Extra care housing in Wales A provider’s perspective……

What is the problem we are trying to solve? Was this the right problem to solve?

What is the problem we are trying to solve?

If extra care is the solution? What is the problem we are trying to solve?

If I were given one hour to save the planet, I would spend 59 minutes defining the problem and one minute resolving it,” Albert Einstein As Einstein said if given a hour to save the planet I would take 59 minutes of that hour defining the problem. I believe we do not take anywhere near enough time defining the problem and instead are in a rush to find solutions.

Pros and Cons Extra care versus Residential care

179,000 269,000 60% Increase in aged 65+ households 2006 - 2026 Increase in all households 2006 - 2026 Increase aged 65+ households 2006 - 2026 Increase in aged 65+ households 2006 - 2026 179,000 Increase is all households 2006 - 2026 269,000 Increase aged 65+ households 2006 - 2026 67% • In 2014 19.9% of the population was over 65; by 2036 this is expected to rise to over 26.1% (ONS) Population pyramid becomes top heavy by 2036 Jon the key info to get across is that 67% of household growth between 2006 – 2026 is from the 65 and over age group (see figures below) Household Types in 2006 and 2026 in Wales Household Types in 2006 and 2026 in Wales 2006   2026 Couple One person Lone parent Other Total Total aged 65+ 145,000 179,000 2,000 27,000 353,000 229,000 274,000 5,000 24,000 532,000 Total population 709,000 390,000 97,000 76,000 1,272,000 753,000 569,000 154,000 65,000 1,541,000 Source: Welsh Government and Holmans & Monk, 2011

66% Out of the 6,789 new homes built in Wales in 2015-16 were 3 or 4 bedroom properties.

72% of those aged 65 and over live in a property that has two or more spare rooms 18% of those aged 65 and over live in a property that has one spare room

Moving home One in three aged over 55 expect to downsize Barriers Lower maintenance Freeing up equity Improved health and well-being Barriers Emotional and personal esteem Nuisance and inconvenience Cost Supply of alternatives

What is the ‘extra’ in Extra Care? A housing solution – a home for as long as you want Well-located and part of the wider community On-site flexible care that adapts to a resident’s changing needs On-site facilities, primarily a restaurant to help create that self-supporting community A focus on helping people do for themselves I think we do need to be clear what is the ‘extra’ and to be honest I think there is plenty of research out there for us to sort of ‘trademark’ extra care and be clear on its features to make sure it is the real McCoy. These five features I believe summarise the extra – based on our experience and largely the lots of research from Housing LIN and different counties across the UK who have explored what makes extra care successful. Often the debate is over the on-site facilities. These certainly do add to the cost of build and cost for residents through their service charges. We need to be sure these contribute sufficiently to the ‘extra’ in extra care or understand how what other ways we can create the same impact through some other means

Selling the ‘extra’ - getting advice

434 32,349 24,539 5,209 2,167 Commissioning All Sheltered Enhanced sheltered 434 Sheltered 24,539 Age exclusive 5,209 Extra Care 2,167 Age exclusive Sheltered Enhanced sheltered Extra care All Total 5,209 24,539 434 2,167 32,349

Housing flow First time and last time buyers – info graphic for flow of people through the housing chain

Commissioning

Cost!

Extra care housing in Wales Extra Care Units Isle of Anglesey 54 Gwynedd 171 Conwy 181 Denbighshire 138 Flintshire 113 Wrexham Powys 60 Ceredigion 63 Pembrokeshire 128 Carmarthenshire 78 Swansea 176 Neath Port Talbot 115 Bridgend Vale of Glamorgan 42 Cardiff 117 Rhondda Cynon Taf Merthyr Tydfil Caerphilly 126 Blaenau Gwent 86 Torfaen 90 Monmouthshire 40 Newport 197 Total 2,167

Solving the right problem A strategy to increase the housing options for older people Ambitious target for tenure neutral new older persons housing Trademark and market ‘extra’ care housing A housing advice strategy and service A new care commissioning strategy for housing with care