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Challenges & Opportunities

Challenges & Opportunities. A home – is a fundamental right and a critical determinant of good health. Housing Development in Wales 2007-15. Stats Wales. Social Services &Wellbeing (Wales) Act. Issues.

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Challenges & Opportunities

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  1. Challenges & Opportunities A home – is a fundamental right and a critical determinant of good health

  2. Housing Development in Wales 2007-15 Stats Wales

  3. Social Services &Wellbeing (Wales) Act

  4. Prevention, Reablement and Integration Issues • We have a health and care system focussed on crisis intervention. It is not sustainable. • The new Social Services & Wellbeing (Wales) Act is the cornerstone of a care system for the current and future generations. • We need to move from crisis management to a preventative, personalised model of care which has wellbeing and empowerment at its core • We need to build on people’s strengths not reinforce their dependency

  5. Well-being • A good home • Individual rights respected • Physically, mental and psychological contentment • Access to education, training, sports and play • Safeguarded from abuse, harm and neglect • Affirmative relationships with family and friends • Engaged in the community • Sufficient money for a healthy life

  6. Promoting well-being • People need to feel that the social worlds they inhabit, are ones that recognise and include them • Quality relates to the time spent with people, the quality of information and the flexibility and sensitivity of support provided • People’s experience is a reflection of the attitudes and responses they encounter • Wellbeing is consistently underpinned by the values of respect, reliability reassurance, and trust • Ultimately wellbeing is about choices

  7. Extra Care • Self-contained accommodation • Control of your own front door; • Support available 24/7; • A thriving community with neighbours, looking out, not in; • The chance to choose whether to eat and socialize together with those neighbours, family and friends; • A focus on activities to keep people healthy • Strengths based support

  8. Whole Systems approach - a 'rich tapestry' • People lead lives that have multi-faceted components • family, neighbourhood • faith, work • hobbies and health • Staying amongst friends and family and in a familiar environment will always be a first choice • Essential that we do not deny older people the chance to continue to grow and develop, remaining in control of what matters

  9. Mixed-tenure! • There is a distinct advantages to mixed tenure: • Increases diversity in people's lives and settings. • Sales bring in much needed capital that creates the opportunity for cross-subsidy • Opportunity for a wider and richer range of facilities and activities

  10. Service at the heart of community • Non-stigmatising • Traffic going both ways • Tenants and owners using local shops • Local people making use of the facilities • Gym, • Restaurant and • Coffee shop • The scale of a scheme becomes an important determinant of the range of facilities on offer

  11. Research – Aston University • The average number of planned admissions to hospital reduced for ExtraCare participants by 12 months by 31% (no change for control participants) • Number of unplanned admissions did not change for either group • After 12 months GP usage (planned) by ExtraCare residents in the sample had decreased by 46%. • There were reductions in BMI and Waist circumference between baseline over 18 months in ExtraCare residents while these remained unchanged in control group • NHS costs in total reduced significantly The reduction for the frail residents at baseline and follow-up, this changed from an average of £3274.21to £1588.04 average per person.

  12. The Enabling State! Carnegie UK Trust (2016)

  13. The future • Extra care housing has to be more visible so that more people can exercise a choice about their housing needs and wishes • Government should also make it clear that it believes extra care housing is a preferred environmental planning option now and for the future. • Development of a whole system approach, combined with conversations with older people about what matters to them and what can make a difference to their lives.

  14. The challenge • Finding the capital for new developments • Developing a whole system response • Signposting evidence that supports effective models of housing and related support • Agree priorities for development – National, Regional & Local • Creating housing solutions that contribute to health and wellbeing

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