Great Expectations: Building Healthy Communities and Homes for our Ageing Society

1. Great Expectations: Building Healthy Communities and Homes for our Ageing Society

2. Homes and Communities; options and opportunities for older people Event Housing Lin SW Conference, Bristol ‘Great Expectations: Building Healthy Communities and Homes for our Ageing Society’ Name Kevin McGeough 20TH October 2015

3. Contents • Setting the context • HCAs role in improving supply of specialist housing • Importance of quality in homes for older and vulnerable people (HAPPI) • Putting it all together • ‘Lifetime Neighbourhoods’

4. The context (current trends – demand/supply)

6. Recognised role in meeting Government priorities • Boosting supply – additionality, freeing up family homes • A&E/hospital bed challenges – costs and capacity • Addressing the needs (costs) of an ageing population

7. OPPORTUNITES TO UNLOCK ‘THE EXTENDED MIDDLE AGE MARKET’‘There appears to be a sort of market failure at the moment’. ‘[There are] very few players in the market for developing specialised housing for older people… and yet there is an enormous burgeoning in demand. Normal Lamb, Minister for Care services • 68% of OP owner occupiers under-occupy. • 50% of all housing equity is held by 65+ Retirement may now last for 25 years or more, during which we may be attracted to range of housing opportunities – only a few of us shall require ‘specialist’ housing for only a few years whilst in poor health. If we were to build sufficiently attractive, well-designed (HAPPI) homes for the over 55’s we create a sea-change in UK attitudes to “down-sizing”/”right-sizing” and mobilise the top of the housing market where up to 50% of people plan to move. Mobilising the market could release equity into the economy and free up family sized homes.

8. Spectrum of housing – ‘older’ people Older people live in a wide variety of housing types and tenures reflecting a wide spectrum of support needs. Only some are classified by HCA as OP housing Classified by HCA as ‘OP housing’ for statistics purposes 8

9. BACKGROUND INFORMATION ON DEMAND AND SUPPLY The majority of the housing market is currently focused where the least growth shall be. To 2029 the population aged 75+ is projected to rise by 47% in urban areas and by 90% in rural areas. The bulk of extra households are in the age groups 60+, with limited change between 20 and 60 year olds.

10. Demand vs Supply for specialist supported housing High level estimates might suggest a supply gap of up to 45k units a year of specialist housing suitable for people with varied support needs. • High level estimates might suggest that even with CASSH funding continuing there is a supply gap of 20k to 45k units a year of housing catering for people with support needs. • Some demand may catered for through adaptation and floating support, churn in existing units, or other alternatives • However, estimates also ignore demand from older people without existing support needs who are seeking specialist housing, which is estimated as being up to 6m people Supply / demand gap 20k-45k units pa 10

11. The HCA’s role and funding opportunities

12. TRENDS IN INVESTMENT FOR VULNERABLE AND OLDER PEOPLE OP/VP delivery figures from AHP have declined from the height of NAHP delivery, but only in line with overall mainstream delivery. Total output from AHP for OP will be 59% below NAHP. Output for VP housing swill be 80% below NAHP. CASSH however will improve these figures to some degree. NAHP 2008-11 AHP 2011-15 CaSSH 2013-18 27% (1,568) 14% 43% vulnerable People (7,805) 57% older People (10,345) 73% (4,241) 86% 18,150 homes 5,809 homes 3,162 homes VOP 9.7% of NAHP VOP indicative 9.5% of AHP (14.4% of starts on site ) DATA illustrates a drop in overall numbers of units for VOP in line with the scale of the overall programme, however there is a significant move from VP housing to OP housing Programmes relate to the year of allocation rather than completion

13. 2015-18 Affordable Homes Programme • £3.3bn for affordable housing up to 2018 • £886m initialallocations • Shall deliver 43,821 new affordable homes of which 11.5% (5,058) are for supported housing or housing for older people. • Process of continued market engagement (CME). 13 Note: HCA and DCLG CORE data.

14. Care and Support for Specialised Housing ( CaSSH ) • Re-establishes links between Health and Housing • Up to £315m (£200m + £115mSR) 2013-2018 Aneurin “Nye” Bevan, Minister for Health with responsibility for housing (1945-51) Harold McMillan, minister for Housing and Local Government with responsibility for Health (1951-54) Phase 1 • HCA Investment partners • Support to specialist affordable housing for older people and disabled adults. • Allocations announced July 2013 Phase 2 • Announcements due Autumn 2015 • HCA Investment partners • £120 m available outside London • Support and accelerate the development of specialist housing in affordable sector for older people, disabled adults and those suffering from mental health issues • Widen opportunities for affordable homeownership

15. CaSSh fund Phase 1 allocations to CaSSh were announced on 24th July 2013, for affordable housing and affordable home ownership only. • £130 m allocated 2013 – 18 • £101m HCA • £29m GLA • 121 providers received funding • 86 outside London • 35 in London • 3,831 new homes • 3162 outside London • 831 in London

16. Brooke Mead Extra Care, Brighton CC £8.8m project, £2.4m Cassh, 45 apartments, 39x1bed, 6 x 2bed Community hub in centre of city with dementia focus

17. Tile Hile, Dementia Centre, Coventry £4.56m project, £1.286m CaSSh, 33 x 1 bed apartments Cloister arrangement, Homely features, importance of outside space

18. HCA Programmes - common misconceptions

19. Bidders not systematically disadvantaged where there are higher costs / higher grant bids Accept that in some cases scheme costs / resources available to bidders may vary Take account of reasons for outliers to understand why a particular scheme involves higher costs - this might mean seeking further information to understand reasons for higher costs or grant requirements Compare like for like eg rural, supported housing and housing for older people across all our programmes - there are not different grant schemes for different programmes If you missed out on CaSSH, remember there is AHP! GRANT RATES No set level of funding per unit, recognise schemes for VOP housing may vary, assessments take account that some schemes will be more expensive. 19

20. VFM No set level of funding per unit Details of how bids will deliver maximum impact for the funding available eg how maximised other sources of funding, quality as well as quantity, joint working particularly NHS providers and commissioners Deliverability within timescales of the programme Fit with programme priorities Innovation and Sustainability – how design of building will allow flexibility of future use as resident and local needs change Design and Quality – how design will help VOP to achieve an optimal quality of life and to live independently …. HAPPI **************** Remember to submit drawings, design statements and floor plans THE BID ASSESSMENT 20

21. Older People’s Shared Ownership (OPSO) Older people can access all HCA home ownership products including the standard shared ownership and help to buy OPSO is a variation to the standard shared ownership product ie uses the equity released from the sale of their existing home. Has same features as standard shared ownership but with additional parameters eg a cap on staircasing at 75% and rent free on the 25% unsold share once the shared owner has staircased up to 75% ownership. Applicants must be aged 55 or over. OPSO 21

22. Importance of Quality “HAPPI”- Housing our ageing population: panel for innovation

23. Improving the quality of housing for older people (and other groups) • Challenge the perceptions • Raise the aspirations • Ensure that future homes and remodelled homes are fit for purpose, functional and adaptable to future needs • Raise awareness of the possibilities offered through innovative approaches to the design of housing and neighbourhoods

24. 10 principles of good housing

25. The ‘Happi – effect’

26. Housing Design AwardsHAPPI Award Most respected and longest running awards in UK. Founded by Minister of health and Housing HAPPI Award- Re-establishes links between Health and Housing Widened to include other forms of specialist housing Approx 25% of all entries Prince Charles House, St.Austell, PRP for Ocean Housing

27. Pilgrim Gardens, Leicester, HAPPI Winner, completed schemes, 2014 27

28. St.Bede’s, Bedford, Orbit Homes, HAPPI completed winner 2015

29. Steepleton, Tetbury, Pegasus Life, HAPPI project winner, 2015

30. Peabody’s Older Persons Strategy

31. ‘Happiand Healthy neighbourhoods’

32. Principles of Lifetime Neighbourhoods

33. Principles of Lifetime Neighbourhoods

34. Location

35. Places for people

36. Accessibility

37. Built and natural environment

38. Services and amenities

39. Social networks and activities

40. Resident empowerment

41. A Tradition of sustainable place making at scale Timeline 1785 1850 1920 1946 1964 1965 1967 1992 1997 1999 2000 2000 2015

43. Northstowe, nr Cambridge Sherbrook, nr Plymouth

44. Lifetime Neighbourhood case study Hanham Hall, Bristol

45. END Contact: kevin.mcgeough@hca.gsi.gov.uk