Are we breaking the mould of Older People’s housing? Caroline Hawkings Policy Officer Care & Support SHiP Conference February 2012

What is old? 60, 70, 80 … 32? We aren’t responding fully to an ageing demographic Over 65s - from 8 million now to over 15 million by Who will those older people be? ‘My younger sister (also retired) says I am “old”. But to me old is, and probably always will be, 20 years older than whatever I am.’

Session outline Changing demographics & context for older people’s housing & support providers Overview of the programme Case studies Questions

A picture of housing Only 5% in ‘older people’s housing’ 70% of older people are owner occupiers Combined property value of £767.06bn A third of all social housing tenants over the age of 65

The impact of ageing on providers Need for housing choice Need for aspirational offer Need for support and care in general needs Need for services to help people stay independent Increased under-occupation Impact of poor, inaccessible housing on quality of life

… and the opportunities Increased cost of care and need for prevention – we have a solution! Housing equity and consumer wealth Handyperson services, housing management - a little bit of help Need for varied housing solutions, including non- support/care focused offers.

Our sector’s contribution to health Reducing delayed transfers of careIndependence for older and vulnerable peopleHealth improvement in deprived areasRate of hospital admissions per 100,000 for alcohol related harm Adults in contact with secondary mental health services in settled accommodation Unscheduled hospital admissions in people aged 75 and over per 100,000 population Reduce acute inpatient admissions to mental health units

Public health Health budget protected but under huge pressure Local authority focus on improving public health and reducing inequalities Vital role for housing

Inspiring HAs to enhance their offer Developing awareness of needs of older tenants Developing sector awareness of business opportunities Remarketing older people’s housing care & support services as mainstream This project is about…

Case Study: Saving NHS funds through transitional housing Havebury Housing Association in partnership with NHS Transformed an unused managers flat – to transitional flat Charge £155 per week inc service charge v hospital bed c£400 a day saving NHS £2,800 pw Saves social services avoids likely registered care Articulate value in quick cash savings, not only long-term value

Case Study: Creative Asset Management Hanover Housing, has designed ‘tenure neutral’ Opportunity to buy – Hanover residents can purchase their home (independent valuation). Every 4 th vacancy for sale Sales income surplus will be solely invested in new retirement properties for older people Initial target to build at least 1,000 new retirement housing properties. Future possibilities - flexible shared ownership?

Case Study: MHA extending services to the community Each scheme manager offers a menu of services to residents, as well as personal care provided through MHA’s domiciliary care service. Through surpluses & charitable income MHA funds national network of 50 Live at Home services: community services and neighbourhood activities Each scheme offers menu of support to residents, with opportunities for care for those who need it Peer support & working with volunteers

Case Study: Charging for lower level support Caldmore Housing in Walsall (part of the Accord Group) and Age UK Walsall partnership to provide a cross-tenure support service. Walsall Help at Home Service offers flexible help with regular jobs eg gardening or one-off tasks including DIY, hospital appointments Simple pricing structure All services are chargeable directly to the user (or representative).

Facilitating hospital discharge Orbit Heart of England runs Staffordshire HIA, including the hospital discharge support service. Funded by a grant of £20,000 p/a In , 232 priority 1 hospital discharges. Cost of a bed per night is £340 + ‘fine’ for a delayed discharge is £200, saving up to £105,280 net in health & social care costs. Also provided older people with equipment & support to help prevent or reduce further accidents.

Role of adaptations, aids & assistive technology 70% of demand for adaptations are from older people, & the numbers of disabled older people are set to double over the next 30 years. Embracing technology to increase independence eg. advances in telecare & telehealth. Experience & training of housing staff Developing models of dementia care Hear more at our Delivering Housing Adaptations Conference 7 March in London!

Continuing to Break the Mould of older people’s housing The Federation is continuing our Breaking the Mould project to revision & remodel older people’s housing. New phase ‘Managing Transitions’ Aim- to demonstrate how HAs help commissioners to: deliver health & social care outcomes for older people (55+) at transition points in their lives. achieve cost savings to NHS, health & social care budgets Improve care pathways Offer positive options for older people at crucial points of change.

Managing Transitions Short online resource will: Help HAs to work more closely with health partners to revision their housing & housing services to meet customers’ rising expectations & make better use of under-utilised stock. Demonstrate to health & social care commissioners how housing & care models alleviate the pressure points in a older people’s care pathways by reducing, delaying or avoiding the use of more expensive care, often acute care.

Managing Transitions – case study areas Accommodation solutions and/or service models which: Help older people to recover their independence after illness, stroke, injury or trauma eg, respite or intermediate care, aids and adaptations. Delay the need for more intensive care and support for older people specialist floating support,falls prevention. Maximise the benefits of technology (eg, telecare & telehealth) NB: housing provider’s role, not the technology. Reduce the likelihood of emergency admissions & help to stabilise and manage chronic conditions Could potentially operate at scale to reduce the number of hospital beds or close hospital wards.

Managing Transitions Currently researching case studies – tell us about your work. Deadline for initial information 3 February 2012 Launch in April More information from: rable_people/older_people.aspx rable_people/older_people.aspx Contact Caroline now!

Contact Caroline Hawkings Blog: network/older-people-housinghttp:// network/older-people-housing