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Case History Consideration of Profound Medical Needs - A home for life on hospital discharge

Can supported living homes save the NHS millions?  Yes!  Partnership, collaboration and vision is all that it takes.

T.P Properties were commissioned by a PCT to find a housing with support solution for an individual who had been in hospital for five years due to profound medical needs.  This demanding brief insisted that the design was primarily tenant led, taking into account her aspirations, within traditional constraints.  It is believed that this venture was true to the definition of 'intergrated' care as defined by TLAP in 2013, though it occurred prior to this formal acknowledgment.

In 2012 the Housing LIN and a consortia of providers under the auspices of 'Care & Repair England' and the Chartered Institute of Housing published the 'Hospital2Home' resource pack. This publication found that the cost to the NHS of keeping a patient in hospital when they are ready to be released is estimated at £260 a day. Furthermore, Department of Health data shows that during March 2012 over 71,000 days were lost because of delayed hospital discharge.  That means the delays in March 2012 would have cost about £18.5m.  These figures are increasing year on year.

Such a project required the Development Team to organise weekly meetings to support the future tenant to contribute towards the design, build and furnishing of her home from her hospital bed.  This consultation and involvement helped to ensure that the intention and delivery of the dwelling met not only the current needs but was sustainable for the future.

Working closely with the Trust, T.P Properties designed and developed a bespoke open plan supported living bungalow, on a site that the tenant identified.  This property was flexible enough to accommodate very distinct health needs including being fully wheelchair accessible, with an adapted kitchen and bathing area, and ports in each room to allow for medical oxygen supply.  In addition, assistive technology was utilised as fully as was possible.  To compliment the interior the garden areas were planned to avoid certain potentially harmful plants due to strong tenant allergic reactions. All believed that this was housing with support at its very best, but this belief was best phrased by the tenant who said:

'This is honestly one of the highlights of my life.  The Development Team were patient and fantastic.  After five years of feeling like services had let me down I now feel that I can get on with my life.  It was so emotional on the first day I kept pinching myself as I couldn’t believe it was real.  I will miss the team enormously – so please stay in touch!'

This is honestly one of the highlights of my life.
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Adapted bathing area
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