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

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

3. What is the problem we are trying to solve?

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

5. 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.

6. Pros and Cons
Extra care
versus
Residential care

7. 179,000 269,000 60% Increase in aged 65+ households 2006 - 2026
Increase in all households
Increase aged 65+ households
Increase in aged 65+ households
179,000
Increase is all households
269,000
Increase aged 65+ households
67%
• In % 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

8. 66% Out of the 6,789 new homes built in Wales in 2015-16
were 3 or 4 bedroom properties.

9. 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

10. 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

11. 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

12. Selling the ‘extra’ - getting advice

13. 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

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

15. Commissioning

17. Cost!

18. 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

19. 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