1. Demographic Changes – future models of provision for older people
Jeremy Porteus Housing Learning & Improvement Network
2 December 2005, Sheffield

2. Independence, well-being and choice
“Housing provision and independent living are the key life chances but the quality of provision and support is often unacceptable”
(Source: Improving the Life Chances of Disabled People,
Prime Minister’s Strategy Unit, 2005)
“Increasingly public policy has been moving from focussing on those with the highest level of complex needs, to an approach that seeks to maintain and promote people’s independence, health and social inclusion”
(Source: Green Paper on Adult Social Care, DH 2005)

3. From welfare to well-being
Integrated health, housing and social care systems
Multi-agency approach that fits into local delivery plans
and commissioning arrangements
Focus on needs and aspirations of users of services
Range of home care and support services, including
better use of sheltered housing, Home Improvement
Agencies, handyperson services etc
It is part of the growing spectrum of housing, care and
support services that reflect choice, community, and
citizenship

4. Strategies for an ageing population
16% of the population not in
“good health” or with a limiting
long-term illness
People aged over 60 take up
40% of the NHS budget
Around 40% of people in
community hospitals could be
cared for at home
Around 30% of older people
in residential care are
inappropriately placed

5. Knowing the market in the region
Significant age shift
Changing users’ aspirations
Diverse range of needs

6. Housing with care for older people
90% of older people live in their
own home
Majority of older people live alone
70% are homeowners
500,000 occupy sheltered housing
500,000 live in residential/nursing
care
600,000 receive home support/care
1.4m people linked to a community
alarm

7. Funding frameworks Access and Systems Capacity Grant
Extra Care Housing Grant
Partnerships for Older People Pilots
Supporting People & DFG arrangements
Direct Payments and individualised budgets
Preventative Technology Grant
But
In England during 2004/05, approximately £14.4 billion of public funds will be invested in social care. Of which £10.6 billion is for services for adults.

8. What are the issues for the region?
Maintaining status quo is not an option – changing markets including a wider range of housing with care choices
Need for adaptability - closer integration of home improvement agencies and “staying put” services with care, support and neighbourhood agendas to support users of services in their homes locally/regionally
Funding – time limited statutory income sources/grants, use of equity release, PFI?, making use of Health Act flexibilities to deliver community equipment services and DFGs
New technology - introduction of telecare and e-health services (NHS Direct). How can you get Smart?
Improved coordination of advice, advocacy and information to help users of services to make informed decisions eg CILs
Influence strategic commissioning and resultant new patterns of home care, floating support, day centre and primary care/nursing services to maintain health and well-being

9. The challenge for existing services
Move away from a silo approach
Not linked to wider housing for
older people strategies
Fragmented service – services
tied to locations
Process – different professionals
/ different systems
Different funding streams
We have not yet got a person based solutions joined up across health, social care, housing and the many provider services.

10. The challenge for the region
Planning for an ageing population: sheltered housing is a valuable resource to those people who need it, growing use of mixed tenure schemes and retirement housing for sale
Health dividend: making links in local neighbourhoods with primary and community care, and other services
Design Age: opportunities to future proof design and innovate eg, the use of technology – create virtual communities

11. The challenge for the region
Lifestyle choices:
Changing need and aspirations
Funding issues:
Supporting People, Direct
payments, private finance
& venture capital
Outcome focussed:
Improve the quality of life and well-being of older and
vulnerable adults, aid the effective delivery of housing,
care and support, and support self-care and mutuality

12. Some final thoughts Are existing services fit for purpose?
What is the impact of
Supporting People reviews
and other Govt policies/ targets?
Be ready for a changing
landscape of housing,
primary and social care!

13. Tackling age discrimination

14. Contact details Thank you! For further information on the Housing LIN:
– or visit
Web –
Thank you!