I don't buy food

CHC hold training events at our head office and there's often leftover food at lunchtime. We’re informed about this in an email… Come and get it! What happens next? Yes, there's an almighty scramble to the kitchen for the chance of a free lunch or a nibble of a piece of cake. But, hold on, how many people need this? Those who haven't prepared lunch, the majority, will say they need this food. Others will say it will only go to waste, the cheese sarnies always do. But is this real need? The numbers taking advantage of this meal are increasing. Would you turn down a free lunch? Or would it be any different if someone told you that they’d do your weekly shopping today for free and deliver it to the end of your street for free? I for one can be honest enough to say I would never give up the chance of free food.

Foodbanks and food parcels have become an established part of communities across the UK. Many communities need them to survive the deep cuts to welfare, and some communities who run them are 'doing their bit for the poor as part of the Big Society'. But what experiences have tenants had with them? Is it a free meal, as Lord Freud describes it, or is there a real need? A tenant living in Blaenau Gwent told me about the food parcels that arrive at their local Community Centre every other week. 'It’s chaos, like a scene from Africa. Everyone runs out and opens up the packages, trying to get the best things. You know, sweets and stuff.' There's no assessment of need and the whole thing lives up to the free meal stereotype. Another tenant tells me of having to pray before receiving a parcel, as most foodbanks are run by religious organisations. Finally, a tenant asks me, ‘What would you do with 12 bottles of tomato ketchup with a hint of balsamic vinegar?’ Ideas on a postcard? Contrary to Zoe Williams' belief, food parcels do contain luxuries. Champagne is the most expensive product I’ve been told about.

The reasons for increasing use of foodbanks have been cited as a change in benefit, a sanction or a delay, or use of payday loans. However, these have all been around for several years now, therefore the recent welfare reforms are not the reason. The problem lies with benefit take up, application and processing. Payday loans are another problem altogether. Welfare reform is exacerbating these reasons for use, and this is set to get worse with possible 7 week delays for Universal Credit payments which will see the desperate Friday become a desperate week. Weekly or fortnightly payments often leave households in desperate financial situations in the last days between payments, and stories of parents not eating on a day or weekend prior to payment is common. However, when monthly UC payments start these days will accumulate into the 4th week, and there is a real danger of parents trying to go several days without food. Food parcels will therefore become an essential need for many.

One of the reasons UC is being rolled out is to increase personal responsibility of finances and to combat the 'I don't pay rent' belief. However, the ever increasing use of food parcels is creating the same problem. Last month, I heard the phrase ‘I don’t buy food, I get one of those voucher things’ for the first time when asking someone about their expenditure on food. What Lord Freud doesn't understand is that changes to welfare benefits are not recognised by claimants in the same way that policy makers see them. Advice agencies used to assist people in desperate need to claim a crisis loan or community care grant, but now they pass on a food voucher. Has the social fund been replaced by foodbanks? Claimants are beginning to believe so and are therefore seeing food as another entitlement. 'I don't buy food'.


Paul Langley
Senior Money Adviser

Is service integration the cure for an ailing NHS?

This year marks the 65^th anniversary of the NHS in Wales and, despite being a hallmark of ‘Great Britain’, it is possibly facing the most challenging time in its entire history. With increasing demand for services, higher expectations and pressure to cut spending, finances couldn’t be any tighter. Or could they?    

Unscheduled care, in particular, is under extreme pressure as more and more people present a t A and E and choose to bypass GP out of hours surgeries.  Hospitals are also struggling to meet existing targets and delayed transfers of care and waiting list times continue to rise.  

Reconfiguration is one solution that’s being offered; however, it’s not just secondary care which is under pressure.  Patients in Wales come into contact with the NHS some 20 million times each year, with 80% of contacts taking place outside of a hospital. On average, people visit their GP seven times a year and we expect this to rise rapidly as welfare reform impacts on wellbeing with more people suffering from depression.  

So, put simply, finances could be and are likely to get tighter!  The good news is that housing associations and Care & Repair agencies can help.  Housing associations and Care & Repair agencies already work closely with social care partners to deliver critical services that contribute to prevention and re-enablement. They are also key players in supporting better community health and staff can be a key contact for older people living alone.    

The Older Persons Commissioner is passionate about ‘Older people wanting to stay safe, healthy and secure’ and that the key requirement for those returning home form hospital is ‘food in the refrigerator, a warm home and continuity of care.’ Housing associations already fulfil this role and they can and want to do more.  

Some housing associations also have their own dementia and extra care homes and provide specialist care and support throughout Welsh communities.  Others employ staff in hospices to reduce pressure on A and E by providing support to homeless people who are often repeat presenters at A and E. Despite this work, the role of housing associations is barely recognised in the new Health, Social Care and Wellbeing bill.
 

As the NHS grapples with how best to simultaneously cut costs, meet demand and improve services, more Local Health Boards have been developing projects with housing associations to provide more integrated/holistic services focused on the needs of the individual. While this might not be a total cure, results so far show that it certainly drives improvement.

We will be celebrating some of these projects during Health & Housing week from 15-19 July and we’re inviting you to engage in this week. Tell us your story, either as a service provide or as a customer, about how integrated services across housing and health have helped you! 

Amanda Oliver
Head of Policy and Research, CHC 

Lessons learned from the Torfaen direct payment demonstration project

Bron Afon has been taking part in a national demonstration project to test a range of different payment triggers and levels of support for Housing Benefit claimants, ahead of the introduction of Universal Credit. Whilst the message from the Department for Work and Pensions is that the majority of claimants are managing their own rent, our experience is that debt amongst tenants on direct payment is significantly higher than amongst the general tenant population.

The Department for Work and Pensions agree that there needs to be protection for both tenants and landlords for when people build up debt and help needs to be targeted at those vulnerable people who should not be placed on direct payments.


In the Torfaen project area:

- 31% of Bron Afon tenants taking part thought they would cope poorly with direct payment and 36% felt they would need significant long term support.
- 1 in 4 of our cases have now been switched back, meaning we receive their housing benefit directly.

- The rent collection process demands considerably more effort for a lower rate of return.

- Contact levels with tenants are three times higher than was the case previously.

- Texting timely reminders to pay appear to be having a positive impact when backed up with next day intervention in cases of non-payment.

- Our rent collection rates in March 2013 showed that tenant payments stood at 94.6% of the overall rent charged.


What happens next?

The projects will be extended for a further six months until December 2013 to develop the support needed for tenants moving onto Universal Credit.

We are playing a vital role in influencing the future of Universal Credit. Bron Afon will continue to work with Charter Housing and Torfaen County Borough Council to feed the lessons we learn back into the design process.

Bron Afon’s project team – part of the Welfare Reform project – will be focusing on ensuring that tenants pay their rent, providing support for those who need it and testing a range of payment initiatives.

If you have any questions, please contact me on ian.simpson@bronafon.org.uk.


Ian Simpson
Director of Community Housing and Support, Bron Afon Community Housing