Andy Chaplin

Foundations, national body for HIA s

Aids and Adaptations

CIH Conference,

9 September 2014

• 20th Century drop in Infant

Mortality related to house

building not just health

innovations

• 19th & 20th Century rises in

life expectancy

overwhelmingly associated

with housing & environmental

factors

• Where you live matters

• Hilary Thomson’s review of 39

studies 1887-2012 confirms

health improvements from

housing

A history lesson!

So why is this a BIG DEAL?

5.1m

9.5m

6.9m

10.8m 12.3m

8.7m

2013 2023 2033

0

5m

10m

15m

20m

25m

Population aged 75+

60 - 74

Demographics/Projections Economics

• Service demand

• Financial pressure

• Stretched resources

Social too – extended life expectancy – extended

periods of support – disabled children too

older / vulnerable clients

group

Loos, grab rails, stair lifts

Aids around the home

Helping you to stay living independently

Wider world of Aids and Adaptations

• Community equipment (minor aids and adaptations)

• Statutory entitlement unaffected (£1,000 ceiling). Care Act 2015, Statutory Guidance is expected to endorse/reinforce this

• Practical alongside People services – 6 weeks of reablement post discharge

• More substantive home adaptations – with statutory means tested DFG. c40,000 pa

• Small Handyperson jobs

• Strong case for Adaptations, see LSE 2012

Advice and information

Disabled adaptations - DFGs

Home repairs/handyperson

Housing options services

Falls prevention

Hospital discharge and Reablement

Some recent DFG trends

• £220m govt funding (from DH) and expected to rise again next year

• Now part of the Better Care Fund commissioning remit

• Much variability around service (recent Daily Mail article)

• Average spend down. Some wait times moved up unacceptably

• Growth of self-funded adaptations

Housing Associations

• HIA’s support delivery of major adaptations for about 50% of all DFG instances

• RSL’s role in HIA provision. (38 % of HIA provision)

• RSL contracts with local authorities determine respective contributions

The five i’s – keeping Care at bay as we

move forwards!

• increase in smarter commissioning

• innovation in service delivery

• independent living and assistive tech

• information & advice

• integration

Increase in smarter commissioning

• Bristol City

Taking calculated “risks” Delivering significant service improvements for customers Collaborative approach • Wirral • Further opportunities ahead with retendering of

community equipment supply contracts

Innovation in Product/Service delivery

Aster Living

• Online solution to put the individual in charge • Self-assessment functions • Providing a range of products with various options •Shop window

Independent living

• User friendly assistive technology which support independence and better management of risks

• Simple tools, such as calendar clocks and touch lamps increasingly available

• More complex solutions such as satellite navigation systems to help find someone who has gone missing

• Telehealth and telecare being scaled up too

Information & Advice

• LA duty to provide under Care Act • Getting the balance right between the

channels

• Help individuals and carers make informed choices concerning their home • Shifts discussion from pure bricks and mortar to

wider considerations

Integrated and joined up pathways

• Croydon and the Better Care Fund

• Better cooperation between complementary providers

• Strengthening consumer protection

Summary

Funding will remain tight(obviously) so key are: • Helping self funders an important part of mixed

economies • Closer working with Health and Care community at an

early stage. Emphasis on pre-emption and prevention especially when Care Act Guidance emerges

• Making the case and arguing the case (because there is a strong case to be made)

• Resilience • Imagination and leadership to execute bold step-changes

HIA Coverage

173 HIAs in England

57% of HIAs are managed by Housing

Associations

82% coverage of local authorities

Over 200,000 enquiries dealt with by

the sector every year

Thank you for your

attention

Any Questions?

Andy Chaplin

andyc@foundations.uk.com

www.foundations.uk.com

@AndyFoundations

07540122 662

Keeping in touch….

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