1. Delivering Central Bedfordshire Council’s Vision for Accommodation for Older People
Julie Ogley
Director of Social Care Health and Housing 1

2. About Central Bedfordshire Population: 269,100 Households: 104, % owner occupied Over half the population is rural Major centres of population: Leighton Linslade:40,070 Dunstable: 37,880 Houghton Regis: 18,110 Flitwick: 13,180 Sandy: 12, Current Growth Areas: Leighton Buzzard Biggleswade Houghton Regis North of Luton Arlesey Generally low levels of deprivation but some ‘pockets’ Higher than average life expectancy 2

3. The future for Central Bedfordshire
Significant housing growth underway and more to come over the next decade.
Area is very diverse with an urban south and a more rural north so solutions have to be based on local needs and preferences.
Demographic pressures of an ageing population.

4. The Challenges for Central Bedfordshire
Strong political ambitions coupled with a desire to innovate.
Very significant budgetary constraint across the council and wider public sector.
Many services have been modernised but this is still work in progress.
Benefits of health integration are acknowledged but the capacity to deliver is still being developed.

5. The national challenges in delivery of accommodation for older people
Reduced HCA grant support
LHA ‘cap’
Increasing construction costs

6. The national opportunities in delivery of accommodation for older people
Continued development of ‘what good looks like’:
HAPPI3
Designing with Downsizers
More private sector developers of specialist housing are recognising opportunities.
Volume housebuilders are starting to take notice.

7. Central Bedfordshire Council’s approach
Approach to the whole market – not just those needing public support.
Addressing the entire continuum from general needs housing to care and nursing homes.
Keen to use Council assets where appropriate and to maximum effect.
Working with the Planning system.
Keen to engage with the market and to develop partnerships.
Not wedded to particular delivery models – consider what will work best in the circumstances.

8. Achievements so far…
Two of six planned extra care schemes now delivered
Priory View – CBC
Greenfields – Aldwyck HA

9. Example – Priory View
Developed and operated by Central Bedfordshire Council
83 2 and 1 bedroomed apartments
Combination of affordable rental and shared ownership
Onsite care and support available 24/7
Associated communal facilities open to the public
Opened April 2016

12. Achievements so far…
Two of six planned extra care schemes now delivered
Priory View – CBC
Greenfields – Aldwyck HA

13. Achievements so far…
Two of six planned extra care schemes now delivered
Priory View – CBC
Greenfields – Aldwyck HA
Two new care homes to replace outdated Council capacity. Five further homes to be reprovided.

14. Example – Dukeminster Court
Developed and operated by Quantum Care
75 places - focussing largely on people with dementia
Opened April 2015

15. An example – Dukeminster Court
Developed and operated by Quantum Care
75 places - focussing largely on people with dementia
Opened April 2015
Enabled council to close Caddington Hall

17. Achievements so far…
Two of six planned extra care schemes now delivered
Priory View – CBC
Greenfields – Aldwyck HA
Two new care homes to replace outdated Council capacity. Five further homes to be reprovided.

18. Achievements so far…
Two of six planned extra care schemes now delivered
Priory View – CBC
Greenfields – Aldwyck HA
Two new care homes to replace outdated Council capacity. Five further homes to be reprovided.
Developed and launched Older Person’s Accommodation Investment Prospectus

19. What is in the Prospectus?
Creating a joined up approach to accommodation for older people
Provides information on:
Demand information
Existing provision
Planned provision
Future needs and existing gaps
Council’s intentions and priorities
Variations across Central Bedfordshire

22. Going Forward - the Council’s Vision
Commitment to the delivery of Extra Care is undiminished but need to refine the model based on experience and changing environment.
Need to ensure schemes are cost effective.
Looking to create blends of affordable, intermediate and market rate provision.
Ensure that Council schemes also contribute to other Council’s priorities.
Actively explore the use of technology to improve outcomes and reduce costs.
Actively explore delivery models including joint ventures and trading company

23. Next Steps… Two new extra care schemes are planning consent stage:
Houghton Regis
Arlesey
Next iteration of Prospectus should dovetail with the Local Plan and will contain outcomes of local research into the needs of older people.
Also working to establish Local Plan policy requiring accessible housing
Using experience inform development of accommodation for other groups such as vulnerable adults

24. Two key areas to activity…
Integration with NHS
Service modernisation – day services for older people and vulnerable adults

25. Integration with NHS: The national agenda
Person-centred not service-centred provision
‘Joined up’ services
Shared information and joined up processes
Co-location of health and social care professionals
‘Whole system’ approach to evaluation of costs and benefits

26. Integration with NHS: Local Initiatives and Opportunities
Development of health and care hubs to meet local needs and priorities.
Developing joint approach to deliver community-based inpatient/residential care provision.
Developing the role of existing and future extra care schemes
Reablement facilities
Consulting rooms for health professionals

27. Modernisation of Day Services: The Challenges
Large, outdated buildings
Reducing usage – especially vulnerable adults
Unclear service outcomes
Lack of personalisation
Cost pressures

28. Modernisation of Day Services: Work so far…
Worked with existing customers, carers and other stakeholders to develop a new ‘day offer’ based on their needs.
Currently undertaking public consultation.
Next phase will be to review current services and centres and propose changes.
Looking to deliver new services integrated with other provision.

29. Modernisation of Day Services: Opportunities
Use of communal space, catering and care facilities in extra care schemes.
New-build care homes to have space that can be used for or adapted for delivery of day services.
Potential for new integrated health and care facilities to offer services.
Use of other community facilities – leisure centres and community centres

30. In conclusion… An exciting, challenging and complex agenda.
Keen to explore innovations both in what is delivered and how it is delivered.
Keen to learn from experience and incorporate lessons learned into subsequent initiatives.
Keen to share our experiences and hear about yours