Housing associations, health and social care: An overview of our sector Presentation to NHF and VSNW Round-Table 19 th February 2014

Lynne Livsey Health Partnership Coordinator

Our shared history

• From Middle Ages – charity and almshouses • Victorian and Edwardian philanthropy • 1920s new investment in social responsibility • 1950s housing for migrant workers

A growing sector

• 1988 start of large-scale voluntary transfers with 2.3m councils homes transferred to HAs • Now… housing associations annual turnover of £10b+ and provide 2.5m affordable homes for 5m people • Still a force for social change and tackling poverty, inequality, poor housing and promoting health and wellbeing through community development.

The Housing Contribution

Housing Associations spent c£746m on community projects in 2010/11:

       £74m on health and wellbeing for 345,000 people £60m on initiatives promoting independence for 1m people £100m on safer stronger communities £257m creating better places £264m on better community spaces £73m on learning and skills for 500,000 people £80m on jobs and training for 270,000 people

The Current Context

•Policy drive towards closer integration with social care and health •Diminishing funding •Rising demand  For affordable and modern accommodation  For specialist and adapted accommodation  For neighbourhood investment  For housing support and community services  The impact of Welfare Reform on HA finances and health and wellbeing

Areas of Mutual Interest

• We are non-profit and invest for the long-term based on a good understanding of local needs • We have a track record of responding flexibly to change and managing risk effectively • We support choice and control and integrated care at home • We are often dealing with the same people • We recognise the importance of ‘doing things differently’.

Housing associations and health and social care

• • • • • Early intervention to manage demand Transform care pathways Risk reduction and management Better integration and co-ordination Make community connections

The Potential

• Prevention and early intervention • Supporting choice and control for people with long-term conditions and complex needs • Promoting reablement and tailored support • Floating support, home adaptations, palliative care, rapid response, discharge support, community services & employment opportunities • Partnerships with voluntary/community sector • Working together to tackle health inequalities

The real competition?

versus

The VCS?