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www.england.nhs.uk 2
I have a choice about where I live and who I live with
People should be offered a choice of housing, including small-scale supported living.
Choice about housing should be offered early in any planning processes.
Where people live, who they live with, the location, the community and the built environment need to be understood from the individual perspective.
Everyone should be offered settled accommodation.The future needs of this group should form part of local
housing strategies.
www.england.nhs.uk 3
• Settled accommodation does not include:• Long-stay healthcare residential facility or hospital• Registered care home• Registered nursing home• Temporary accommodation/hostel
• Only 6 units together, unless good design or part of a larger scheme
• Housing and support must be separate contracts to support tenancy rights
Housing models for delivery
www.england.nhs.uk 4
Supported housing
• own flat within a wider development of flats
• mixed client group with varying levels of needs with mixed tenures
• can be designed to a very bespoke specification
• shared space can be minimised • an environment where services can
safely manage more high-risk inpatient populations
www.england.nhs.uk 5
Delivering HOLD (Home Ownership for people with Long-term Disabilities)
housing provider buys a property sells a share of the home to the individual individual gets a mortgage covered by Support for Mortgage Interestindividual pays rent on the share of the property
Bespoke accommodation
www.england.nhs.uk 6
Short-term accommodation
• Slowly reducing the presence of an institutionlised routine
• Provide additional support to individuals living in community as and when required
• Used in times of crisis or to prevent potential crisis for short periods
www.england.nhs.uk 7
Developing the housing marketplace
• Setting the foundations• Shaping the housing offer • Agreeing key terms
• Nomination rights and void risk• Rent and service charge• Repairs and equipment
www.england.nhs.uk 8
Transforming Care Housing Strategy• Commissioners need to have a clear understanding of the
types and volume of accommodation required to support people to live in the community. • The accommodation needs of people in the priority
cohorts. • The accommodation currently available to the wider
population of people with learning disabilities and/or autism
• Any gaps in provision, including short-term housing options.
• The accommodation needs of future populations in inpatient units, as well as the ‘at risk’ population.
www.england.nhs.uk 9
Future funding of supported housing
• Exemption: The supported housing sector will be fully exempt from the Local Housing Allowance (LHA) cap
• Consultation: setting out their preferred option for the future funding for the sector, expected to be implemented at the earliest by April 2019.
• New system: be an additional grant to councils to top-up supported housing rents. This additional grant would be ring-fenced.