Are we breaking the mould of Older People’s housing?

Caroline HawkingsPolicy Officer

Care & Support

SHiP ConferenceFebruary 2012

What is old? 60, 70, 80 … 32?

• We aren’t responding fully to an ageing demographic

• Over 65s - from 8 million now to over 15 million by 2031. Who will those older people be?

• ‘My younger sister (also retired) says I am “old”. But to me old is, and probably always will be, 20 years older than whatever I am.’

Session outline

• Changing demographics & context for older people’s housing & support providers

• Overview of the programme

• Case studies

• Questions

A picture of housing

• Only 5% in ‘older people’s housing’

• 70% of older people are owner occupiers

• Combined property value of £767.06bn

• A third of all social housing tenants over the age of 65

The impact of ageing on providers

• Need for housing choice • Need for aspirational offer• Need for support and care in

general needs • Need for services to help people

stay independent• Increased under-occupation• Impact of poor, inaccessible housing

on quality of life

… and the opportunities

• Increased cost of care and need for prevention – we have a solution!

• Housing equity and consumer wealth

• Handyperson services, housing management - a little bit of help

• Need for varied housing solutions, including non-support/care focused offers.

Our sector’s contribution to health

Public health

• Health budget protected but under huge pressure

• Local authority focus on improving public health and reducing inequalities

• Vital role for housing

• Inspiring HAs to enhance their offer

• Developing awareness of needs of older tenants

• Developing sector awareness of business opportunities

• Remarketing older people’s housing care & support services as mainstream

This project is about…

Case Study: Saving NHS funds through transitional housing

• Havebury Housing Association in partnership with NHS

• Transformed an unused managers flat – to transitional flat

• Charge £155 per week inc service charge v hospital bed c£400 a day saving NHS £2,800 pw

• Saves social services avoids likely registered care• Articulate value in quick cash savings, not only

long-term value

Case Study: Creative Asset Management

• Hanover Housing, has designed ‘tenure neutral’• Opportunity to buy – Hanover residents can

purchase their home (independent valuation).• Every 4th vacancy for sale • Sales income surplus will be solely invested in

new retirement properties for older people• Initial target to build at least 1,000 new retirement

housing properties.• Future possibilities - flexible shared ownership?

Case Study: MHA extending services to the community

• Each scheme manager offers a menu of services to residents, as well as personal care provided through MHA’s domiciliary care service.

• Through surpluses & charitable income MHA funds national network of 50 Live at Home services: community services and neighbourhood activities

• Each scheme offers menu of support to residents, with opportunities for care for those who need it

• Peer support & working with volunteers

Case Study:Charging for lower level support

• Caldmore Housing in Walsall (part of the Accord Group) and Age UK Walsall partnership to provide a cross-tenure support service.

• Walsall Help at Home Service offers flexible help with regular jobs eg gardening or one-off tasks including DIY, hospital appointments

• Simple pricing structure • All services are chargeable directly to the user (or

representative).

Facilitating hospital discharge

• Orbit Heart of England runs Staffordshire HIA, including the hospital discharge support service.

• Funded by a grant of £20,000 p/a • In 2010-11, 232 priority 1 hospital discharges.• Cost of a bed per night is £340 + ‘fine’ for a

delayed discharge is £200, saving up to £105,280 net in health & social care costs.

• Also provided older people with equipment & support to help prevent or reduce further accidents.

Role of adaptations, aids & assistive technology

• 70% of demand for adaptations are from older people, & the numbers of disabled older people are set to double over the next 30 years.

• Embracing technology to increase independence eg. advances in telecare & telehealth.

• Experience & training of housing staff• Developing models of dementia care • Hear more at our Delivering Housing Adaptations

Conference 7 March in London!

Continuing to Break the Mould of older people’s housing

• The Federation is continuing our Breaking the Mould project to revision & remodel older people’s housing.

• New phase ‘Managing Transitions’

Aim- to demonstrate how HAs help commissioners to:• deliver health & social care outcomes for older people

(55+) at transition points in their lives.• achieve cost savings to NHS, health & social care budgets• Improve care pathways

Offer positive options for older people at crucial points of change.

Managing Transitions

Short online resource will:• Help HAs to work more closely with health

partners to revision their housing & housing services to meet customers’ rising expectations & make better use of under-utilised stock.

• Demonstrate to health & social care commissioners how housing & care models alleviate the pressure points in a older people’s care pathways by reducing, delaying or avoiding the use of more expensive care, often acute care.

Managing Transitions – case study areas

Accommodation solutions and/or service models which:•  Help older people to recover their independence after

illness, stroke, injury or trauma eg, respite or intermediate care, aids and adaptations.

• Delay the need for more intensive care and support for older people specialist floating support,falls prevention.

• Maximise the benefits of technology (eg, telecare & telehealth) NB: housing provider’s role, not the technology.

• Reduce the likelihood of emergency admissions & help to stabilise and manage chronic conditions

• Could potentially operate at scale to reduce the number of hospital beds or close hospital wards.

•  

Managing Transitions

• Currently researching case studies – tell us about your work.

• Deadline for initial information 3 February 2012• Launch in April 2012.• More information from:

http://www.housing.org.uk/policy/older_and_vulnerable_people/older_people.aspx

• Contact Caroline now!

Contact

Caroline Hawkings

020 7067 1090

caroline.hawkings@housing.org.uk

www.housing.org.uk/careandsupport

Blog: http://www.guardian.co.uk/housing-network/older-

people-housing