HCA's Kevin McGeough presentation on improving the housing options for older people and people with disabilities. Included is an update on the Care and Support Specialised Housing Fund Phase 2 launched same day.
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LGA Affordable Housing Conference - CASSH Phase 2
1. Successful places
with homes and jobs
A NATIONAL
AGENCY
WORKING
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’
2. 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)
4. 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
5. 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
6. 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.
7. 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 )
9. 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
10. £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.
11. £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.
12. 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 2013-18
43% vulnerable
People
(7,805)
27%
(1,568)
14%
57% older
People
(10,345)
73%
(4,241)
86%18,150
homes
5,809
homes
3,162
homes
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
13. 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 gap
20k-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
14. 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
14
16. 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
19. Housing Design Awards
HAPPI 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
23. Putting it all together
The Care and Support Specialised
Housing Fund
24. Care and Support Specialised Housing
(CASSH)
Phase 1
HCA investment partners
Support to specialist affordable housing for older people
and disabled adults
Allocations announced July 2013
Phase 2 (launches today!)
HCA investment partners
£120 m available outside London
GLA will make a separate announcement for 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
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)
25. What we want – programme focus for older
people
Retiremen
t village
Extra
care
Sheltered
retirement
Very
sheltered
/assisted
living
Close
care
Adapted
homes
Specialise
d /
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
26. 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
27. 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
28. 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 29May 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
30. CASSH Fund
Phase 1 allocations to CASSH were announced on 24 July 2013,
for affordable housing and affordable home ownership only.
£130m allocated 2013 – 18
o £101m HCA
o £29m GLA
121 providers received funding
o 86 outside London
o 35 in London
3,831 new homes
o 3162 outside London
o 831 in London
HCA phase 1 CASSH
allocations by area
HCA Funding Units
Average
grant rates
East and South East £23,715,998 576 £41,174
Midlands £16,240,942 681 £23,849
North East, Yorks &
The Humber
£16,632,308 609 £27,311
North West £21,834,000 644 £33,904
South and South
West £23,170,023 652 £35,537
Grand 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 41
Midlands 2 - 83 26
North East, Yorks & The
Humber
2 – 60 22
North West 7 - 105 41
South and South West 5 - 81 27
Grand Total 2 - 105 30
31. 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
33. 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
34. 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
35. 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
36. 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
37. END
Contact: kevin.mcgeough@hca.gsi.gov.uk
“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