1. In One Place Mark Gardner Chief Executive Melin Homes Care & Repair Cymru Conference 2015

2. Collaboration considerations

6. Engaging with health Internal financial pressures are immense Are you after money? – there isn’t any (spare) Huge organisational and cultural change underway In the political spotlight – risk averse? What’s our offer?

7. What does the NHS in Wales look like? 7 Health Boards 3 NHS Trusts 91,000 people employed £6bn per year 22m patient ‘contacts’ each year 1m A&E cases each year 54m items prescribed each year It’s BIG business!

8. In One Place A new model of collaboration Journey time – two and a half years Supported by 1 health board; 5 Local Authorities; and 8 housing associations We’re up and running!

9. Context and focus Continuing Health Care (CHC) Procurement of all inclusive packages of accommodation, care and support often ‘out of county’ Health Board having to save £1m per week Public service funding cut backs = recipe for argument = who pays? Capital funding scarce – too much for one organisation to take on Commissioning versus innovative procurement routes Lots of good projects – why never a programme?

10. Sense of urgency £200K per person per year = all inclusive (CHC) cost Supervision of quality of care 4 urgent cases 24 out of county placements 78 people designated as CHC 29 younger people coming through the ‘system’

11. What’s in it for me? Accommodation only savings per year - £34,000 for 4 cases Add care and support savings = £285,000 x 4 = c£300,000 x 24 = £1.8m x 78 = £5.8m Logical process that aligns planning processes and makes best use of skills, resources and expertise

12. What we’re learning/delivering Every tenancy saves NHS a minimum of £50,000 per year (recurring) Increasing capacity in the local care provider sector 33 projects across the region = £1.65m recurring savings per year In One Place team key to success Collaboration is really tough!

13. Why has it worked? There was a focus and sense of urgency Partners accepted the context and there was real purpose A win-win-win opportunity existed Partners recognised that – and went for it We talked – and then did something about it The model is new and therefore different and therefore can be a programme not a project

14. Lessons and challenges Understand the rules by which others have to play Understand the constraints they are bound by (political, regulatory, financial) Accept that some things can’t be budged! (but try to work around them) Why should others work with you? (relationships are everything) Will real benefits be delivered (keep coming back to this) Projects versus Programmes

15. Good things happen when we get collaboration right “I am thankful for places like this to live because I know it is my last chance to move forward with my life. I appreciate what everyone has done for me and the flat has given me the chance to move on” Service User

16. Contact details E-mail: mark.gardner@melinhomes.co.uk @mgardnermelin @IOPteam (In One Place team)