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Demographic Changes – future models of provision for older people

Demographic Changes – future models of provision for older people Jeremy Porteus Housing Learning & Improvement Network 2 December 2005, Sheffield. Independence, well-being and choice

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Demographic Changes – future models of provision for older people

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  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 For further information on the Housing LIN: Email – housinglin@eac.org.uk or visit Web – www.changeagentteam.org.uk/housing Thank you!

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