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Housing LIN Conference February 17 th 2015 Housing for Independent Living.

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Presentation on theme: "Housing LIN Conference February 17 th 2015 Housing for Independent Living."— Presentation transcript:

1 Housing LIN Conference February 17 th 2015 Housing for Independent Living

2 Imogen Blood Dan Gaul

3 Housing LIN Case Study Bolton Council Qualitative or Quantitative Approach?

4 O Aspirations O Demographic and Financial Pressures O Strategic review with partners O Inclusive Approach, what do older people want O Governance Project Overview

5 O Older People’s Housing Needs and Aspirations O Access to Housing O Maintaining Independence Themes

6 O Community Engagement O Stakeholder Partnerships O Data Analysis O Literature Review Workstreams

7 Community Engagement strand  Produced and distributed a flyer  Ran 9 focus groups through ‘gatekeepers’  Outreach: market and lunch clubs  Stalls: e.g., sheltered scheme open day  Home visits/ phone calls with individuals

8 We heard from 170 people.. O Age range from 50s to 90s; half were in 70s; O 30% were men; O 20% were BME; O A third had a disability or long-term condition; O Two-thirds were owner occupiers

9 Information & Advice “There needs to be more done to promote what’s available – it needs really spelling out for owner occupiers, who will often assume they are not eligible – then people can pass it on to others” “I think there is a tendency for people working in services/ policy to assume that the general public know where this help is” “It is really difficult to speak to an actual person anymore…you keep getting signposted on. The information is not in one place anymore” “I’m looking at places online and I’m not sure if they are private or council or what… you need a list of what‘s actually available at the present time”

10 Uncertainties about moving O Financial risks/ uncertainty O Health – prognosis – care? O Couples – family O Changes to policies/ services O Understanding/ trusting the system O Timing a move What can be done to inform, reassure and support decision making?

11 Location, quality, access, affordability

12 What are the housing options for lower income owner occupiers? “I think it’s fair to say that everyone here is happy in their own homes and wants to stay in them as long as possible but, for many of us, we are also effectively prisoners in our homes because none of the other systems for housing are really affordable or accessible to us”. PRS? Equity release? Shared ownership?

13 O 17 interviews O Challenges and pressures O Willingness to work together O Forward planning Stakeholder Partnerships

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15

16 SHOP@

17 How many older people do we serve?

18 Over 75 population (000s) AREA 201420152020202520302035 Bolton 75-798.708.9010.2012.8011.5012.70 Bolton 80-845.906.007.108.3010.609.60 Bolton 85-893.503.704.105.006.007.90 Bolton 90+2.00 2.403.004.005.20 Pop 75+ 20.1020.6023.8029.1032.1035.40 Source ONS National Pop 2012 table2_tcm77-364153 3

19 What level of service do we need?

20 Prevalence Rate20152020202520302035 Pop 75+(000s) MCGV20.6023.8029.1032.1035.40 Extra Care 25 Sheltered Housing 125 Enhanced Sheltered 20 Residential 65 Nursing 45 MCGV More Choice Greater Voice Report http://www.housinglin.org.uk/AboutHousingLIN/HowdoIusetheHousingLIN/KeyDocuments/?&msg=0&parent=1648&child=2545 http://www.housinglin.org.uk/AboutHousingLIN/HowdoIusetheHousingLIN/KeyDocuments/?&msg=0&parent=1648&child=2545 Prevalence rate per 1,000 people over 75

21 Prevalence Rate 20152020202520302035 Pop 75+ MCGV20.6023.8029.1032.1035.40 Extra Care 25515595728803885 Sheltered Housing 12525752975363840134425 Enhanced Sheltered 20412476582642708 Residential 6513391547189220872301 Nursing 459271071131014451593 Prevalence Rate per 1000 people over 75

22 What services are currently provided?

23 Prev Rate20152020202520302035 Pop 75+(000s) MCGV20.6023.8029.1032.1035.40 Extra Care 25515595728803885 Current Provision 340 Shortfall 175255388463545 Current provision taken from Elderly Accommodation Counsel data base

24 Have we got the right commissioning strategy?

25 Prev Rate20152020202520302035 Pop 75+ National Average 20.6023.8029.1032.1035.40 Extra Care9185214262289319 340 -155-126-78-51-21

26 Prevelance Rate Pop 75+MCGV National Average Bolton National Ranking Extra Care259 1732 Sheltered Housing125110 18914 Enhanced Sheltered205 0n/a Residential6546 39221 Nursing4547 46175

27 Prevalence RateSHOP@ Pop 75+MCGV National Average Bolton PresentBolton Extra Care259 1712 Sheltered Housing125110 189140 Enhanced Sheltered205 05 Residential6546 3940 Nursing4547 4645

28 What is needed at community level?

29 Current Need Depr MSOA Provision 2035 Variance E02000995Bolton 012 01818.458 E02000985Bolton 002 01716.776 E02001000Bolton 017 01716.734 E02000986Bolton 003 01716.662 E02000987Bolton 004 01616.434 E02001007Bolton 024 01615.754 E02001003Bolton 020 01414.284 MSOA Middle Super Output Area

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31 OPDI Extra Care Capacity 20152020202520302035 Centre16984249596572 East37694249606673 Horwich5203844535965 Kearsley35643641505561 North51282428353842 South380 44545965 Westhoughton45652631374146 OPDI Older People’s Deprivation Index

32 O The high level of housing stock for older people in the centre and east of the borough O The lack of Extra Care in Horwich and South Bolton. The lack of care services in Westhoughton O The relative lack of care services in the North of the authority’ O The limited opportunities for leasehold extra care development in the authority with the north of the borough and Horwich offering the best sites for development. SHOP@ Summary

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34 Project Outcomes

35 Short term Opportunities O Develop community partnerships -UCANs -Staying well -HIA -Think Positive - Health Trainers - Dementia Friendly Communities O Advice and Guidance O Dementia Support and service development O GT Manchester Big Lottery Fund

36 O Improvement and coordination of information, advice and access to housing support services. O Increase the capacity of preventative services and the role of the community O Develop a wider choice of housing options that will support improved health and well being O Build on the strength of existing partnership arrangements to ensure housing’s role is one of leadership and influence Housing Strategy Priorities

37 Group Discussion O How can we accurately estimate future demand for older people’s housing ? O How have you used research findings to influence your service development ? O How should commissioning strategies influence future SHOP@ prevalence rates

38 Imogen Blood 0161 747 9437 07866 631411 http://www.imogenblood.co.uk/ Dan Gaul 07938 958105 www.change3c.co.uk Jean Bray 07930 920181 SHOP@ www.housinglin.org.uk/SHOPATwww.housinglin.org.uk/SHOPAT shop@eac.org.uk Contacts

39 What is happening nationally?

40 National Questionnaire (1) O The 27 authorities have 129 extra care schemes with an average of 44 units per scheme O 22 authorities still provide 24/7 care across their provision O Main change is the move away from block contracts to a more flexible commissioning arrangement. One authority has a reablement package as an admission requirement. O The average allocations based on care needs are 30% low 32% medium and 38% high need. O Most schemes and in particular new schemes support people with dementia

41 National Questionnaire (2) O Most schemes remain popular and have waiting lists with few voids O Key barrier for development was getting the correct assessment processes and tenants in the extra care homes(8) followed by getting land in the right location(6) and then affordability, poor marketing and communication (all 5) O 67 schemes are currently in development at an average of 50 units per scheme

42 National Questionnaire (3) O The greatest incentives to attract developers are public land offered at attractive rates (9), support from the Homes and Communities Agency’s Affordable Homes Fund (5), and support from the Department of Health Care & Support Specialised Housing Fund, Only 2 authorities offered revenue funding as an incentive. O The main alternative to standard extra care provision is more flexible care provision including support for outreach hubs and specific services in rural localities (9 in total) and remodelling sheltered schemes ( 5) followed by reablement services and dementia (both 4). Downsizing was only mentioned by 2 authorities.

43 Group Discussion O How can we anticipate future demand for older people’s housing ? O How have you used research findings to influence your service development ? O Future SHOP@ prevalence rates


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