Between 2014 and 2016, Miller Research conducted a formative evaluation of the ‘In One Place’ Programme on behalf of the Aneurin Bevan University Health Board (ABUHB). In One Place is a ground-breaking collaboration between ABUHB, five local authorities (Social Services and Strategic Housing) and eight Registered Social Landlords (RSLs) within the Gwent geographical area (Blaenau Gwent, Caerphilly, Monmouthshire, Newport and Torfaen). The initiative aims to streamline the process of obtaining suitable accommodation in the local region for people with complex health and social care needs, as an alternative to out-of-county residential placements or unnecessarily extended stays in hospital (delayed transfers of care). Service users take on a tenancy in an RSL-owned property and receive care and support in their own home.
The programme is concerned with behaviour change among each of the partner organisations included in the collaboration, to increase partnership working, improve service user outcomes and general wellbeing and reduce public sector expenditure.
The evaluation entailed extensive consultation with programme partners; other health, housing and social care practitioners; and service users and their families. A formative approach was adopted for this stage of the evaluation, involving facilitated workshops with programme partners based around Action Research methodologies and continual monitoring of and feedback on the progress of individual projects developed through the programme.
The summative, impact evaluation included longitudinal case studies of individual service users as well as a cost benefit analysis of this new way of working. This latter exercise sought to calculate the overall cost effectiveness of enabling service users to live in the community with an appropriate package of care and support, using historical data on hospital readmissions and residential placement costs along with the current costs for building or adapting properties, management and the provision of domiciliary care and support, associated with In One Place schemes.
A précis of Miller Research’s baseline evaluation report of the In One Place Programme was published as an article in the Journal of Integrated Care, as part of a special edition on collaboration between health, social care and housing in Wales. Miller Research won the 2016 LARIA (the Local Area Research & Intelligence Association) award for “Best use of social care or health research” for the evaluation of In One Place: http://laria.org.uk/2016/04/laria-research-impact-awards-2016/
For more information about the In One Place evaluation, please contact Kerry KilBride on email@example.com
Aneurin Bevan University Health Board