The role for housing in supporting re- ablement for people with dementia and national dementia policy update. Philippa Shreeve Department of Health – West Midlands

The context Estimated to be 750,000 people in the UK with dementia 1 in 20 people aged 65 and above have dementia with the number rising to 1 in 4 over the age of 85 years. In the next 30 years the number of people with dementia in the UK will double to 1.4 million Currently dementia costs the UK economy £17 billion a year Costs will treble to more than £50 billion a year in the next 30 years.

Challenges….. Two-thirds of people with dementia live in their own homes with one third living in care homes At least two-thirds of people in care homes have dementia. There are approximately 18,450 care homes in England There are approximately 4,897 home care agencies providing support to people to live at home. People with dementia over 65 years of age are currently using up to one quarter of hospital beds at any one time.

National Dementia Strategy Vision People with dementia & their carers helped to live well with dementia. Services meet the needs of everyone regardless of age, ethnic group, social status, the stage of their condition or where they are in the health & social care system

Key themes of the NDS Raising awareness and understanding Early diagnosis and support Living well with dementia Delivering the National Dementia Strategy

Raising awareness and understanding Early diagnosis and support O1 public information campaign O2 memory services O3 information for people with dementia and carers O4 continuity of support for people with dementia and carers O8 improved care in general hospitals O6 improved community personal support O7 implementing carer’s strategy for people with dementia making the change O13 workforce competencies, development and training O14 joint local commissioning strategy and world class commissioning O15 performance monitoring and evaluation including inspection O12 improved EOLC O5 peer support for people with dementia and carers O10 housing including telecare O11 improved care home care O9 improved intermediate care for dementia O16 research Living well with dementia Theme 4 – Delivery

Objective 10: Considering the potential for housing support, housing-related services and telecare to support people with dementia and their carers. The needs of people with dementia and their carers should be included in the development of housing options, assistive technology and telecare. As evidence emerges, commissioners should consider the provision of options to prolong independent living and delay reliance on more intensive services

7 Priority Objectives Objective 2: Good-quality early diagnosis and intervention Objective 6: Improved community personal support services Objective 7: Implementing the Carers’ Strategy Objective 8: Improved quality of care for people with dementia in general hospitals Objective 11: Living well with dementia in care homes Objective 13: An informed and effective workforce Objective 14: A joint commissioning strategy for dementia Reducing the use of Antipsychotics

Challenge….to keep ‘Housing’ on the Dementia map

Housing – a true partner in Reablement ISSUES: - Artificial silos between social care, health, housing, primary care Narrow minded approach that only focuses on ‘risk’ Perception that increasing independence may place the person at risk Extra care housing appropriate for people with dementia Consider how dementia expertise can be integrated more fully and effectively into all elements of a reablement services (that includes assistive technology and housing) OPPORTUNITIES:- Opening the dialogue, widening the debate, sharing the financial challenge More imaginative use of resources linked to managing risk Using technology to its full potential in order to manage risk Use of short term tenancies to offer reablement opportunities. Housing as part of community ‘assets’ that can support people with dementia to ‘live well in their communities’

Housing – a true partner in Reablement ISSUES: -  Review and improve communication and awareness with other organisations to achieve integrated working for better outcomes  Engaging and educating GPs and Consortia on the value of reablement and the role housing and technology have to play OPPORTUNITIES:-  Further work with ALL agencies who are willing and able to work to a enablement model to deliver as part of reablement