Housing, health and social care partners work hard to understand each others agendas and priorities, and to deliver real change to support residents health and wellbeing, often by working in partnership.
In 2015 a national memorandum of understanding was launched, to help partners identify areas of joint endeavour and possibly overlap. A wide range of partners signed up to the memorandum. You can find it on the Housing LIN website, here.
In brief, the national MOU details areas for improvement, with an action plan to help make sure organisations work together to:
- Establish and support national and local dialogue, information exchange and decision-making across government, health, social care and housing sectors
- Coordinate health, social care, and housing policy
- Enable improved collaboration and integration of healthcare and housing in the planning, commissioning and delivery of homes and services
- Promote the housing sector contribution to: addressing the wider determinants of health; health equity; improvements to patient experience
- Develop the workforce across sectors so that they are confident and skilled in understanding the relationship between where people live and their health and wellbeing and are able to identify suitable solutions to improve outcomes.
Introductory slides from Gill Leng, PHE.
From national to local
The national approach is now being "spread out" at more local level across England. There are examples in
- Nottingham, you can find consultation documents here - though the consultation ended at the end of June 2016.
- Worcestershire housing partnership plan - work in progress, draft documents to be added when available.
Using these examples, Cambridgeshire and Peterborough a small group of housing, health and social care partners have started to look at whether the Memorandum might help us locally.
There is already a good deal of work going on by a range of partners, to improve partnership working and work together to make a real difference to residents' wellbeing. Some relate to "big strategies" which set out our overall direction of travel; others are more "on the ground" projects which people need to be aware of and work together on, to bring the biggest and best effect to our customers.
Here is a list of some potentially useful local ingredients...
- Cambridgeshire health and wellbeing strategy 2012-2017, updated May 2015, here
- Peterborough health and wellbeing strategy here
- Cambridgeshire JSNA here which includes assessments around
- Peterborough JSNA here
- "Fit for the Future” strategic transformation plan (STP) slides here (the plan is being consulted upon, Aug 2016)
- Cambridgeshire County Council's New Communities Strategy: link to County Council's new commuities page here and strategy document (pdf) here.
- Cambridge housing sub-region action plan (see especially section 2, homes for wellbeing) here
- Overarching Cambridgeshire strategy for children, families and adults services (2016/17-2020/21) here
- Cambridgeshire housing-related protocol on the assessment of homeless young people, here
- Cambridgeshire Older Peoples Strategy here, DRAFT older people accommodation strategy here
- Cambridgeshire Assistive Technology strategy here and action plan here
- All age carers strategy here
- Guide to Cambridgeshire, Peterborough and West Suffolk housing services here
- Cambridgeshire's 2011-2015 Extra care strategy and maps,
- Addressing adult social care priorities through planning, September 2015.
- EELGA report Delivering integration through the better care fund, 2015-16
- Information on Northstowe healthy town initiative in South Cambridgeshire: Northstowe stories here (introduction of concept) and here (announcement of successful bid). The NHS England announcement can be found here.
Links and documents to be added:
- Cambridgeshire's Disabled Facilities Grant review, 2016 report.
- Better Care Fund plan for 2016-17, submitted by CEPB in May 2016
- Link to Cambridgeshire and Peterborough devolution offer (in relation to this agenda)
- Review of "integration" issues / lessons highlighted in mental health JSNA, drug and alcohol JSNA, need for adaptable, life-course housing and Long Term Conditions JSNA
- Assurance checklist which helps assess all plans against the MOU principles. 10 questions to ask of high level strategies (from PHE).
- Mapping supported housing provision and developing tools to help project need based on demographic change alongside current provision.
Projects to learn from and share updates:
- Cambridge University work on “what makes a healthy place”.
- Peterborough's Norwood housing development.
- Peterborough project linking housing providers around issue of tuberculosis and multi-drug resistant residents who need housing to support treatment.
- Peterborough's housing group for vulnerable people, older people, people wtih disabilities and new approach to Home Improvement Agency work (goes live in October 2016).
- Plans for Better Care Fund (BCF) and delivery. The BCF needs an Integrated Plan in place by April 2017, to stretch to 2020. Will contain adaptations and hospital discharge in the plans. Integrated Plan will Link to STP for health and social care issues.
- Information about bid made by public health for people with long term conditions, to help get off benefits in into work, which is helped by the right home environment.
- Peterborough's progress with Persimmon Homes project on building new housing which is easier to adapt.
- What is needed, and how to embrace technology for on-line appointments and all forms of technology-enabled healthcare, linked to existing Assistive Technology strategy and projects.
- Learn more about the ONE housing group has built specialist housing in Camden and re-housed lots of people from residential care, using tec, and anticipates massive savings.
- Involving economic and employment partners to include workforce planning in the MOU, especially around Cambridge