Building Healthy Places and Communities through Scaling up Innovation and Transforming Housing, Health and Care
Date: Wednesday, May 02, 2018
Venue: Manchester University (The Barnes Wallis Room)
Speakers: Danny McDonnell, Strategy Programme Manager, NHS England, Neil Revely, Co Chair ADASS Housing Policy Network Jeremy Porteus, Managing Director, Housing LIN, Sara McKee, Founder & Market Innovation Director, Evermore, Stuart Cowley, Director for Adult Social Care and Health, Wigan Council, Tricia Grierson, Head of Independent Living, Johnnie Johnson Housing. Closing Address: Andy Burnham, Mayor of Greater Manchester
Danny McDonnell, Strategy Programme Manager, NHS England,
Neil Revely, Co Chair ADASS Housing Policy Network
Jeremy Porteus, Managing Director, Housing LIN,
Sara McKee, Founder & Market Innovation Director, Evermore,
Stuart Cowley, Director for Adult Social Care and Health, Wigan Council,
Tricia Grierson, Head of Independent Living, Johnnie Johnson Housing.
Closing Address: Andy Burnham, Mayor of Greater Manchester
Tim Crowley, Managing Director, MIAA opened the joint event between MIAA, ADASS and the NHS in Greater Manchester on Building Healthy Communities. He emphasised this flagship event in MIAA’s 2018 events calendar and the importance of strengthening the interaction between health and housing.
Thomas Maloney, NW ADASS Programme Director welcomed everyone and identified that there are some ready-made solutions out there to integrating health and housing which will be part of the conference programme. He encouraged everyone to debate this further in their discussions throughout the day.
Tim introduced Danny McDonnell, Strategy Programme Manager, NHS England. NHS England wrote the 5 year forward view which is where the Healthy New Towns programme sits. Danny provided a historical view of the connection between housing and health and a recognition that although people are living longer, their healthy life expectancy is not extending with it. Being healthy is linked to the places we live and the built environment.
The programme has 10 demonstrator sites across England chosen from 114 applications. The sites are led locally, mostly by local government with the purpose of creating healthier places through evidence of what works and building from the ground up improved population health creating opportunities for people to make healthier choices.
The programme has 3 key aims:
Shape new towns, neighbourhoods and communities to promote health and wellbeing, prevent illness and keep people independent.
Radically rethink the delivery of health and care services
Spread learning and good practice
October 2018 will see the launch of the Healthy New Town principles based upon the learning.
Tim introduced Neil Revely, Co-Chair ADASS Housing Policy Network. Neil shared that some of the biggest changes in people’s health are to do with housing and there needs to be a paradigm shift in the NHS to move from a medical to a social model. His presentation went on to provide the connections between policy, strategy and practice. Strategic commissioning is vital to achieve this vision to build the strategic case for change, as is; learning from different delivery models where there is evidence they have worked, housing services that are part of the integrated system and strengthening partnerships. He shared examples of good practice across England that are detailed further on the slides. In summary, working with housing is good for health, the policy framework is strong and there is growing evidence where housing interventions are making a difference for health outcomes.
Jeremy Porteus, Managing Director, Housing LIN facilitated table top discussions on innovations that can be introduced locally based upon the discussions throughout the morning. The feedback covered a range of issues including: there are massive opportunities for a whole system approach to achieve health outcomes; we are not doing enough and everyone can be social leaders and catalysts for change; we need to pay more attention to co-production and co-design; we need to do the basics well because sometimes we lose sight of the fact that good quality standard housing is what is needed by the majority of people as we focus on innovation.
The next speaker Sara McKee, Founder & Market Innovation Director, Evermore leads an organisation that has designed a new model of retirement living for older people. She challenged us to get rid of the labels and to focus on needs so we really get into co-design and co-production with the consumers and not for them. Her vision is a ‘life in full colour full of love’ for the residents of Evermore. ‘If you create it together and deliver it together it gets embedded’ was her parting message together with ‘let’s develop thousands of little pockets of brilliance.’
Tricia Grierson, Head of Independent Living, Johnnie Johnson Housing shared how with partners, her organisation has worked to create innovative ideas for independent living. She shared a number of projects that were part of the independent living strategy. In particular she demonstrated how technology enabled care can work to support people to keep their independence.
Stuart Cowley, Director for Adult Social Care and Health at Wigan Council talked about the work of Greater Manchester (GM), setting out the vision for supported housing in the context of adult social care transformation through 6 themes. The NW Care Market analysis he referred to concluded that we cannot continue to support people in the same way and that now is he time. We have the evidence to make the change across GM and there is an opportunity to bring housing, care and health together aligned around a vision and a strategy.
Jeremy summarised the learning for the day into - It’s all about me, you and us, challenging us to engage in our active civic duty to design the future of communities that enable us to live healthier for longer.
Finally, Andy Burnham, Mayor of Greater Manchester gave the closing address. The debate you are having is of the moment he asserted. In GM the strategy - Our people, Our place - sets out a clear and simple goal – a decent safe, affordable home for everyone because good health starts in the home. The evidence of the housing crisis is homelessness which he believes is a scandal and a complex reflection on modern living with insecure work and insecure housing. Mental health is the 21st century health issue and it only takes a few bits of bad luck before people end up sleeping in doorways. He posed the question how do we develop a housing policy that is also a health policy that focuses on wellbeing?
The housing crisis has got worse over the last 3 decades. Decent safe housing is a human right as is health care and education. There should be legislation he believes to turn this into a reality. He described how GM are working to put a roof over everybody’s head every night of the week. He asserted we don’t want private landlords to provide substandard accommodation. Currently 4 out of 10 private landlords in GM provide accommodation that is substandard and that GM needs to have a policy which is about solving the housing crisis not simply building more homes.
Andy believes the health service hasn’t been set up to meet 21st century need. His measure of success is having a health service that treats dementia as well as it currently treats cancer. The cultural shift needs to be about moving from a medical treatment model to a social preventative model. The next stage would then be financial reform and an entirely new model of support is needed for the elderly to develop a year of care approach. Clear thinking about new models of support around the home are needed, with GP’s and technologies at the centre and appropriate homes with assisted living technologies. A health policy supported by a housing policy will provide the solution. He finished by stating there is an urgency now about better ways of independent living that work for both the person and the family.
Updated by: Administrator on 26, Feb 26, 2018