Integrated Care Network Integrating Health and Housing to achieve Sustainable Communities Terrie Ala

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Integrated Care Network Integrating Health and
Housing to achieve Sustainable CommunitiesTerrie
AlafatDirectorHomelessness and Housing
Support
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What do we mean by Sustainable Communities ?

• "sustainable communities need more than just
  housing. They need a strong economy jobs good
  schools and hospitals good public transport a
  safe and healthy local environment, better
  design, more sustainable construction, better use
  of land and much more
• (John Prescott, House of Commons, 5th February
  2003)

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ODPM action at a strategic level

• Aims to
• increase housing supply tackling housing
  shortage
• 50 increase in new social housing investing in
  new growth areas
• tackle areas of low demand abandonment
• 950m for low demand areas, including pathfinders
  in 9 worst areas

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ODPM action at a strategic level

• Aims to
• improve condition of homes (social and private)
• 7bn for council homes, plus extra resources for
  private properties
• regenerate communities encourage social
  inclusion
• 4.5bn for deprived areas, tackling main causes
  of social exclusion
• tackle homelessness support vulnerable people
• 260m for LAs for homelessness, 5bn Supporting
  People Programme

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Why is health so important to this agenda?
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Why is health so important to this agenda?
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Why is health so important to this agenda?
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Impact on health of rough sleeping

• poor physical health (higher rates of TB and
  hepatitis)
• poor condition of feet and teeth
• respiratory problems, skin diseases, injuries
  following violence and infections
• 30-50 have mental health problems
• 50 alcohol reliant / 70 misusing drugs

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Impact on children of inappropriate use of
temporary accommodation

• increased risk of a low birth weight greater
  likelihood of illness
• higher incidence of mental health problems /
  increased behavioural problems
• delayed development / difficulties in
  communication
• disengagement from health services checks, and
  immunisation programmes

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Positive health benefits of housing related
support

• improve health and mobility
• reduce hospital admissions
• reduce length of stay/delayed discharge
• improve access to primary care / reduce visits to
  AE
• increase use of treatment services (e.g detox)
• promote stability ? reduce psychological
  distress.

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Opportunities for partnership working at local
level

• LSP/Community Strategy
• Local Delivery Plans
• Housing Strategies / Homelessness Strategies
• Supporting People Strategies
• DAT Treatment Plans

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Examples of partnership working at local level

• Shepherds Bush Housing Association
• aligning all policies practices to have a
  positive effect on tenants health
• Family Support Service, Leicester
• addressing health needs of homeless families
  alongside housing need
• Milton Keynes South Midlands Inter-Regional Board
  
• sub-group for Health and Social Care

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Conclusion

• Health and housing need to work together at a
  local level in planning health infrastructure /
  access to services - particularly for
• new communities in the growth areas
• regenerating declining communities
• disadvantaged groups