9. Statement by the Minister for Housing and Regeneration: Integrating Housing, Health and Social Care

Part of the debate – in the Senedd at 6:42 pm on 26 June 2018.

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Photo of Rebecca Evans Rebecca Evans Labour 6:42, 26 June 2018

I thank you very much for those questions and for the warm welcome that you gave at the start of the contribution, and for your recognition about the importance of housing in the wider health and social care agenda. And we're not just talking about housing; you made the point that, actually, we're talking about homes, and when we listen to people, they generally tell us that home is where they want to be. I think that social care and provision of care closer to home and, ideally, at home, is certainly the way forward in supporting people to have that aspiration realised.

You referred to the parliamentary review; well, our statement today is very much part of our response to that parliamentary review from the housing perspective and it's done very much in association with health and social care as well. You referred to the fact that the parliamentary review called for a new partnership between health and social services and housing. I think what we're setting out today, through the integrated care fund, is very much that new partnership and we're making sure that that has housing at its heart by ensuring that regional partnership boards will, in future, have housing as statutory members of those boards. When I was Minister for social services, I recognised then the important role that housing could make and I encouraged regional partnership boards to include housing on those boards. And, I think it's fair to say, it was done with varying degrees of success across the different regional partnership boards in Wales. In recognition of that now, we realised that now is the time to consider how we can put that on a legislative footing, so, we intend to bring forward regulations to give housing that status and focus that it really needs on those regional partnership boards.

You referred to delayed transfers of care. I'll ask the Minister to write to you with the very latest statistics, but they are published monthly, I believe, by the Welsh Government. Some of those figures that we are seeing are amongst the lowest that we've ever seen in Wales since the records began, 13 or 14, I think, years ago, and that is quite extraordinary, given the fact that we are in a position now where demands on hospitals, especially in that kind of setting, are increasing. So, I recognise that we are making improvements in this area, but as I said in my statement, there is much more that we can do and that we need to do. This announcement I'm making today is part of our response to that challenge as well.

You quite rightly mentioned the issue of local authorities and planning and how they can enable this kind of agenda. This was very much recognised by Professor Phillips's 'Our Housing AGEnda' report, which is referred to in the statement, and the expert group that informed that statement focused on how the planning system can better support an aging population. The revised 'Planning Policy Wales' requires planning authorities to identify where interventions may be required to deliver older people's housing when there has been a need for that locally, and this may include the identification of specific sites and policies in local development plans. Consultation on a revised draft of 'Planning Policy Wales' has recently closed, and I'm sure the Cabinet Secretary will be making an update on that very shortly.

I was aware of the 'Liveable Cities' document. I was really pleased to respond to that debate just a couple of weeks ago, and it really was an excellent debate, and I think recognition from all sides about the important role of how we design our cities in terms of the benefits, or otherwise, it can bring to our health. I'm keen to see accommodation-led regeneration in our towns and cities as well, because we had questions to the First Minister today that focused on the impact that the downturn in retail and the changing patterns of consumer spend are having on the high street, and there's certainly opportunity, I think, to ensure that our high streets become places where people want to live, because there are lots of benefits there in terms of being in the middle of all of the action, and also having larger numbers of people living in our town centres is obviously good for those retail businesses that remain.

In terms of adaptations, we're very focused within our new fund to ensure that adaptations do continue to be resourced as they should be. So, within that £105 million, there is a main capital programme, which would be a minimum of 75 per cent of the spend, and a discretionary capital programme, which would be a maximum of 25 per cent of the spend. Within that discretionary capital programme, we would expect regional partnership boards to consider aids and adaptations that are not supported by existing programmes and that are in support of those specific objectives of the ICF, which are older people, people with learning disabilities, children with complex needs, and carers. They could look at equipment projects, which support people to live independently in their own home and to reduce hospital admissions or speed up that hospital discharge, or other smaller scale projects in support of the ICF objectives. So, those projects could be community-led or third sector-led, because the social services and well-being Act also is very focused on ensuring that we do support those third sector organisations and co-operatives and so on to be able to deliver services within the community as well.