Successful places with homes and jobs
A NATIONAL AGENCYWORKING LOCALLY
Event LGA Affordable Housing Conference:
‘Filling the gaps in finance and quality.’
Name Kevin McGeough
Head of Corporate Strategy,
Date 17 February 2015
(this presentation has been updated to include detail on the new phase of the Care and Support Specialised Housing Fund –
CASSH 2)
‘Improving housing options for older people and people with
disabilities’
Contents
Setting the context
HCA encouraging supply of specialised housing for older people
Improving the quality of homes for older people (HAPPI)
Putting it all together – Care and Support Specialised Housing Fund (CASSH)
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
4
Spectrum of housing types for disabled adults
The housing needs of disabled groups including those with mental health problems can be met in a variety of settings but the prime focus of supported housing is to enable ‘independent living’
Mainstream housing
Care Home/ Institution
Mainstream housing
Care Home/ Institution
Examples from EoI’s
Mainstream housing Care Home/
Institution
Facts and Figures
8,578 people with a learning disability (LD) were referred to LA for housing support in 2011, joining 10,000 others on the waiting list.
29,000 adults with a LD live with parents aged 70+, whilst only 25% of these have LA planned alternative housing.
Older people tend not to move and currently represent 57% of household under-occupation
Older social tenants are not subject to “spare room subsidy”. It is estimated that by 2026 there will be over 10 million empty bedrooms in the homes of the retired.
Only 10% of specialist housing shall have on-site care provided,
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.
New supply of OP housing
OP build rates are lower now than in the 1980s by a factor of 3 or 4. Supply of older persons housing for sale at its lowest for 30+ years – despite 75% of older people owning their own home.
7
4,000
12,000
Peak
Avg
x2
x2
Supply at lowest
for nearly 70 years
Data from Elderly Accommodation Council (EAC )
NAHP investment of £1.017 bn in specialist housing from 2008-2012
Supported delivery of 18,000+ specialist homes
– 57% for Older people
Additionally,
– 1,500+ PFI extracare units
Internal VOPAG group continues to review and advise on this agenda
– Recently refreshed, now includes DCLG (Terrie Allafat), DoH (Jon Rouse) as well as LGA (Lord Best), public, private and 3rd sectors
9
Historic HCA delivery for older and vulnerable people
£4.8bn AHP - 9.5% (indicative) supported/older persons housing
14% of programme delivered to March 2014 were for supported housing and housing for older people:– 60% for older people
– 40% for vulnerable people
– Almost all affordable rent (limited take-up of specialist LCHO products)
Not just about SH……..– 45%+ of on-going affordable homes allocations
include someone with a degree of vulnerability
– 10%+ lets go to older people (aged 65+)
– c30% of all completed NAHP/AHP homes are Lifetime homes, c12% wheelchair accessible
10
2011-15 Affordable Homes Programme (so far……)
Note: HCA and DCLG CORE data.
£3.3bn for affordable housing up to 2018
To date £886m allocations
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)
11
2015-18 Affordable Homes Programme
Note: HCA and DCLG CORE data.
NAHP 2008-11 AHP 2011-15
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.
CaSSH 2013-1843% vulnerable
People(7,805)
27%(1,568)
14%
57% older People(10,345)
73%(4,241)
86%18,150homes
5,809homes
3,162homes
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
VOP 9.7% of NAHP
Programmes relate to the year of allocation rather than completion
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.
Supply / demand gap20k-45k units pa
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
13
Some existing VP/OP stock outdated and mismatched with demand – Demolition of unsuitable/un-lettable (eg design, location, access to care/family)
• c20% of SH non-self contained or shared, 60%+ one-bed• HCA part-funded refurbishment of 1,000+ units of SH through NAHP
New stock and housing typologies also face challenges– Reductions in revenue funding– Welfare reform impact on some schemes [tbc]– Move away from residential care toward floating support and/or extra care – Sustainability of some models questioned (eg retirement villages)
Suitability of existing stock
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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
HAPPI – improving the quality of housing options for older people
Housing Design AwardsHAPPI Award
Most respected and longest running awards in UK
Founded by Minister of health and Housing
192 entries in 2013
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
Care and Support Specialised Housing (CASSH)
Phase 1 HCA investment partnersSupport to specialist affordable housing for older people and disabled adultsAllocations announced July 2013
Phase 2 (launches today!)HCA investment partners£120 m available outside LondonGLA will make a separate announcement for LondonSupport and accelerate the development of specialist housing in affordable sector for older people, disabled adults and those suffering from mental health issuesWiden opportunities for affordable homeownership
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)
What we want – programme focus for older people
Retirement village
Extra care
Sheltered retirement
Very sheltered /assisted
living
Close care
Adapted homes
Specialised /
dementia
• Specialised long-term housing opportunities for older people living independently
• Spectrum of “specialised” types
• Varying levels of personal care and support could be appropriate.
• Innovation for dementia sufferers or from co-housing models.
• Collaborative approaches encouraged between local authorities, NHS and other public bodies
Specialised housing opportunities for older people
Individual housing with their own front doors Flexibility to adapt or install assistive technology Availability of care and support – on-site or in a local and accessible
location Communal areas Considered response to the 10 HAPPI principles
Support to people with mental health problems and disabilities • Mental health needs• Physical or sensory disabilities• Learning disabilities and Autism
For Adults aged 18+ Individual dwellings with their own front door MH / LD by exception, shared accommodation considered where part of a longer
term strategy to increase independence Flexibility to adapt or install assistive technology Ability to access care where appropriate – on or off site Remodelled is acceptable where it represents value for money
Care and Support Specialised Housing CASSH Fund – Phase 2
Assessment criteria– Value for money– Deliverability– Fit with local strategic priorities– Sustainability– Design and Quality
17 February launch Bids to be submitted by 29 May 2015 Allocations announced, Autumn 2015 All homes complete by 31 March 2018
Prospectus can be found here: https://www.gov.uk/government/publications/care-and-support-specialised
-housing-fund-phase-2-prospectus
CASSH Fund
Phase 1 allocations to CASSH were announced on 24 July 2013,
for affordable housing and affordable home ownership only.
£130m allocated 2013 – 18o £101m HCAo £29m GLA
121 providers received fundingo 86 outside Londono 35 in London
3,831 new homeso 3162 outside Londono 831 in London
HCA phase 1 CASSH allocations by area
HCA Funding Units
Average grant rates
East and South East £23,715,998 576 £41,174Midlands £16,240,942 681 £23,849North East, Yorks & The Humber
£16,632,308 609 £27,311
North West £21,834,000 644 £33,904South and South West £23,170,023 652 £35,537Grand Total £101,593,271 3,162 £32,150
HCA phase 1 CASSH allocations by client type
Number of units %
Older people 2,726 86.2%
People with mental health problems 57 1.8%People with learning difficulties 270 8.5%People with physical or sensory disabilities
109 3.4%
Total 3,162 100.0%
Size and range by area Range in operating
area
Average size of schemes funded in dwelling numbers
East and South East 7 - 92 41Midlands 2 - 83 26North East, Yorks & The Humber
2 – 60 22
North West 7 - 105 41South and South West 5 - 81 27Grand Total 2 - 105 30
Bessemer Close, Bicester, Cherwell DC
6 no. bungalows for individuals with high level autism
£240k CASSH, exemplar project with community hub, sensory courtyard garden, CSH 4, and noise attenuation construction
Murray House,Bideford-upon-Avon
Creative Support for Warwickshire County Council, extra-care for vulnerable adults with learning disability; 9 x 1 Bed apts, £1,770,134 scheme, £256,500k CASSH
Ennerdale Road, Maryport
Home Group with Royal British Legion for Veterans; 10 x 1 Bed apts, 3 x 2 bed houses, flexible hub; £1.3m scheme, £426k CASSH funding
Tile Hile, Dementia Centre, Coventry
Potential to learn from good practice in other specialist housing:
£4.56m project, £1.286m CASSH, 33 x 1 bed apartments
Cloister arrangement, Homely features, importance of outside space
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
Dukeminster, Dunstable, Central Beds D.C.
£3.7m LA grant, £1.7m CASSH, 83 apts, 42 x 1 bed, 41 x 2 bed
Gateway to town centre, community hub, retail facilities, roof gardens
END
Contact: [email protected]
“As we know, most people want to be independent in their own homes and as the population ages, more and more of us will need housing that supports us to do that. ..…
These will be tailored to people’s needs and will help them to remain active as long as possible without the need of going into a care home…..”
Norman Lamb, Minister for Care Services.
CASSH 2
17 February launch
Bids to be submitted by 29 May 2015
Allocations announced Autumn 2015
All homes complete by 31 March 2018