Housing an Ageing Population : The Extra Care (Flexicare) Solution

1. Flexicare Conference 29 November 2011 Housing an Ageing Population : The Extra Care (Flexicare) Solution Dr Tim Brown tjb@dmu.ac.uk www.dmu.ac.uk/cchr Centre for Comparative Housing Research, Faculty of Business & Law, De Montfort University, Leicester, UK

2. Introduction & Topics • CCHR @ DMU – who are we and what do we do! • Ageing Population • ‘Laying the Foundations’ • Future Policy Developments • Extra Care : The Neighbourhood Dimension • Learning Lessons from Abroad • Topicality e.g. Older People Living in Under-Occupied Homes (Intergenerational Foundation Report)

3. Centre for Comparative Housing Research: What We Do!

4. Centre for Comparative Housing Research (CCHR) : Who we are! • Established in 1996 and part of the Department of Politics and Public Policy in the Faculty of Business & Law. • We have five staff and three Honorary Research Associates • Expertise in range of topic areas across the team www.dmu.ac.uk/cchr

5. An Ageing Population • Lots of Statistics • Proportion of the Population over 65 Years of Age • 2009 : 16% • 2034 : 23% • Fastest Increase : Population over 85 Years of Age • 2009 : 1.4 million • 2034 : 3.5 million • Approximately 5% of Older Households Live in Specialist Accommodation

6. Implications e.g. • Immediate and Long Term Challenges : There is No Quick Fix • Housing, Health & Social Care • Importance of Existing Homes & Neighbourhoods

7. ‘Laying the Foundations’ : A Housing Strategy for England [1] • Chapter 6 especially pp 48-50 : ‘A New Deal for Older People’s Housing’ • Principles : Key Messages include:- • ‘A Better Deal for Older People, with Greater Choice and Support to Live Independently’ • ‘Supporting the Most Vulnerable Households’ • ‘Empowering Independence’ • Localism Act, 2011

8. ‘Laying the Foundations’ : A Housing Strategy for England [2] • Details include:- • Rolling out Personal Budgets within Supporting People • Information and Advice e.g. FirstStop • Funding Streams for Handypersons, Adaptations etc • Role of Home Improvement Agencies • Equity Release • Encourage Councils to Ensure Provision of a Wide Range of Housing Types • Lifetime Homes & Neighbourhoods

9. Initial Assessment : Five Points for Discussion • What is Actually New - ‘Jam Tomorrow’ Agenda? • Is it Joined Up – the Potential of Community Budgets? • Is it a Long Term Strategy? • Will Localism Work? • What about the Elephant in the Room – Public Expenditure?

10. Future Policy Developments : Look Out For • Post-Dilnot on Funding Long Term Adult Care • Government White Paper: Spring 2012 • Health & Social Care Bill • Pre-Budget Autumn Statement – Today! • Cabinet Office and Public Service Reform • …. • My Key Message : ‘Be Proactive Not Reactive’

11. Extra Care : Principles • ‘Laying the Foundations’ and Extra Care Provision : Part of a Range of Provision • Definitions : Concept rather than Type of Provision • Key Features / Characteristics include:- • ‘Home First’ • Maximum Independence • Self-containment • Mixed Tenure • Community Facilities and Support Services

12. Current State of Play • University of Kent Study on the Value of the Government’s Extra Care Housing Fund : December 2011 • Role of Extra Care in Addressing Health & Well-Being Agendas at the Local Level e.g. North Somerset & South Gloucestershire • Importance of Overall Market Assessments and Strategies : Context for Extra Care e.g. Hull • Funding Models

13. Neighbourhood Approach • Housing our Ageing Population Panel for Innovation (HAPPI): Hub and Spoke Approach • Hub: • Facilities for Residents and the Wider Community of Older People and Specific Needs Groups • Spoke • Connections to Local Neighbourhood • Existing Stock • Moral, Social and Business Cases • Challenges: Project Complexity

14. Good Practice [1] • Birmingham and Stoke-on-Trent • Innovation : Extra care village linked to telecare and e-health • Integration with neighbourhood regeneration • Strategic policy framework • Multi-agency approach • Evaluation

15. Good Practice [2] • Acocks Green, Birmingham e.g. • Fourth of Five Extra Care Retirement Villages • Extra Care including those with Dementia • Mixed Tenure • Wide Range of Facilities • Many Partners • Aligned with Many Funding Streams

16. Learning Lessons from Abroad • Health Warning(!) • Economic, Political & Social Environments • Organisational & Policy Frameworks • Difficulties of Policy Transfer • Common Issues : Ageing Population, Public Expenditure • Challenge Accepted and Conventional Approaches • Sources include:- • Housing our Ageing Population Panel for Innovation (HAPPI) : Field Visits • Housing Learning Improvement Network

17. Examples • Multi-generational Housing e.g. Netherlands and USA • Naturally Occurring Retirement Areas (NORA) e.g. USA • Co-housing e.g. Denmark

18. Multi-generational Housing • Political, Cultural and Business Cases • Lifestyle Choice • Innovation, Experiment & Evaluation • Little Consideration in England (So Far) • Part of a Neighbourhood Agenda

19. Naturally Occurring Retirement Areas • USA and Canada • Definition: ‘Areas not originally defined for seniors but that now have a large proportion of older people’ • Socio-demographic Trends • ‘Supportive Service Programs’ • Outcomes include ‘Fewer residential care placements’

20. Co-housing • Denmark (and Netherlands) • Principle: Self-contained Homes with Community / Shared Facilities • Empowerment • Mutual Home Ownership Model • ‘Senior Co-housing’ and Independent Living • UK Co-housing Network • Nine Senior Co-housing Groups

21. Conclusions • Don’t Rely on Central Government • Real Localism • Innovation and Experiment • Learn from • Elsewhere in England • Abroad