Extra care, the future. What is it? Denise Gillie

What is it in 2015? No official agreed definition Different models, ingredients, tenures As a product outside of adult social care commissioning and specialist housing it is still not understood Being aimed at other client groups such as younger people with disabilities Growing body of research about what it can deliver

What is the extra? Access to care and support services 24/7 Flexible care; unplanned care & response in emergencies Access to support, domestic, social and community services Choice of care provider Focus on independence Security of tenure and housing rights

Core ingredients Purpose built Self contained properties Staff accommodation Communal space and facilities Community alarm and telecare Security and progressive privacy Access to care and support

Terminology Differences between public and private sector developments Retirement villages with a focus on social and leisure activities Close care Specialist schemes Very sheltered housing

Who is it for? Downsizers looking for housing and access to social/leisure services Older people planning to meet future needs Couples where one partner has care and support needs Older people with care and support needs who want an alternative to a care home LA’s wishing to reduce their reliance on care homes

Context for extra care Economic downturn and squeeze on finances – access to capital and revenue; issues of affordability of service charges Growth in personalisation and implications for revenue funding and service models Diversity of tenure – more leasehold and shared ownership As a housing care and support option for other client groups Changes in provision for people with dementia and ability of extra care to meet needs

How much ECH is needed? Is it a means of broadening housing and tenure choice Meeting housing need Making savings to adult social care budgets Offering an alternative to residential care Difficult to estimate future need in local populations Role of the private sector in response to local need & availability of suitable sites

LA market shaping Market Position Statements, Commissioning plans & Strategic Housing Market Assessments Aim is to provide developers with information to develop the right types and volume of housing and services Developing schemes with private sector investment Enabling the private sector to develop

Commissioning care & support Block and spot contracts with a single care provider becoming less common Funding for support is reduced or withdrawn Implication of the Care Act and training for care staff Implications of the Living Wage Affordability of service charges and eligibility for HB Extra care is now a greater risk for RP’s

Services in extra care Housing management Facilities management Support and housekeeping services Care services Social and leisure services

Planning use classes C3 dwelling houses C2 institutions No affordable housing requirement for C2 sites Little or no care or communal facilities generally C3 Extra care can be developed on both and some have mixed use class Sui Generis – not falling within any use class

Links with health Better Care Fund April 2014 some housing services such as handyperson now included Research evidence in support of costs savings to health budgets – reduced numbers of falls, shorter hospital stays The Smith Institute estimate a saving of £75K to the NHS for every unit of supported housing

Information & contact details Housing LIN website for the Factsheet and links to other publications