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