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Healthy Housing Hub Living well, living longer, living at home...

Project overview and performance reporting 2017-18

Without your help…he would be in residential care

The Hub helps some of Derby’s most vulnerable residents living in unsafe and unhealthy housing conditions:

  • Reduce home accidents, falls and general health risks;
  • Reduce demand on health, social care and emergency services;
  • Maintain independent living within own home;
  • Facilitate hospital discharge and reduce readmissions;
  • Make the home environment suitable for care services delivered in the home;
  • Increase client and carer wellbeing;
  • Enhance childhood development; where poor living conditions may impact on health, educational attainment...
“I would still be living like that if it wasn’t for your help”

Studies carried out by Derby City’s Public Health Directorate in 2013-14 and 2015-16 found that, at one year post intervention, proportionally fewer Hub clients were in need of health and care services…

Contributing to BCF metrics:

  • Reducing non-elective (unplanned) admissions to hospital...
  • Ensure...those…who receive assistance in their residence…remain at home 91 days after this period
  • Substantially reduce delayed transfers of care…
  • Reduce no. of permanent admissions to residential or nursing settings
“I live alone…I’ve been ill…and had to remain cold”
"You have certainly made a difference... it was squalid at best and the risk to their health enormous [and] a very high fire risk...the client would probably not have survived. So, well done. Also interesting is that it endears in them a feeling of well-being and I have noticed they are now complying better with medical input." GP.
"Thank you… you were able to work holistically with her… accessing so many other teams; always involving the client in decision making; and building up a rapport with her. This has been a brilliant piece of joint working." Social Care Worker.
"Mum was depressed…children suffering asthma, eczema…without intervention there was a strong likelihood of continued ill health and absence from school." Case worker.
“If it wasn’t for your help…I would be dead by now”

Delivery of low-cost health-focussed interventions that help prevent, delay or lessen severity of poor health outcomes can significantly reduce costs to NHS and social care

“Without you it would have been impossible for her to consider living there again…”

Housing interventions to keep people warm, safe and free from cold and damp are an efficient use of resources.

Every £1 spent on improving homes saves the NHS £70 over 10 years.

The potential impact of housing on improving health and the resulting benefits for the NHS – in terms of moderating demands and financial savings – are so large that STPs have to do more to engage with the housing sector…

The King’s Fund: ‘Housing and health – Opportunities for STPs’: March 2018.

The Hub delivers low-cost health-focussed interventions, including:

  • Advice and support
  • ‘Prescribed works’ / ‘Healthy Housing Assistance’- means tested
  • Our ‘Handy-Person Service’
  • Partnership links

Typical works to remedy health hazards in the home include:

  • Repairing defective boiler/gas fires;
  • Installing safe heating where there is no heating;
  • Help with fuel poverty;
  • Reducing trips and falls hazards;
  • Making electrical installations safe;
  • Reducing fire risk;
  • Repairing leaks;
  • Support with hoarding and cleanliness;
  • Maximising income.
“I was freezing…you saved my life!”

2017-18 performance figures:

1791 referrals completed in 2017-18, of which:

692*1 more complex Healthy Housing Hub cases – being clients referred to the Hub primarily by health, care and community based colleagues due to high risk and multiple vulnerabilities;

996*2 Handy-Person Service interventions delivered to help vulnerable people to remain living independently at home in greater safety and to facilitate hospital discharge;

103*3 Child Home Safety improvements completed for vulnerable new-born and pre-school children.

“not fallen since…it’s given me…independence back”

*1 The 692 more complex cases have been analysed further to reveal:

1,919 intervention outcomes – top 4: falls prevention works; heating improvements; income maximisation; personalised advice;

2,159 health conditions – top 4: cardiovascular; diabetes; mobility; respiratory;

910 hazards – top 4: falls risk; cold/damp; fire/electrical risk; hoarding/personal hygiene;

648 onward referrals for other client needs: making every contact count.

*2 The 996 Handy Person interventions included:

625 falls prevention cases;

42 jobs specifically helping facilitate hospital discharge.

*3 The 103 Child Home Safety Equipment interventions saw:

Child home safety improvements completed for some of the most vulnerable new-born and pre-school children in Derby;

Fitting of equipment delivered in tandem with 1:1 or group child home safety awareness raising sessions;

Partnership working between Healthy Housing, Handy-Person, DASH, Family Nurses & Children's Centres.

“…it was all sorted whilst the patient was in hospital”

www.derby.gov.uk/healthyhousing

Email: healthyhousing@derby.gov.uk

Email: healthyhousing@nhs.net

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