Rebecca Mollart

Chief Executive, erosh

Tuesday 25 March 2014

CIH Cymru – Tai 2014

Rebecca Mollart, 24 February

• Erosh • Demography - implications • Government approaches • Current climate/context • Challenges/opportunities/concerns • How we help our members

Is there a crisis?

National consortium for older people’s housing and

support services

Essential membership organisation for professionals

in the older people’s housing/support sector

Provides services/resources for frontline staff and their

managers supporting older people in any setting

Jon Head

Chair

Rebecca

Mollart

CEO

Antony

Howarth

Website

Manager

Alison

Braithwaite

PR/Marketing

Manager

Esther

Rantzen

CBE,

Patron

12 Trustees

1 Administrator

Raise awareness of the value and benefits of older

people’s housing and support

Celebrate housing with support for older people

Promote sheltered and retirement housing schemes

as community hubs

Promote and influence joint working at all levels

Disseminate policy information and good practice

In the current climate of financial constraint and

increasing diversity of service provision, there is

an even greater need for cost effective support &

professional development for frontline staff to

maintain service quality

Challenging environment – varying degrees

Dramatic increase in older people

Challenges in ensuring sufficient housing

/services to meet future needs

Welfare and social care reform

Dramatically decreasing funding and

withdrawal of funding (England)

mashable.com

In the UK:

2010 - 10 million people over 65 (1 in 6)

2030 - 15.5 million

2050 - 19 million over 65 (1 in 4)

2010 – 3 million people over 80

2030 – almost double

2050 – 8 million over 80

Source: ONS 2010

gosport.gov.uk

2051 1.7m

people with

dementia

In Wales:

2008 – 18% people over 65 > 26% 2033

1 in 4 people over 60 (highest proportion in UK)

1 in 9 men, 1 in 7 women over 70

1 in 3 people over 60 live alone

1 in 2 people over 80 live alone

65-84 – (except Cardiff) higher than national average (14.2%)

85+ - (except Cardiff) higher than national average (1.6%)

Source: National Assembly for Wales

65% (1/7) benefit expenditure to people > working age

State benefits/pensions at current ave = additional £10bn

pa for every additional 1mn people >working age

2007/08 average NHS spending for non-retired households

= £2,800; retired households = £5,200

Average cost of hospital/community health services for a

person 85+ is 3x greater than for a person 65-74

Source: www.parliament.uk

Huge challenges for health,

social care and housing

More older men

Increasing ethnic diversity amongst older people

Fewer older people in communal establishments

Increasing age of people in communal establishments

More likely to rent social housing

More older people rent from social landlords than private

More likely to live alone (increases with age)

More likely to experience poorer health

More older people caring for older people

More good quality housing/services

Flexible, varied levels of support reflecting diversity

More support for people not in communal establishments

Increased support for those in communal establishments

Social sector still needs to provide housing/services for older

people

Preventative services increasingly important

More people at risk of isolation/loneliness/depression

Support for older people supporting other

older people

Better information

Options to work part-time, wind down, take pensions flexibly

Positivity about employing older people

Clarity about what people can expect from pensions

Simple equity release, without excessive charges/risk

Health/social care working well 24/7; commissioned /funded jointly;

more systematic planning to meet changing long-term needs

Central/local government working with 3rd sector to increase

volunteering

Central/local government, HAs, house builders planning better how

to address housing needs of older people

Sheltered housing/services must continue to play a role in

saving money for health/care, in prevention and in

reducing hospital admissions/stays

Sheltered schemes are ideal community hubs which help

reduce loneliness and isolation

Pro-active involvement of older people in developing and

delivering services so they meet current/future needs

More information to make positive choices

More investment to ensure staff are qualified

and trained

Older people’s housing/support services save money

Older people should be pro-actively involved in design, delivery and

development of services

Services for older people should play a key role in combatting social

isolation and loneliness and engage the whole community

Housing/support for older people should meet current/future needs and

promote empowerment, independence and choice

Housing/support for older people should be affordable, accessible,

inclusive and non-discriminatory

Housing/support for older people should comply with quality standards

Staff working with older people should be appropriately qualified,

inducted and trained

Lifetime Homes, Lifetime Neighbourhoods: A National

Strategy for Housing in an Ageing Society (2008)

More homes built to last a lifetime

Safe, inclusive neighbourhoods

Sustainable communities prepared for multiple changes

‘Future proofing’ society so everybody can participate and

enjoy their home/environment for as long as possible

More mainstream/specialist homes - right type/right location

built to Lifetime Homes Standards

National Housing Advice & Information Service - First Stop

More funding for home improvement/handyperson services

More funding for DFGs

Stronger links between housing/health/social care

Outcome focused, person-centred approaches

Multi-agency partnerships

Personalisation/direct payments/individual budgets

Technological solutions

Payment by results/evidencing effectiveness

And .....

“Delivering public services in an equal and reciprocal relationship

between professionals, people using services, their families and their

neighbours”

“People’s needs are better met when they are involved in an equal and

reciprocal relationship with professionals and others, working together to

get things done”

“... an effective way of combining the public resources allocated to

services with the assets of those who are intended to benefit from them”

(New Economics Foundation)

England - £6.5bn (12%) cuts to SP 2011-15 (50%+)

Public expenditure cuts

Public health/social care/welfare reform

Demographics/changes in wealth/more self-funders

General focus on owner occupation/living well at home

90% older people in ‘ordinary’ housing

Source Housing LIN, 2012

Rebecca Mollart, 24 February

Full participation within reach of all older people and

their contribution is recognised and valued

Age-friendly communities while ensuring older people

have the resources they need to live

Future generations of older people are well equipped

for later life by encouraging recognition of the changes

and demands that may be faced and preparing early

Older People’s Commissioner in 2008

Ageing Well in Wales programme

National Service Framework for Older People in Wales

Wellbeing monitor for older people

Ageing in Place

Link-Age in Wales

Healthy Ageing Action Plan for Wales

The Social Services and Well-being (Wales) Bill

Government’s vision for NHS - Together for Health

Source Strategy for Older People in Wales 2013-2023

Declaration of Rights for Older People in Wales

Healthy Ageing Programme

Health Checks programme for people over 50

My Home Life

Sustainable Development Bill

Carers Strategy for Wales

Tackling Poverty Action Plan/pensioner poverty

Commitment to fund Care & Repair

Source Strategy for Older People in Wales 2013-2023

Public funding enabling older people to stay in own home

Lifetime Homes standard

Care & Repair agencies providing advice/practical help

and Rapid Response Adaptations programme

Extra Care housing for people with higher support needs

Physical Adaptation Grants for HA tenants

Disabled Facilities Grants for people across all tenures

Home repair assistance

Housing related support through Supporting People

Services reduced/stretched

Schemes/services decommissioned

More large/fewer small providers

Changing service delivery models

Option/menu based services v economies of scale

New providers/new workers

Housing/support increasingly separated

Personalisation agenda

Diversity – gender, culture and age

Constant

change

commons.wikimedia.org

Sheltered

housingExtra Care

Residential

Home

Support

from carers,

friends or

family

Floating

support

Domiciliary

care

Assistive technology

adaptations, community alarm, sensors, telecare and other devices

AbbeyfieldsAlmshouses

Retirementhousing

Very sheltered

Assisted living

Nursing home

Co-housingClose care

Homeshare

Handyperson

Ownhome

Specialist housing

less support more support

Concierge

HospitalHospice

Older people’s housing support and care

Specialiseddementia care

Retirementvillage

Floating support

Volunteers can play an important role in all areas of housing support and care

Sheltered Housing

Clusters Floating Support

Hub & Spoke Intensive Housing

Management

Choice, creativity, flexibility, responsiveness

New approaches/less standardisation

More people receiving some support

Services reaching people in the wider community

Partnership working/different partners

Greater service user involvement/empowerment

Different funding sources

Income generating opportunities

Rebecca Mollart, 24 February bloomvc.com

Crisis v prevention

Higher needs v lower needs

Culture shift v reality

‘Caseload’ approach/increasing ‘caseloads’

Increased isolation & loneliness

Allocations/eligibility

Choice v risk

Resident/service user involvement

Information, advice and advocacy

Quality/quality monitoring

User-friendly advice and support

Policy briefings

Help to develop personally and professionally (cheaply!)

Opportunities to showcase own good practice

A means of complying with national standards

Help to lobby and influence local/national policy makers

National/regional/virtual networking opportunities

Help with evidence of value of housing related support

Enhance individual, team

and organisational performance

Maintain/improve quality of housing and

related support services to older people

wordpress.com

Instant news/tweets (@erosh_uk) and weekly round-up

Policy briefings/legislation updates

Good practice resources and case studies

Topic based discussions

Access to expert advice – Ask erosh

Signposting to other resources

Bi-monthly e-newsletter

Events calendar

Regional networking opportunities

Lobbying/evidence collecting activity

Person centred support

planning

Adult Safeguarding

Dealing with Hoarding

Mobility Vehicles

Professional boundaries

Intergenerational projects

Digital inclusion

Sheltered schemes as

community hubs

Working with people with

dementia

Health & well-being projects

1. Are older people high on your Government’s agenda?

2. Is there sufficient commitment to older people’s

housing/support services?

3. Is there sufficient funding for older people’s support

services to meet current/future needs?

4. Are you optimistic about the future of older people’s

housing/support services?

5. What are you doing to cope with these challenges?

Rebecca Mollart

Chief Executive

T: 01926 410848

M: 07803 176957

E: policy@erosh.co.uk

Marie-Therese Atkinson

Administrator

T: 01249 654249

E: info@erosh.co.uk

W: www.erosh.co.uk

Twitter: @erosh_uk