1. Bill Barron Housing Support and Homelessness Scottish Government 21 May 2015

2. Public Bodies (Joint Working) (Scotland) Act 2014 New Integration Authorities (‘Partnerships’) Delegated functions Delegated budget Strong emphasis on planning of services – to be built around the needs of the patients and service users Importance of localities

3. Outcome 1: People are able to look after and improve their own health and wellbeing and live in good health for longer Outcome 2: People, including those with disabilities or long term conditions, or who are frail, are able to live, as far as reasonably practicable, independently and at home or in a homely setting in their community Outcome 3. People who use health and social care services have positive experiences of those services, and have their dignity respected Outcome 4. Health and social care services are centred on helping to maintain or improve the quality of life of people who use those services

4. Outcome 5. Health and social care services contribute to reducing health inequalities Outcome 6. People who provide unpaid care are supported to look after their own health and wellbeing, including to reduce any negative impact of their caring role on their own health and well-being Outcome 7. People using health and social care services are safe from harm Outcome 8. People who work in health and social care services feel engaged with the work they do and are supported to continuously improve the information, support, care and treatment they provide Outcome 9. Resources are used effectively and efficiently in the provision of health and social care services

5. Demographic challenge More people living longer, and greater proportion of older people in our population More older people living in single person households Financial restraints Reduction in overall public spending

6. 5.3 Million 2012 2022 5.5 Million 2032 Source: NRS 5.7 Million By 2032: 1 in 4 will be 65+ 94,000 will be 90+

7. Other Age-Linked Health Demands Dementia ↑ 46% of Population with LTC in 2012, ↑ from 41% in 2008 ← 50,000 Consultations in 2012/13, ↑ from 30,000 in 2006/07 (GP/GN) Source: MM (Lancet Paper) Source: SHeS (LTC) Source: ISD QOF (Dem)

8. Holistic, person-centred services Effective Preventative Cost effective Potentially transformative Addressing inequalities

9. Most housing services are separate Diverse and diffuse housing services Budget pressures across the piece

10. Ensuring housing organisations are involved in the decision making Housing representatives in strategic commissioning groups and localities Coordination between housing organisations Housing Contribution Statements

11. Housing functions that must be delegated Housing functions which may be delegated Innovating? Showing what can be done

12. Health issues and homelessness are intertwined Opportunities for early intervention? Fair access to health services for homeless people? Most effective ways to support multiply-excluded homeless people?

13. How do we demonstrate the contribution of homelessness services to health outcomes? Homelessness services’ input to the local housing voice? How can we support the Partnerships and localities in their strategic planning processes? Should homelessness services be delegated? What are our top priorities?