bulletin THE MAGAZINE FOR HOUSING WITH HEALTH, CARE AND SUPPORT
expertise, training & consultancy in housing with health, care & support
2014 – NO.4
Homeless Healthcare
Community entrepreneurs
Closing the door on homelessness
Illuminating ideas on localism
Sporting Memories www.sitra.org
Money Matters
Proactive approach to telecare
Contents 03 04
CEO’s Comment Opening doors to health Andrew Casey, Director of Homeless Healthcare, explains how the London Homeless Hospital Discharge Network is a new set of services aiming to open doors to health for people who are homeless.
06
Community entrepreneurs – enterprise and innovation in Notts and Herts Community Catalysts, Director of Operations, Angela Cately, tells us about 2 of the (micro) community groups they have been working with.
08
Closing the door on the homelessness Jo Driscoll from Warrington Borough Council explains the innovative approach to homelessness taken in Warrington.
10
Cover Story
Sporting Memories Tony Jameson-Allen Director of Sporting Memories Network shows the role sport can play in improving the lives of people living with Dementia.
12
Illuminating ideas on localism in Blackpool
Sporting Memories
Paul Greenwood, Chief Executive of Bay Housing Association looks at how local connections can help the integration of health and housing.
14
One Page Profiles for Housing We reflect on some key points from our One Page Profile Campaign.
15
Money matters Sitra’s Policy Officer Roselee Molloy describes what providers and users of housing support services should know about the new standards for National Minimum Wage.
16
Taking a proactive approach to telecare Sue Yeandle Director of Circle at the University of Leeds, discusses the importance of taking a proactive approach to telecare.
18
Life After Housing Benefit The National Housing Federations Patrick Murray reveals the key issues raised in their consultation looking at how housing costs for people in supported housing might be funded in the future.
20
Sitra Training
Sitra Staff Chief Executive Vic Rayner Deputy Chief Executive Lisa Harrison Policy Officers Geoffrey Ferres Roselee Molloy Lauren Sadler Tim Parkin (interim) Policy and Research Co-ordinators Dani Cohen Burcu Borysik
Training and Events Manager Stephanie Hill Contracts Officers Anna Robertson Wendy Green Business Support Lana Lewis Sarah Pink (Maternity leave) Georgina Gorton Head of Finance & Central Services Berihu Mohammed
EU Funding and Finance Officer Ray Naicker Finance Assistant Alison Quinn Office Co-ordinator Gill Cotton Central Support Monica Antolin Sharelle Hunte Interns Geni Johnson Luke Smith
If you would like to receive the bulletin in large print or in other accessible formats, email post@sitra.org
Contributors
Sitra Offices
To discuss advertising opportunities within the bulletin, please email post@sitra.org
London 3rd Floor, 55 Bondway London SW8 1SJ Telephone: 020 7793 4710 Fax: 020 7793 4715 Birmingham BVSC, 138 Digbeth, Birmingham B5 6DR Telephone: 0121 678 8891 Email: geoffreyf@sitra.org Southampton Fairways House, Mount Pleasant Road, Southampton SO14 0QB Telephone: 023 8023 0307
Editorial To contact the editor please email burcub@sitra.org.
Submissions and queries If you have any comments, queries or suggestions, a letter for publication or wish to submit a news story or article please contact us via one of the methods opposite.
expertise, training & consultancy in housing with health, care & support
02 bulletin
Charity Reg No 290599 Company Reg No 1869208 ISSN 0956-6678 Sitra is partly funded by DCLG.
2014 No.4
www.sitra.org
CEO’s Comment Giving housing a sporting chance……. Here we are in another ‘summer of sport’ – and love it or hate it – there is certainly no escape! Our headline story ‘plays’ to this theme, and we have a great feature on the award winning Sporting Memories Network – a reminiscence dementia project – talking about how the arrival of the Commonwealth Games in Glasgow has triggered their new partnership work with a number of Housing Associations in Scotland. Sporting mavericks have dominated the headlines and this edition reports from Blackpool on the role of the small housing provider as a maverick to watch out for – one with a strong bite! Bay Housing Association showcases the ability of a small organisation to both engage with and drive the integration agenda. The ‘small is beautiful’ theme continues with Community Catalysts focusing on the importance of micro providers in developing a broader market to meet the needs of individual service users. Some excellent case studies showcase what a difference tailored services can make. Levelling out the playing field for access to healthcare has been an ambition of Homeless Healthcare, and the London Homeless Hospital Discharge Network is a vital response to ending the cycle of treatment, deterioration and readmission. This article is a helpful connection to the current policy agenda showcasing the importance of bringing together housing and health to identify integrated solutions to long established design flaws in the current system.
Vic Rayner Chief Executive Email: vicr@sitra.org
An article focussing on getting AKTIVE might not be all that it seems in this sporting edition! However, it provides an excellent overview of the findings from the AKTIVE (Advancing Knowledge of Telecare for Independence and Vitality in later life) project. The project encourages a proactive approach to telecare, identifying it as a key resource for supporting the growing ageing population. This is a theme that has certainly dominated many discussions – at both national and local level and undoubtedly access to, and appropriateness of, telecare is part of an ongoing exploration of options to support independent living for the older population. So, to one of the ultimate challenges, the prevention of homelessness. Warrington Borough Council share their thinking on the key steps they need to take, and how their focus on prevention and integrated partnership will enable them to achieve their vision of preventing homelessness by 2018. Sitra has also included an update on our own challenge around getting housing to take a collective step towards personalisation. Our campaign to encourage the adoption of One Page Profiles across the sector has succeeded, and we are now planning the next phase of supporting clients and staff to ensure the practice continues to spread. No recent edition of the Bulletin would be complete without a look at what is happening around supported housing costs. The National Housing Federation, Sitra, Homeless Link and Women’s Aid ran together a series of events, webinars and briefings on this issue and views about the longer term position for supported housing costs have been brought together by the NHF. As this goes to press, it remains unclear what the timeline or process for the longer term solution is, but getting the arguments rehearsed is an important step in the journey.
About Sitra Sitra is a membership organisation championing excellence in housing with health, care and support. Membership benefits include discounts on all services and events, access to free advice, an annual subscription to the bulletin and regular briefings on key policy developments in the sector. Sitra works with local and central government to ensure that the needs of its members are recognised, understood and met by resource providers. If you would like to join Sitra please contact the Membership Administrator on 020 7793 4710 and ask for an application form, or download one from www.sitra.org Content ©2014 SITRA (Services) Ltd except where stated, All right reserved. All images © individual photographers & illustrators. Opinions expressed by individuals writers are not necessarily those of Sitra or the magazine’s Editorial Team. E&OE. Design: Aquatint BSC 020 8947 8571 www.aquatint.co.uk
Keep up to date with our Blog Keep up with developments and add to the debate at Sitra CEO’s blog at www.sitraceo.wordpress.com
THE MAGAZINE FOR HOUSING WITH CARE, HEALTH AND SUPPORT
03
Opening Doors to Health Andrew Casey, Director of Homeless Healthcare, explains how the London Homeless Hospital Discharge Network will open doors to health for people who are homeless.
In 2012 St Mungo’s research1, with Homeless Link, showed only a third of homeless hospital patients had received any support around their homelessness while being treated. Many people were discharged straight back to the streets without their housing or health problems being resolved. Others discharged themselves early because they were not getting support around their other needs, (such as alcohol misuse) while in hospital making it difficult to engage with them. The net result? That the health condition of homeless people leaving hospital rapidly deteriorates, and many are readmitted soon after – distressing for the individual involved, and costly to the NHS.
The London Homeless Hospital Discharge Network The London Homeless Hospital Discharge Network, managed by Homeless Healthcare, was created to end this cycle of treatment, deterioration and readmission. Along with ‘Hospital to Home’ projects in Charing Cross and St Thomas’s hospitals to support and secure accommodation for
04
bulletin 2014 No.4
homeless patients, the network is funded as part of the Department of Health’s £10 million Hospital Discharge Fund2. The Discharge Network offers ‘step up, step down’ care for homeless people who are not ill enough to require hospital care, but who still require some ongoing care. It is available to those who are leaving hospital after a period of treatment, or to prevent admission to hospital in the first place. This may be seen as equivalent to the care provided by GP, nurse and family members for general population in their homes. Without a home and network of support, it can be more difficult to regain your health. The Network will initially consist of 34 specifically designed bed spaces, within four existing St Mungo’s Broadway hostels. Clients are provided with single rooms, and supported by a nursing team available during daytime hours, five days a week. This team is complemented by a visiting GP service. Clients can remain in the service for as little as a few days up to approximately 12 weeks. As psychological issues are also a common reason why people become and stay homeless, these
www.sitra.org
can act as an obstacle to recovery. The Hospital Discharge Network team also includes a part time clinical psychologist and two part time psychotherapists. More broadly, we know that health care is only part of the problem: recovery depends on ensuring that clients have somewhere safe to go when they leave. Hospital Discharge Network staff will work alongside housing support staff within the hostels to ensure that clients are not only helped to recover their health, but also to move on as their treatment comes to a close. Evaluation of the pilot project that informed the design of the Network, based in one hostel, showed that providing this type of health supported hostel places is highly effective: over the pilot year there was a 77% fall in hospital admissions, A&E visits fell by 52% and ambulance call outs dropped by 67%3. The first patients were admitted in June 2014 and we’ll be keeping people up to date with progress.
Making the links between homelessness and health The Hospital Discharge Network is an important part of Homeless Healthcare and St Mungo’s Broadway’s wider health work, which recognises homelessness as a health issue. Poor health is a significant cause of homelessness – 36% of St Mungo’s clients in 2013 said that a mental health problem had contributed to their homelessness. Homelessness, particularly rough sleeping, can of course have a detrimental effect on health. 67% of their clients report a physical health need, and 45% have a significant medical problem. Homelessness is often accompanied by multiple and severe health needs: A quarter of our clients have a combination of mental, physical and substance use needs, and many more a combination of two of these. A key part of the service is to undertake a
holistic health needs assessment by a GP or nurse. Homelessness can make it more difficult to access health services. Homeless people face a wide array of barriers to care, including inflexible services; single diagnosis led pathways which are unable to support their full range of needs; lack of flexible mental health support for people with complex trauma; and a lack of understanding of the impact of homelessness among health staff. An important aspect of the project is helping clients to engage and stay engaged in health services. StreetMed is another Homeless Healthcare innovative project – a small nursing team that combines the skills of nursing and homeless outreach to help bridge the gap in healthcare provision. Nurses carry out holistic assessments of the person and then take steps to address their identified needs in all aspects of healthcare. StreetMed take referrals from other agencies, including outreach teams and staff within hospitals, to identify clients in need of the service. A key component of the success of StreetMed has been the ability to follow patients across borough boundaries, providing integrated case management by advocating across housing and health services.
Improving access to homeless health care Improving the health of homeless people and making health care more accessible is vital if progress is to be made towards the Government’s aim of reducing health inequalities4. Critical to addressing the health of people who are homeless is a better
understanding among health staff of the impact of homelessness on health, and efforts to remove the barriers to health care. But tackling poor health among people who are homeless also requires efforts to address their housing needs. Health and homelessness are so intertwined, it is difficult to overcome either in isolation. Both homeless and health services must recognise this and find ways to provide integrated housing and health support. This depends on building strong relationships between health providers and homelessness services, so that they can share information and expertise, and offer training to staff and support each others’ clients. The sector should be proud. The London Homeless Hospital Discharge Network is the latest of many innovative projects integrating the work of health and homeless services. These include the “Pathway” projects that facilitate effective and safe discharge for homeless people. Another example is tailored psychotherapy such as the St Mungo’s Broadway Lifeworks service that provides psychotherapy to people who may be still using drugs or alcohol. This autumn, St Mungo’s Broadway will be launching its health campaign, A Future: Now. This aims to raise awareness of the health needs of homeless people, and issue a call to action to Health and Wellbeing Boards. St Mungo’s Broadway and Homeless Healthcare, as a community interest company, will be working to ensure that no-one is excluded from health care because they do not have a home.
Homeless Link and St Mungo’s (2012) Improving hospital admission and discharge for people who are homeless http://homeless.org.uk/sites/default/files/HOSPITAL_ ADMISSION_AND_DISCHARGE._REPORTdoc.pdf 2 https://www.gov.uk/government/news/ten-million-pound-cash-boost-to-improve-the-healthof-homeless-people 3 http://www.mungosbroadway.org.uk/services/recovery_from_homelessness/ homeless_intermediate_care_pilot_project 4 The Mandate. A mandate from the Government to the NHS Commissioning Board: April 2013- March 2015 https://www.gov.uk/government/uploads/system/uploads/ attachment_data/file/256497/13-15_mandate.pdf 1
THE MAGAZINE FOR HOUSING WITH CARE, HEALTH AND SUPPORT
05
can offer community-based, affordable and niche support to individuals or small groups.” Think Local Act Personal From 2010 until 2014 Community Catalysts worked in partnership with Nottinghamshire County Council (NCC) to stimulate and support micro community based enterprises and organisations. NCC recognised that if people who need care or support are to have real choice and control over their lives there needs to be a choice of high quality, local and imaginative supports and services available.
COMMUNITY ENTREPRENEURS enterprise and innovation in Notts and Herts Community Catalysts supports the development of sustainable local groups and enterprises that help people to live their lives. Angela Catley, Director of Operations, tells us about 2 of the micro community groups they have been working with. At Community Catalysts we believe that small (micro) community groups and enterprises are essential to the success of personalisation, forming a vital part of a diverse and imaginative local market. There are however many barriers to setting up something new in any sector and in the care and support sector there are more barriers than most! We’ve
06 bulletin
2014 No.4
developed and tested an approach that supports people running established community groups and enterprises to deliver a great service whilst also supporting people with a good idea to turn it into reality. Small-scale voluntary and independent sector “micro providers” and social enterprises
Key outcomes l 275 enquires received from members of the public in Nottinghamshire l 190 people received active help from the Coordinator Rebecca Stanley l 64 micro-enterprises now offering support and services within their community l 60 of these are new and were established over the life of the project l 900 people who need care and support to live their life are using these services l Between them they have created 112 jobs and 84 volunteering opportunities l A large number of creative and innovative services and supports are now available
The Hertfordshire Micro Market Project was a partnership between Community Catalysts and Hertfordshire County Council (HCC) running from 2012 until 2014. The aim was to deliver a wider and more diverse range of services for individuals looking for personalised and individually tailored support. Key outcomes l Contact made with 157 existing and emerging enterprises l 45 people received active help from the Coordinator Tracy Ahern. l 23 of these were already established but have been helped to develop, diversify or become more sustainable.
www.sitra.org
Hope Springs Horticulture CIC is a user led organisation that supports people with enduring mental health difficulties across North Nottinghamshire. The company is run by Helen Power and Anita Burnett who have thirty years’ experience between them of mental health and running horticultural therapy projects including 3 projects that had been running for many years. Cheapside Allotment Project which grows fruit and vegetables which are then sold locally. Clumber Park Project where volunteers work alongside National Trust staff in the nursery in order to gain practical skills, invaluable for those moving on into education or employment and Sutton Lawns Project based in the old greenhouse complex and specializing in starting plants from seed. l 22 were local people with ideas for new micro-enterprises, 14 of which were up and running at the end of the project and 4 of which were very close l They are used by 476 people who need care and support to live their life l Between them they have created or sustained 98 jobs and 59 volunteering opportunities l People are funding their support in a number of different ways including self-funders and those using a personal budget. Sam Niven set up Senior Moments in 2011 to make a difference to the lives of older people; her service offers a range of support in Stevenage, to help people to continue doing the things they like to do. This can include practical help such as assisting with correspondence, form filling, overseeing deliveries and spring cleaning, to learning to use the
Following funding cuts these 3 projects were faced with closure and the team got together to find a way to save them. Helen and Anita met with Rebecca Stanley from Community Catalysts who helped them to set up a Community Interest Company and Hope Springs Horticulture was formed. The project has been a godsend to me, it gives me a reason to get out of bed in the morning and is good therapy’ Service User. Helen Power says ‘Rebecca and the micro-provider network gave us the initial encouragement and belief that we could successfully set up on our own. Her on-going support has helped us achieve our aims and led to us now running a well-regarded and thriving enterprise’
internet, research family history and take trips out. Sam’s story highlights the difference a micro-
provider can have on the quality of a person’s life, particularly when they are living with dementia.
‘I started working with Irene about a year ago, she is 104 and has dementia. She has outlived all her family, so only has a very good neighbour that has taken care of all her affairs as her power of attorney. She has always been fiercely independent never wanting to go into a care home and has a range of services at home to provide the necessary help. I was contacted to provide some extra support and I now regularly visit Irene … Through time spent with her I learnt she missed her dogs, so last year I took my friend's dog to see her, she lit up. On a lovely sunny day we walked around the block and I was amazed that it sparked her dog walking memories and she knew exactly where she was, something that has been rare over the time I've spent with her, when she often thinks she is back where she grew up in Yorkshire. This Christmas we accompanied Irene to a community Christmas day dinner, not only did this ease the worry of her neighbour who was going to be away, but also took some pressure off the care agencies over a time when they have skeleton staff. More importantly, Irene enjoyed herself. She sang her way out of the house and into the car and was clearly lifted by the occasion. From my perspective, the benefits have been bringing some consistency and joy to Irene’s life her and from her guardian’s point of view, she values the fact that she is only ever dealing with one person (me!) that she can rely on and trust.’ - Sam Niven.
“
The Nottinghamshire project to increase the number of micro providers exceeded initial expectations. The partnership with Community Catalysts and having a dedicated coordinator in post with the right knowledge and skills has been key to establishing the work and designing a model for the future…. Nottinghamshire County Councils commitment to facilitating a diverse local market continues and the learning from this project is now embedded in the way it works on a day to day basis. The focus of work with micro providers will continue through a lead role for a member of the Strategic Commissioning Unit who will continue to link into the knowledge and expertise of Community Catalysts… Sue Batty Group Manager – Strategic Commissioning
”
THE MAGAZINE FOR HOUSING WITH CARE, HEALTH AND SUPPORT
07
CLOSING n
on orr o oo do tth ed he s s e s n s s e s n e s l s e e l m e o h hom Jo Driscoll from Warrington Borough Council explains the innovative approach to homelessness taken in Warrington. How do we prevent homelessness, especially during a time when access to both rented and owner occupation homes is so difficult for many people? This is a question many local authorities have been asking themselves, especially as homelessness has been on the rise nationally, coupled with changes to both the economic and policy environment over the last few years. Warrington Borough Council has recently adopted an innovative and fresh perspective to tackle this challenge. The Warrington Homelessness Commission was established with the aim of objectively leading a public debate focussed on homelessness in Warrington, involving key partners from the public, voluntary and business sectors and those citizens of the borough who have directly experienced homelessness.
Lack of welfare support
Domestic violence
In Warrington levels of homelessness are high Housing Migration shortage compared to other similar and neighbouring areas, with an Unemployment High increasing number of people accommodation costs accessing services who have Victim Poverty complex or multiple needs. of crime Oending behaviour The establishment of the Poor health Drug or Commission provided a unique and alcohol disability problems opportunity to lead a Bereavement Sexual Family or breakdown fundamental review and Losing physical a job abuse rethink homelessness in Experience Mental Having of being in health Warrington. parents care, prison or problems the armed forces
Debt
Relationship breakdown
Low incomes
with drug or alcohol problems
Childhood experience of homelessness
HOMELESSNESS
The council appointed an independent chair – Nick Atkin,
08 bulletin
2014 No.4
www.sitra.org
Chief Executive of Halton Housing Trust and Vice Chair of the town’s clinical commissioning group, to take the helm and lead the Commission on this exciting journey. Nick said: “Wherever you are in the country homelessness is a contentious issue. It is one subject where most people have an opinion. Some of these opinions are based on perception rather than reality. The Commission provided us with the opportunity to cut through the anecdotes and get to the facts”. Deputy Leader of Warrington Borough Council Councillor Mike Hannon is chair of the Warrington Partnership which commissioned the Homelessness Commission. He said: “There was a strong belief that we needed to put this issue on people’s agenda and get people and agencies talking so that we can develop new ways of working towards preventing homelessness. The creation of the commission reflects Warrington’s commitment and dedication to tackling the issues in a positive way and creating innovative solutions that will meet people’s needs. We are looking forward to seeing how the commission and its solutions develop and support some of our more vulnerable residents”. Prior to the launch an in-depth desktop review was carried out to pull together the information and evidence. For the first time this brought together all the data at a national, regional and local level to inform the next steps for the Commission. The emerging issues were presented at the inaugural meeting of the Commission on Monday 7 October 2013. Whilst agreeing the aims for the Commission’s work it was apparent that that whilst much has been achieved in Warrington to address the aims, much more
remained to be done.
resulting recommendations.
A widespread consultation and engagement programme was undertaken to understand in detail the views and perceptions of stakeholders. It also captured the views of those people who had experienced homelessness services, offering the opportunity to express their views and concerns directly to the Warrington Homelessness Commission. A series of focus groups and one to one meetings took place throughout October to December 2013.
During their final meeting, in January 2014, the Warrington Homelessness Commission reviewed all findings, identified areas for improvement, and potential solutions. From this they were then able to agree the ten recommendations as outlined in their final report. Our focus on prevention and integrated partnership working will enable us to achieve this vision by 2018.
During this time additional activity included: benchmarking with other Cheshire Local Authorities, a process mapping exercise with the in-house Housing Options Team and work to gather additional intelligence and information on the costs of homelessness, hidden homeless, mental health issues, domestic violence and ex armed forces personnel. To conclude the engagement phase, the Commission held a full day meeting in December. This meeting was held in public, with wide range of stakeholders presenting, including national homelessness experts and practitioners, service providers, the Mental Health Outreach Team, a local advocacy group and an outreach worker from the Basement Advisory Centre (a support centre for the homeless in Liverpool).
Our recommendations include: l Developing a single gateway approach, with all agencies involved working together closely l Undertake a strategic review of commissioning, management and delivery of homelessness services l Adopt a preventative approach to rough sleeping in the town l Establish a multi-agency governance group lead the delivery of the recommendations and future homelessness work in Warrington. This group will be supported by a task and finish operational delivery group
A comprehensive approach was adopted throughout ensuring that the Commission’s work was delivered in several stages. Each stage informed the next, resulting in a comprehensive body of evidence and themes to enable the Commission to identify key issues and formed the basis of their
A full copy of the report and a summary of the Commission’s work can be found at http://bit.ly/Tzw667
THE MAGAZINE FOR HOUSING WITH CARE, HEALTH AND SUPPORT
09
Sporting Memories Tony Jameson-Allen Director of Sporting Memories Network shows the role sport can play in improving the lives of people living with Dementia Recalling great moments of sport can prove beneficial in promoting cognitive functioning, triggering long held memories and providing social activities that can play their part in therapeutic interventions and activities offered to people living with dementia. Singing, dance, craft and arts all offer stimulating topics and hobbies that engage and promote socialisation. Following a Workforce Development Innovation Fund Grant from Skills for Care, the Sporting Memories Network piloted using sport as a focus for activities across fifteen care homes in Leeds. The pilot was evaluated by the Personal Social Services Research Unit, London School of Economics and a wider roll out ensued which included over 60 health, social care and leisure organisations, PSSRU
10 bulletin
2014 No.4
once again evaluated the training, resources and learning of staff and volunteers involved. There are now city and county-wide sports focused reminiscence activities taking place across England and Scotland, with projects commissioned by CCG’s, Public Health teams or local Health and Wellbeing Boards.
gentleman who it transpired had played at Wembley alongside Bill Shankly and Matt Busby. Whilst not everyone has maybe had such a grand sporting career, most people do have a story to tell and focussing on sport can tap into a subject that is held dear by many and connects communities and generations.
Sporting Memories Network uses archive images of sporting heroes, old grounds and teams to help trigger memories of older sports fans attending weekly groups. The subject matter of sport offers a common currency and natural topic for conversations, promoting communication and interaction, particularly (though not exclusively) for older men. Some remarkable stories have emerged from sports reminiscence, including one
In Scotland, a focus on this summer’s Commonwealth Games that are taking place in Glasgow has resulted in sporting memories hooking up with two housing associations. In Edinburgh a project is about to commence establishing Sporting Memories groups across the City in partnership with Trust Housing Association, LifeCare and Deaf Action and working with Drummond Community School and schools in the Stockbridge area.
www.sitra.org
Groups will be established in day centres and sheltered accommodation settings, engaging with residents and older people from across the communities, assisted by NHS mental health coordinators and other projects and initiatives established in Edinburgh such as Deaf Action. Stirling University who will be providing objects to help trigger conversations from their Commonwealth Games archive and Glasgow Caledonian University whose students will help capture stories from participants. Meanwhile the network has also teamed up with Glasgow Housing Association and Glasgow Life in creating a sporting reminiscence project which has been granted official XX Commonwealth Games Legacy 2014 status. The project will include an exercise to identify the legends of sport across the years and of course, lots of sporting reminiscence groups and activities. Staff from Glasgow Housing Association have been trained as sporting memories facilitators and supplied with the resources to work with older tenants across the city. Talking sport also often leads participants to either revisit sports once played, or gives an opportunity for facilitators to offer new games or exercises to engage in. Projects in North East Lincolnshire, Wigan & Leigh and York include partnerships with local sport and leisure services and personal trainers. Whilst weekly groups in Bristol and South Gloucestershire are facilitated by former professional footballers and county cricketers at the grounds they once played at.
Professional Sport supporting sporting memories Professional sport has embraced the work and worked in partnership with the network to engage fans in the wider projects and to raise awareness of The Prime Minister’s Dementia Challenge and the Dementia Friends initiative across generations. Grimsby Town Football Club enlisted the help of National
Bill’s Story The group of men gathered round the table and quickly started examining the old photos. Names of players were enthusiastically shouted out and soon the stories about games, players, goals and incidents were told with great fondness. The recall was impressive, by any standards. All of these men had dementia. One well-dressed man sat contentedly reading his paper. “Come on, Bill” said one of the helpers, “you like football, don’t you?” Somewhat reluctantly, Bill joined the group. Using the photos to trigger long held memories, Bill took us back to the 1930s and 1940s as if it was yesterday. Along with his boyhood pal, Jimmy, they rattled off scores, lineups and goals and spoke of legendary figures. As the session was ending, Jimmy leaned across and whispered, ”Bill was a grand player, I saw him play for Celtic.” Bill was in fact William Corbett, formerly of Celtic, Preston, Leicester, Dunfermline and Scotland. October 1942. England 0 Scotland 0, at Wembley. The match reports all said that Bill was the man of the match. “I have never seen a Scottish centre-half play Tommy Lawton as well as young Corbett did this afternoon” said one. All of them sang the praises of the 20 year-old and predicted a bright future for him in the navy blue of Scotland. This young man had faced the might of English football: Hapgood, Britton, Cullis, Mercer, Matthews, Lawton and Compton, all in their prime. A crowd of 75,000 had seen a tremendous struggle and young Corbett was the star man. Bill was ever so proud pointing to the Scotland line-up on the back of the programme. Shankly, Corbett and Busby. “Not a bad half-back line, eh son?” Citizen Service students who volunteered at their Memories Game in December 2013. More memories games are planned with Gloucestershire County Cricket Club, who held the first cricket memories match on Friday 23rd May, when pupils from Bedminsterdown School and volunteers interviewed supporters at their T20 game v Middlesex. To support the work, fans, stars, celebrities and journalists have been sharing their own favourite memories online, which are then used in the groups to trigger yet more lively discussion and debates. The Prime Minister, David Cameron
shared two personal memories, London 2012 featuring in his first, his second is below “An early memory I have is being at the Canal Turn when Red Rum won the Grand National in 1977 – it was a complete thrill to see such history being made!” The Sporting Memories Network was awarded Best National Initiative at Alzheimer’s Society National Dementia Friends Awards and are chairing a new task and finish group with Alzheimer’s Society as part of the Prime Minister’s Challenge on Dementia. The group met for the first time in June.
www.sportingmemoriesnetwork.com
THE MAGAZINE FOR HOUSING WITH CARE, HEALTH AND SUPPORT
11
Illuminating ideas on localism in Blackpool Paul Greenwood, Chief Executive of Bay Housing Association looks at how local connections can help the integration of health and housing.
I do like to be beside the seaside There’s a seaside place called Blackpool, noted for fresh air and fun…. So it was and still is. Sadly these days it is also known for its poor rankings in most tables of deprivation and health. Life expectancy in Blackpool, particularly for males, is not what you would expect with all that ozone knocking about. Bay Housing runs schemes for 16-25 year olds, three of which are situated about 500 yards from the Golden Mile, midway between the Tower and the Pleasure Beach. Wards in that area are among the most deprived in the country.
Small is beautiful In Housing Association terms Bay is a minnow. We act as Managing Agents for two Registered Social Landlords and have a grand total of 30 bed spaces. To our advantage we only work in one local authority area, Blackpool is a unitary authority with a population of around 150,000 so is also relatively small. However, it is one of the most densely
12 bulletin
2014 No.4
populated areas in the country, with large numbers of HMOs which bring many problems of their own. It also has a very transient population, both from out of area and within the town. This means that, even with only 30 beds, we are a significant player in the town and we have worked hard to be on the front row with everything. We have a reputation for accommodating people when others are unable to and for achieving good results.
Mavericks Rule OK When I arrived at Bay Housing, over 18 years ago, I had never even heard of Supported Housing. I was drafted in with a track record of sorting out financial and governance issues in a variety of Church and Third Sector organisations and so while sorting the financial issues was something I could easily resolve, improving my knowledge of the sector was urgently required. So we joined NHF and Sitra and I set about attending meetings and picking people’s brains. One of the great things about the organisation is our Management Committee. We still have three members who were involved in setting up the organisation, in
www.sitra.org
the days long before commissioning. They identified a need and set about doing something about it. For many years we had a Chair who was well known for her activities both locally and nationally – she took the Archbishop of Canterbury for lunch down the local chippy! She encouraged me to get involved in the wider third sector and thereafter served on the local Council for Voluntary Service (CVS) Board for almost 10 years. I also chaired the NHF North West Care and Support Group for 3 years and have chaired the Blackpool Supporting People Forum for 6 years. Additionally, I pursued social activities. As a theatre organist I regularly perform at prestige venues for civic events, conferences and even a royal visit. This gives me the opportunity to meet councillors and officials and discuss local issues with them.
Housing and Health – Towards the Holy Grail – via Local Strategic Engagement Where does all this take us you may be asking? What is the benefit of all this involvement in the wider world? You may recall the Sitra Local Strategic Engagement project led by Sue Baxter, the underlying concepts of which have become increasingly more important under the Government's localism agenda. How it helps is well illustrated by the part I have played recently in a pilot project on linking Housing and Health which has been going on the Blackpool, run by National Housing Federation (NHF), details can be found on the NHF website. We were able to use local connections to get the project up and running. The NHF officer leading the pilot came to Blackpool on her first visit to discuss how we might proceed. Her objective was to make contact with the Council, Health and the Third Sector Infrastructure body. Using my
contacts, I made a few phone calls and before she caught the train home at teatime we had seen the Leader of the Council, the Chief Officer of the CVS and the Director of Public Health. Local connections were invaluable. An important strand in relation to the health agenda is a connection with the local Third Sector Infrastructure Organisation. Many Third Sector organisations have a long track record of working with health. Cooperation and understanding of what they are doing is important in deciding what and where housing can sit and what it has to offer towards achieving health objectives. The Chief Officer of an infrastructure organisation is frequently a member of important bodies such as the Health and Wellbeing Board and is an important link. There are also regional bodies. In the North West, the Voluntary Sector North West (VSNW) has an officer responsible for Health issues and their knowledge and contacts are invaluable. As part of the pilot we worked with VSNW to bring together representatives from Housing Associations and organisation from the wider Third Sector. Both sides found
this a useful experience and were able to identify possible areas for future co-operation.
Lessons in Localism and the Wider Third Sector Get involved with local Third Sector Infrastructure Organisations. Not an easy task for larger Association who may work across dozens of local authorities. It is a new departure to deal with someone other than the Housing Department in an authority. The question you will need to answer is who does that task and how do they fit into your structure and feed in intelligence? Do not forget the small organisations. They are often quite near the coalface in terms of Local Strategic Involvement. Large Associations will often have Managing Agents who have a good deal of local knowledge and connections. Make use of them. Identify and use the mavericks in the world. They often succeed because of who they are and where they are.
Making the Connection Sitra is pleased to announce its new Making the Connection programme designed to help housing organisations navigate their way through the changing landscape of health & social care. Housing has an important contribution to make in achieving a person-centred health and social care system, but without conscious effort it can all too easily find itself left on the margins.The programme is still evolving but includes hot topics, briefings on specific areas of interest, training courses and tailored consultancy and is designed to help organisations identify both the challenges and opportunities available.
Forthcoming Hot Topic include: 4 September: Health and Wellbeing Boards: Hearing the housing voice 18 September: Making partnerships work Find out more about Making the Connection on the Sitra website – bit.ly/SitraMtC
THE MAGAZINE FOR HOUSING WITH CARE, HEALTH AND SUPPORT
13
One-Page Profiles for
Housing What people say about OnePage Profiles We are currently aware of 10,000 One-Page Profiles that are in use in the UK housing with support and care sector. The numbers are gradually increasing, as organisations are learning how a simple tool can help enhance conversations between clients and staff and enable effective support. l ‘A Powerful tool in changing how people are perceived and supported’ – Michael Smull, TLC-PCP l ‘It's about helping to improve services and human beings relating to each other’– Ceri Shephard, Transformation Manager, Look Ahead l ‘They enabled us to link people with similar interests and provide truly person-centred support’ – Steve Scown, Chief Executive, Dimensions l ‘An easy reminder of how we must treat each service user as an individual’– Lisa Rogers, Quality and Performance Manager, Andover Mencap l ‘We support people with learning difficulties into open employment, and One-Page Profiles have been really useful in allowing us to share information about our people with their employers in a positive way.’ – Hadassa Kessler (Supported Living Development Manager, Kisharen)
One-Page Profiles have been established in social care for some time and were adopted by the health sector during the inaugural NHS Change Day in 2013. Since Sitra’s annual conference ‘Change Makers’, we, along with our colleagues in Helen Sanderson Associates have been striving hard to promote the use of One-Page Profiles for housing with support and care in England.
What’s important for One-Page Profiles l Simplicity is key to One-Page Profiles, as they give individuals a way to communicate important information as succinctly as possible. l One-Page Profiles need to be evaluated as part of the broader personalisation and coproduction agenda- how could a personalised service be delivered without knowing what is important to the person and how they wish to be supported? l One-Page Profiles are about starting conversations, true and honest ones between individuals. The mutual sharing of information breaks down the barriers between clients and staff that prevent them from forming equal and reciprocal relationships. l Finally, As Smull says ‘they are a means to an end, not an end - It is about how the profiles are used and NOT just that they exist.
A Fond Farewell Many of you will have worked with Sue Baxter our Policy and Practice Office over the last 13 years. Last month Sue left Sitra for a new challenge and we would like to take this opportunity to thank Sue for her invaluable contribution over the years and wish her the very best for the future.
14 bulletin
2014 No.4
How to support the campaign l Visit our website to find out about how One-Page Profiles help promote effective and personalised housing with support and care services. l View our One-Page Profile gallery and read stories of Sitra staff and members. l Share your stories of implementation and inspire others l Keep the discussion going on Twitter by using the hashtag #onepp
An Honourable Mention We were delighted to hear that Sitra Associate Clenton Farquharson was awarded an MBE in the recent Queen’s Birthday Honours. Clenton is co-chair of Think Local Act Personal and was recognised for his services to disabled people and the West Midlands Community.
www.sitra.org
Money matters Sitra’s Practice and Policy Officer Roselee Molloy describes what providers and users of housing support services should know about the new standards for National Minimum Wage.
The National Minimum Wage (NMW) is going up in October 2014. The NMW will be £6.50 per hour for adults and the Government has hinted that a larger increase could be on the way. This represents a 3% increase, compared to a rate of inflation forecasted at 2.3%, and is in line with the Low Pay Commission’s recommendations1. Further, employers who fail to pay the NMW will now be subject to fines of up to £20,000, an increase of £15,000.
Overnight Workers There are several factors to consider in determining if an overnight worker is entitled to NMW. The first is whether they are salaried or hourly workers. When an employee is salaried and sleep-ins are defined as part of a worker’s ‘core-duty’, then it is expected the worker must be paid NMW for every hour of the sleep-in. In contrast, for hourly workers, two recent legal cases have found the worker was due the NMW regardless of the definition of duties.
Whittlestone v BJP Home Support (July. 2013) Employment Appeal Tribunal This case involved a floating support worker who was required to stay overnight with service-users in their homes. She was paid a flat rate of £40 for a shift from 11pm to 7am and given a camp bed. The carer claimed she was entitled to NMW even when she was asleep as it was work. She lost at the employment tribunal but won on appeal. The judge agreed that it was work. He wrote, ‘she would have been disciplined if she had not been present throughout the period of time; she could not for instance slip out for a late night movie or for fish and chips. The fact that her physical services were not called upon during the night were… irrelevant since her job was to be there.’
Travel time Whittleston (as cited above) also ruled on the issue of travel time between floating support clients. Carers are entitled to be paid the NMW for the time spent travelling between service-users when there is insufficient time between visits to go to one’s own home.
A bit of history Esparon t/a Middle West residential Care home v Slavikovska (May.2014) Employment Appeal Tribunal This case involved a worker at a care home who was paid a flat rate for sleep-ins. She contended that her duties through the night required her to be up and therefore entitled to the NMW. Her employer denied this. The EAT looked at the fact that the employer was statutorily obliged to have a staff member available on site all night, regardless of whether they are awake or asleep. Based on this duty, the worker was entitled to NMW. 1
The Government has been looking closely at the issue of NMW in the care sector for some time. In 2012 the White Paper ‘Caring for our Future ’ promised to look at the issue of travel time. The HMRC carried out an investigation into the NMW compliance of care providers and released their report in November 2013 stating ‘This review has identified higher and increasing levels of noncompliance with NMW legislation than has been previously found in the sector indicating that employers need to be much more diligent in ensuring workers’ pay is compliant with NMW legislation’. Travel time was cited as a major reason for non-compliance.
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/288841/The_National_Minimum_Wage_LPC_Report_2014.pdf
THE MAGAZINE FOR HOUSING WITH CARE, HEALTH AND SUPPORT
15
Taking a proactive approach to telecare Sue Yeandle, Professor of Sociology and Director of the Centre for International Research on Care Labour and Equalities (CIRCLE) at the University of Leeds discusses the importance of taking a proactive approach to telecare in light of recent findings from the AKTIVE (Advancing Knowledge of Telecare for Independence and Vitality in later life) project. AKTIVE launched in May 2011 and concluded at the end of May 2014, making a wealth of social research publicly available. Lessons from this research are relevant to anyone who is interested in improving the quality of life of our older population, ageing in place, supported selfhelp and making the best use of resources.
The challenges Through AKTIVE we wanted to address the challenges arising from our ageing population and explore and understand the opportunities for telecare in relation to these challenges. We were particularly interested in addressing how telecare can help individuals who are prone to falls or who have dementia. We also wanted to examine how telecare
16 bulletin
2014 No.4
can better benefit those caring for older individuals, both paid and unpaid carers.
The methodology Our innovative mixed methods approach differed from many approaches to telecare research. Key to our methodology was something we call ‘Everyday Life Analysis’. This involved a rich mix of discussions and observations, and included 60 older telecare users in a longitudinal study. It also took a holistic approach by integrating views from carers, the sector, market and industry, as well as focusing upon the users themselves. Through Everyday Life Analysis, we gained an incredible amount of insight into how telecare is embedded into people’s everyday lives by exploring options, opportunities, potential and barriers.
The findings Findings from the AKTIVE project were revealed in April at our dissemination conference, and the initial five working papers have now been published, further papers will be published shortly All the papers can be found at http://circle.leeds. ac.uk/projects/current/aktive/ Five Initial Working Papers 1. Researching telecare use using everyday life analysis: Introducing the AKTIVE working papers (Sue Yeandle) 2. Frail older people and their network of support: How does telecare fit in? (Sue Yeandle) 3. Telecare and older people's social relations (Emma-Reeta Koivunen) 4. Coping with change: Frail bodies and daily activities in later life (Gary Fry)
www.sitra.org
5. Lifestyles in later life: Identity, choice and stigma
The learning Through AKTIVE we have learned that telecare is not a simple intervention but a varied mix of ‘tools for living’. We know that telecare can help form a support system that connects people to one other, and to timely assistance. These tools for living can help people living with frailties to exercise choice and retain dignity. They can help people to do what they want, where they want to be, and in their own way. These tools for living can even save lives. However, we also found that some older people resist telecare because they find it stigmatising, awkward or troublesome to use. These responses gave us indicators to what needs to change, and how we can make changes. Telecare systems can indeed help us rise to the challenges of our ageing population. However, this means stakeholders, including policy makers, industry, the housing, health and social care sectors and users themselves, working more closely together to adopt more proactive and
preventative approaches. The knowledge obtained from the AKTIVE project can now be accessed via our websites and used to make a real and lasting difference to people’s lives. Better care for our ageing population is of interest to us all, because it will impact us all. Therefore, I strongly urge anyone with an interest in this field, particularly policy makers, commissioners and assessors, to read our research and, even more importantly, to use and apply the
research so that we can all be more proactive in addressing the challenges of our ageing population. The AKTIVE project was funded by the Technology Strategy Board and Economic and Social Research Council and led by CIRCLE, with partners at the University of Oxford, Tunstall Healthcare and Inventya Ltd, the AKTIVE research project explored how telecare can be developed to help older people live full and independent lives.
Find out more about the AKTIVE project http://circle.leeds.ac.uk/projects/current/aktive/ Access presentations and video from the final AKTIVE conference http://www.aktive.org.uk/2014_presentations.html
THE MAGAZINE FOR HOUSING WITH CARE, HEALTH AND SUPPORT
17
Life After Housing Benefit The National Housing Federations Patrick Murray reveals the key issues raised following the NHF consultation in January looking at how housing costs for people in supported housing might be funded in the future.
Housing Benefit will be abolished in 2018, so a new system for funding housing costs in supported housing will need to be designed soon. DWP had said little since their poorly received consultation in 2011, other than they wanted a localised system with costs controlled going forwards. They are currently considering how they want to devise a new system.
schemes and the whole system is put in jeopardy. The DWP’s original proposal of an Local Housing Allowance (LHA) plus fixed top-up system would mean that claimants would potentially not be able to claim the full amount of their housing costs and would have to find extra money which many would struggle to do.
“DWP should examine other options than devolving any funding pot to local authorities, such as examining alternative solutions delivered through national bodies such as the Homes and Communities Agency (HCA), or the Department of Health, delivered through Health and Well-being Boards (HWBs)”
To help inform future consultations, the National Housing Federation launched our own consultation in January looking at the key principles on which any future system should be based. After a series of events across the country we produced a summary paper, which has been submitted to DWP. So what were the key principles we identified, and why did people feel strongly about them?
“The system for funding housing costs must reflect the actual housing costs incurred in the provision of supported housing, but should remain treated separately from funding for support or care”
Unsurprisingly, in the context of what has happened to SP budgets across the country, the option of a localised system was not popular. There were a number of alternative suggestions put forwards. One was to deliver supported housing costs nationally through the HCA. This would provide a link with capital funding, and ensure that revenue support was run by a body with a good knowledge of the supported housing world.
“The system needs to be based on individual entitlement” The principle of individual entitlement was considered fundamental. The current system means that if you need supported housing, you can claim for the costs of providing that housing. If that link is broken vulnerable people will be left unable to access
18 bulletin
2014 No.4
Another key principle is the need of the future system to accurately reflect legitimate housing costs so that continued investment in new provision could be maintained. However, given the context of reducing funding for support, it is important to keep the housing costs separate from funding for support and care. That way there would be a secure source of income to keep a building running. The separation is also necessary as in so many cases care, support and housing are provided by different organisations and it would very difficult to roll everything into one single fund.
Another option was to hold the funding in the Department of Health, and deliver it locally through Health and Wellbeing Boards (HWB). Again this would provide a link with capital funding, and ringfencing in health is still common practice. At a local level HWBs offer a strategic oversight bringing together health and local government, and the incentive to
www.sitra.org
continue investment in supported housing should be as strong as the preventative role many schemes play offer savings for the NHS. However this model would require further examination – including how to ensure it was not restricted to only those meeting social care statutory eligibility, how the money would avoid being swallowed up due to NHS pressures, and how the level of expertise needed to deliver this system at HWB level would be developed.
“If any localised system were to be devised it would be critical to ring-fence funding or at the very least develop a very strong incentive for the money to be used as intended, and not siphoned off to meet other pressures” If the DWP do indeed decide to devolve the money to local authorities the need for a ring-fence is clear – the result of removing the ring-fence from SP budgets has been catastrophic. Without a very strong incentive, the financial pressures that local authorities are under would mean the fund would come under strong pressure.
“Any proposed solution must be flexible enough to deal with the wide variety of client groups” One of the issues identified from the DWP’s 2011 consultation was the inability of a system with fixed top-up costs to be flexible enough to reflect the wide variety of schemes serving different client groups that make up the supported housing sector. No scheme will work, and ensure a thriving supported housing sector, unless it
allows sufficient flexibility for whoever is managing it to recognise and fund the legitimate housing costs for such a variety of schemes and client groups.
access private funding.
“Transitional arrangements are hugely important in order to safeguard historic investment”
Supported housing providers were keen to point out that many are already regulated by the HCA, meaning that they cannot charge excessive rents and this acts as a control on the overall cost of the system, as well as the quality of provision.
This was a really important point. Current capital funding streams are simply unable to replicate the amount of historic investment put in to supported housing schemes across the country over many years. Moving to a new system which could put at risk the one reliable revenue funding stream for supported housing means providers may decide it is too risky to operate existing schemes and either sell them or turn the properties into general needs. It would be highly unlikely provision would be replaced on the same scale.
“Any solution should give certainty for the longer term in order to ensure continued viability of existing schemes and investment in new schemes” The current approach for investing in new schemes relies in large part on providers raising significant private capital, often through lending, as capital grant does not cover the full build costs. Therefore any new system must allow for the full recovery of build costs and loan repayments within the rent, otherwise providers will not invest in new supported housing. The funding stream must also be robust and certain enough to satisfy lenders requirements in order to
“The rents charged by registered providers are already regulated via the HCA”
There were a number of other issues raised throughout the consultation, including two other important principles. Firstly there was a strong steer that sheltered housing should be treated separately as a different product serving a different client group. This fits well with the different timetable for pension credit and the possibility for meeting housing costs through that system, although thought will have to be given to those in sheltered housing of working age. Secondly the thorny issue of sizing any localised pot will prove extremely difficult. This does provide some incentive to devise a national system, despite DWP’s preference for a localised system. It will be critical to identify all supported housing, which local authorities have so far not done. Often housing benefit departments have been reluctant to accept exempt status for properties or have not been particularly concerned with identifying registered providers stock. There is also a real challenge to ensure that future demand is reflected in however a funding stream may be split up.
You can read the full paper on the NHF website http://www.housing.org.uk/publications/browse/future-funding-of-housing-costs-in-supported-accommodation
Confused about recent announcements on exempt accommodation? Or need personalised advice specific to your projects? Sitra consultancy can offer bespoke packages of advice from our in-house specialist Geoffrey Ferres, starting at just half a day. Contact Wendy Green on wendyg@sitra.org or ring 020 7793 4715
THE MAGAZINE FOR HOUSING WITH CARE, HEALTH AND SUPPORT
19
/RQ WK 'HF WK 1RY 'D\V
'D\V
(IIHFWLYH 6XSHUYLVLRQ 6NLOOV
'HYHORSLQJ \RXU 7HDP
&RXUVH
WK 6HSW
WK 6HSW
UG -XO
6RX
WK 1RY
WK 2FW
WK 2FW
/RQ
'D\V
6RX
/RQ
'D\V
2EVHVVLYH &RPSXOVLYH 'LVRUGHU DQG +RDUGLQJ
'HPHQWLD DQG :HOOEHLQJ
&RJQLWLYH %HKDYLRXUDO 7KHUDS\ $Q ,QWURGXFWLRQ
$XWLVWLF 6SHFWUXP 'LVRUGHU $ZDUHQHVV
&RXUVH
WK -XO
VW 6HSW
QG 6HSW
WK -XO
6RX
WK 6HSW
WK 1RY
WK 1RY
/RQ
WK ± WK 6HSW
'D\V
(VVHQWLDO 0DQDJHPHQW 6NLOOV
0DQDJHPHQW 6NLOOV DQG ,VVXHV
75$,1,1* 3/$11(5 -8/< - '(& IRU WKH PRVW XS WR GDWH VFKHGXOH ± SOHDVH JR WR ZZZ VLWUD RUJ 6RX WK 6HSW
/RQ
%HQHILWV 0RQH\ DQG 'HEW
6RX WK 1RY
&RXUVH %HQHILWV $Q ,QWURGXFWLRQ 5HQW $UUHDUV &RXUVH WK 6HSW
'UXJV DQG $OFRKRO $GYDQFHG 6XEVWDQFH 0LVXVH 'UXJV DQG $OFRKRO
VW -XO
WK 6HSW WK 6HSW
0RYLQJ LQWR 0DQDJHPHQW
9LEUDQW 6HUYLFH /HDGHUV /DGGHU WR WKH 0RRQ
&RXUVH WK 6HSW QG 2FW
+HDOWK &DUH 6XSSRUW 0HQWDO &DSDFLW\ $FW DQG 'HSULYDWLRQ RI /LEHUW\ 6DIHJXDUGV WK -XO WK 1RY
0HQWDO +HDOWK
0RWLYDWLRQDO ,QWHUYLHZLQJ WK 6HSW
WK 2FW
3DOOLDWLYH &DUH IRU (QG RI /LIH QG -XO
5HVLOLHQFH
6XLFLGDO %HKDYLRXU
6DIHJXDUGLQJ $GXOWV DQG <RXQJ 3HRSOH DW 5LVN WK 6HSW
'D\V
'D\V
/RQ
'D\V
WK 6HSW
/RQ &RXUVH
6RX
WK -XO
:RUNSODFH 6NLOOV
WK 6HSW
%RRN QRZ DW ZZZ VLWUD RUJ WUDLQLQJ
7HO (PDLO WUDLQLQJ#VLWUD RUJ
9HQXH GHWDLOV DQG FRXUVH VWDUW DQG ILQLVK WLPHV FDQ EH IRXQG RQOLQH DW ZZZ VLWUD RUJ )RU IXUWKHU HQTXLULHV FRQWDFW WKH WUDLQLQJ WHDP
$VN WKH WHDP
6RX 'D\V
(IIHFWLYH 7LPH DQG :RUNORDG 0DQDJHPHQW
&RXUVH
$VVHUWLYHQHVV
WK 6HSW
6HOI +DUP 6XSSRUWLQJ &OLHQWV
/RQ
/RQ
6XSSRUW 3ODQQLQJ DQG .H\ :RUNLQJ 6NLOOV 6RX
+HDOWK DQG 6DIHW\ &RXUVH
WK 6HSW 6RX
+RXVLQJ
/RQH :RUNLQJ DQG 5LVN $VVHVVPHQW &RXUVH
WK 6HSW
VW -XO UG 6HSW
7HQDQFLHV DQG /LFHQFHV LQ $JHQF\ 0DQDJHG 3URSHUWLHV
WK -XO\
WK 6HSW
0DQDJLQJ 3HUVRQDO DQG 3URIHVVLRQDO %RXQGDULHV
WK 6HSW
&RXUVH 3ULFHV 1RQ-PHPEHU Â&#x2026; Â&#x2026; Â&#x2026; Â&#x2026; Â&#x2026;
6,75$ 6HUYLFHV UG )ORRU %RQGZD\ /RQGRQ 6: 6- /LPLWHG E\ JXDUDQWHH UHJLVWHUHG RIILFH DV DERYH &KDULW\ UHJ QR &RPSDQ\ UHJ QR 9$7 QR
3ULFHV HIIHFWLYH IURP 0D\ DQG PD\ EH VXEMHFW WR FKDQJH
&RXUVH W\SH DQG GXUDWLRQ 0HPEHU +DOI GD\ Â&#x2026; 2QH GD\ Â&#x2026; 7ZR GD\V Â&#x2026; ,/0 DFFUHGLWHG RQH GD\ FRXUVH Â&#x2026; ,/0 DFFUHGLWHG WZR GD\ FRXUVH Â&#x2026;
+RXVLQJ /DZ DQG *RRG 3UDFWLFH 2FFXSDQF\ DQG 6HFXULW\ RI 7HQXUH +RXVLQJ /DZ DQG *RRG 3UDFWLFH +RPHOHVVQHVV DQG +RXVLQJ 2SWLRQV
)LQG WKH SHUIHFW FRXUVH )XUWKHU GHWDLOV RI WKHVH FRXUVHV LQFOXGLQJ FRXUVH RXWOLQHV DQG REMHFWLYHV FDQ EH IRXQG WKURXJK RXU VHDUFKDEOH FRXUVH OLVWLQJV DW ZZZ VLWUD RUJ WUDLQLQJ
*R ,Q-KRXVH $OO WKHVH FRXUVHV DQG PRUH DUH DYDLODEOH LQ-KRXVH DW \RXU RUJDQLVDWLRQ IRU JURXSV RI WR GHOHJDWHV )RU IXUWKHU GHWDLOV FDOO