policy is split between DCLG and DH
The Department sits on the Vulnerable and Older People Advisory Group (VOPAG)
DH working to develop a housing action plan with the NHS England, ADASS, and other housing stakeholders. This has formed part of our wider work on integration.

6. CASSH Fund Overview Up to £300 million fund (5 years)
Aims to stimulate the market for specialised housing for disabled and older people
£40m capital spending to be allocated to London
to be administered by GLA in line with the Authority’s statutory responsibility for housing.
The remaining £260m to be allocated for the rest of England
to be administered by the HCA.
The fund will be split into two phases with:
Phase One concentrating on the ‘affordable’ sector providing traditional solutions to specialised housing and meeting immediate need, and
Phase Two concentrating on the private sector delivering innovative housing solutions that will shape what 21st Century housing for older and disabled people will look like.

7. Phase One Estimates
Phase One of the scheme has been massively oversubscribed receiving 379 bids totalling £500m
Bids in phase one concentrated largely on the rental sector and on older people:
Biased towards early starts & completions
Majority of units for older people
HAAPI principles in criteria
Around 10%
Learning disabilities
Mental health
Physical or sensory disabilities
Autism
Interesting models such as co-housing
May/June announcement

8. Phase Two Design More details in Summer 2013
Opportunity to shape with sector
Expressions of interest have provided important intelligence
We wish to explore further
Considering setting Phase 2 criteria to focus on certain occupancy groups or housing model, or promote the incorporation of matters such as assistive technology and dementia friendly design.

9. Care & Support Bill Most comprehensive reform in over 60 years
Consolidates, clarifies & updates
Enshrines rights for carers, assumes personalisation the norm
New wellbeing principle
More proactive - Development of universal Information and advice offer
New duties re: prevention - (“preventing,reducing & delaying care needs) & integration
Duties to co-operate
Require local authorities to ensure the co-operation of the housing officers with the authorities ‘relevant partners’ in care and support
Require local authorities to ensure integration between care and support, health, and ‘health related’ provision including housing.
Enables funding reform “Dilnot cap”

10. Building Partnerships
New Health & Care architecture needs time to settle down.
Health & Wellbeing Boards
Needs assessments & wellbeing strategies
Clinical commissioning groups
Directors of Public Health (now local authority based)
Areas of interest:
Older population
Management of long term conditions
Hospital discharge
Dementia
Loneliness and social isolation
Supporting carers
Integration
More support in the community