1. 1. Delivering Integrated Housing, Care and Support Kevin Beirne Group Director of Housing Care & Support
2. 2. FT Partnership Agreement Care Support Plus Model Clinical inputs Joint service protocols Alternative to admission Shared governance/risk Redesign care pathways Leveraging NHS estate Strategic Integration
3. 3. Intensive Supported Housing 15 new builds 60m investment Self contained units & communal Beautiful places Specific design is key Expert staff team Person focussed offer
4. 4. Intensity of Support Recovery Blocked Placements Relapse Blocked placements delay the transfer of service users from high intensity services. Relapse increases the need for high intensity services High Risk x Care Support service providers unwilling or unable to take on high risk service users Place in the Recovery Pathway
5. 5. Pathway Population Out of area placements Full range of complex needs Long term placements 14 month stay Overall saving of 0.5 million per annum 100% improved management of mental health
6. 6. Care Support Plus - Early Wins
7. 7. Acute Services CCG commissioned 500 customers pa Alternative to acute Average stay of 14 days Night centre and line Person focused 60% savings on acute admission
8. 8. Upshot 500 people per year (average 2 week stay) 80% health referrals 50% are new 87% avoid acute 15% reduction rate
9. 9. Governance Care Support Plus Customer Scrutiny Internal Scrutiny External Scrutiny Governance Triangle
10. 10. NHS Trusts & FTs Joint Venture approach NHS Surplus land RSL Equity - upfront No planning Optimise potential NHS-RSL Partnering
11. 11. Our NHS Leverage change Community sensitivity Secure health uses Social value Need to transform business NHS campus model Housing based supply chain
12. 12. Golden Threads Understanding NHS & working hand in hand Confidence in outcomes & soft cultural change Recovery, aspiration and integration
13. 13. 40m of social investment in 2013 1,000 care & support units in next corporate plan Shared not-for-profit values
14. 14. The Way Forward Build on Care Support Plus Investment in integrated health & housing Redesign of pathways 1bn billion efficiency for NHS Transform recovery Aspiration & parity of esteem