1. Housing Choices for Older People PRP Architects, Southampton 4 May 2005 Beyond Extra Care: a vision for the future Jeremy Porteus Housing Network Lead Change Agent Team

3. Change Agent Team and Care Service Improvement Partnership Linked to Intermediate Care and Hospital Discharge LINs, from April ‘04 - Commissioning Learning and Improvement Network Provide specific support to place housing with care on the map Develop a range of programmes to facilitate learning and support local implementation plans –raise general awareness & information –expert advice, guidance and learning events –assistance with action planning Background to the Housing LIN

4. The policy framework: National Service Framework (NSF) for Older People - DH Supporting People and Housing for Older People: a strategic framework - ODPM/DH Green Paper on Adult Social Care Independence, Well-being and Choice - DH Investment, Expansion & Reform: Planning & Priorities Guidance 2003-2006 (for NHS and Social Care) and Spending Review 2006-2008 Access & Systems Capacity Grant - DH HIA and Extra Care funding mainstream NHS, social care & housing budgets Linkage - DWP

5. £147million for 2004-2008 for Extra Care Housing £80million for assistive technology/telecare for 2006-2008 (allocation details to be finalised) £60million for further prevention pilots eg avoiding hospital admissions £94million from Housing Corporation SHG for Extra Care Housing in 2004 - 2006 £1.4billion Supporting People funding for housing support £105million for Community Equipment Services £480billion tied up in equity Investing in new futures

6. Demographic change Changing needs and aspirations Meeting PSA targets Setting out actions and linking policies to increase resources Considering the whole population Social Inclusion and engagement Why should we consider the needs of an ageing population?

8. Sentenced to a life of fear Age - synonymous with poverty, ill-health, lack of capacity and other limiting factors Out of synch with the brave new world of Information & Communication Technology Pensioned off… worn out A more vocal majority ie council tax, pensions and savings Shock of the Old - is local government communications failing the over 50s?

10. higher expectations - quality and choice of services most will be homeowners some will be capital-rich, income-poor most will want ‘care at home’ traditional residential/nursing home care less acceptable direct payments will take off? shrinking workforce - who will do the caring and provide support? What will we want ?

11. Increase in all cohorts of an ageing population Increase in minority ethnic population Motivations for moving in the housing market considerably different A growing number of older people living alone Living in in older housing needing repair Demand for adaptations Demand for person-centred services such as access to GP, advice and information... What demands will we facing?

12. All Our Tomorrows

13. different models of housing with care, including extra care housing better alignment of housing with health, social care and personal care services more attention to owner-occupied sector bigger role for HIA, ‘staying-put’ services greater use of assistive technology (mirroring trends in health care) “whole system approach” - prevention and/or rehabilitation What does this mean for services ?

14. Knowing your market

15. Health and safety rating - reduce risks at home - trips and hazards Energy efficiency and affordable warmth - impact of cold homes on hypothermia and strokes Accessibility - orientation to/from and within the home, “habitability not visitability” Safety and comfort - to support independence and manage long term conditions - aids and adaptations Affordability - extending housing choices across tenures Role of housing in health and well-being

16. 45 Extra Care apartments

17. Meeting the demand for supported, special needs and purpose built retirement housing Challenge to reconfigure services that meet the future needs of older people and current service users Supporting older homeowners and delivering low-level preventive services Movement across tenures - “staircasing” up and down Building shared ownership/leasehold schemes for older people Provision of wider options, advice and information - Homesharing Preparing housing for older people strategies

18. Housing for older people needs to be firmly on your agenda and action plans More consultation and user involvement to inform assessments & decision-making Better co-ordination of primary care and neighbourhood services e.g. with OSH, advice & information, social alarms, HIAs, floating support services, OT and community nursing Further develop sustainable alternatives to residential care for future generations of older people Some final thoughts

19. Excluded Older People. Social Exclusion Unit (Cabinet Office/ODPM 2005) Futurecare@home, Housing LIN (DH 2005) Improving the Life Chances of Disabled People, Prime Minister’s Strategy Unit (Cabinet Office 2005) Extra Care housing for older people: an introduction for commissioners, Housing LIN (DH 2004) Preparing Oider People’s Housing Strategies (ODPM/DH 2003) Some useful references

20. Housing Learning & Improvement Network www.changeagentteam/housing jeremy.porteus@dh.gsi.gov.uk housinglin@e-a-c.demon.co.uk

21. “Brand new world that’s sold on old” Times 11 January 2005