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Does your home suit you? Making the housing link to long term health conditions in later life

Does your home suit you? Making the housing link to long term health conditions in later life. Sue Adams Care & Repair England. Remit of presentation. Brief overview of emerging policies Policy message: Make your own provision/ plans for later life care

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Does your home suit you? Making the housing link to long term health conditions in later life

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  1. Does your home suit you?Making the housing link to long term health conditions in later life Sue Adams Care & Repair England

  2. Remit of presentation • Brief overview of emerging policies • Policy message: Make your own provision/ plans for later life care • What can people do to prepare their homes, particularly if they have a long term health condition? • How can OTs contribute?

  3. Who? • Care & Repair England; national housing charity aims to address poor and unsuitable housing conditions amongst older population, particularly low income home owners (since 1986) • Pioneered; local Care & Repair services, Minor works grants, Handyperson, Housing Options, Healthy Homes, Older People & “Housing Activism” plus related policies esp. adaptations and PSHR

  4. Age of Uncertainty……..

  5. Age of Uncertainty…………. • Fundamental shift in thinking • Revision of ideas around role of the state vs the individual including disability and later life (OP=half+ of all disabled) • Social model of disability and responsibility of society in enabling independence and inclusion being questioned

  6. Social Model of Disability • Disability arises from the barriers presented by society and the built environment rather than being inherent in the person themselves • Society should make adjustments to ensure the inclusion of the individual, regardless of their differences • Eg. Housing world argued for universal Lifetime Homes design principles – lost?

  7. Age of Uncertainty: Social Care • State is re-negotiating its ‘contract’ with citizens and their care & support, particularly in later life • Dilnot reviewed adult social care funding and Law Commission reviewed legislative framework • White paper&Bill - now progressing through Parliament

  8. Age of Uncertainty: Housing State’s role in housing – massive change • 100% cut in private housing funding • 73% cut to DCLG capital funding, end of social housing grant • Welfare reform • Localism, deregulation: Planning reform/ Building Regs reform [DFG survived last CSR…….]

  9. Time lag…….. • Between ideological shift and law • Between policy & implementation This can be problematic for practitioners, but we can expect…

  10. Where will this take us?….. • Enable individual choice • Promote self help • Closer ties between health & care

  11. Do we have the right homesto enable self help? Making the health connection

  12. Suitable stock now? • 1.4 million individuals reported having a medical condition or disability that resulted in them requiring specially adapted accommodation • 22% said they lived in unsuitable homes Survey of English Housing – Annual, CLG

  13. Suitable stock in the future? • The number of older disabled people is expected to double from 2.3 million in 2002 to 4.6 million by 2041 • On current projections in 2036, 810,000 people aged 75 or more would be living in properties that they consider unsuitable for their needs. • The vast majority (c 70+ per cent) 567,000 will be owner occupiers

  14. Building for the Future? • Low rate of new build and less adaptable than much of the older stock (all tenures) • Majority will still wish (or have to) live in mainstream housing, hence rising need for adaptations • Issues: security of tenure/ welfare reform

  15. The housing and health link

  16. Integration Agenda • Health and Social Care integration- theme in DH policy • Need to put housing into the frame • LTCs and demographic trends set to transform approach to health care – housing key to many strategies

  17. Long Term Health Conditions • There are 15.4 million people in England with at least one long-term condition • Three out of every five people aged over 60 in England suffer from a long-term condition • Major challenge in health care is treatment of multiple LTCs

  18. Long Term Health Conditions Housing link to: • Arthritis • Stroke • Heart Disease • Macular Disease • Dementia • COPD/ Respiratory

  19. Physical Respiratory conditions Arthritis Cardiovascular conditions Falls Accidents General increased risk of infections Emotional Stress Depression Social Isolation Housing links to health issues

  20. LTC & housing self help guides • Ran housing options workshops with people with range of conditions • Limited information about housing options on main health condition sites • Barriers to accessing help and information unless in crisis • Stories and feedback from local Care & Repair services

  21. Filling an information gap • Ideas for making adjustments to existing home in advance of crisis • Thinking about longer term suitability and alternative options • Recognise limitations for individual actions in some cases – not a solution for everyone but a start

  22. Limits • Can only go so far with poorly designed property • Limits to individuals’ resources

  23. Self help guides useful for….. • ‘Younger old’ individuals esp. for early stage diagnosis • Carers and families of people with higher level needs • Professionals – key role in passing on information & could locally tailor

  24. Example of self help guide content • Making your home easier to live in when you have a xxx condition • design and layout • ventilation and heating • safety and security • going out and about • gadgets and equipment • Thinking about moving home – www.firststopcareadvice.org • Sources of related advice and information

  25. Illustration of topics covered • Ventilation and air quality (furnishings, moisture level control etc) • Room layout, storage, positioning of frequently used items • Viability of adaptations, equipment and assistive technology potential

  26. Occupational Therapy • Key to the self help and prevention agenda • Integration in action • Shift to enabling role?

  27. Looking ahead

  28. Opportunities? • Rhetoric of health, care and housing working together – maybetrial projects around self help as part of Health and Well-Being Strategies? • Clinical Commissioning Groups? • Hospitals??

  29. Opportunities • Pass on information via self help groups – maybe develop locally tailored supplements • Lessons from our ‘If only I had known’ housing help inhospitals projects – integration in action

  30. Look out for • DH Strategy on Long Term Conditions • DH funding for information provision (in White paper) • Integration and prevention initiatives • Have a look now at new Hospital2Home Package

  31. Contact Details info@careandrepair-england.org.uk • Weblink to six Housing and Health Condition practical guides plus ‘If only I had known..’ reports www.careandrepair-england.org.uk Click on Home from Hospital Hospital2Home pack - http://housinglin.org.uk/hospital2home_pack/

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