Accelerating the Delivery of Age Friendly Communities

Keepmoat “Ageing Well” Strategy Solutions to the housing and health care

crisis, Living well and Working well,

Paula BroadbentRetirement Solutions Director Keepmoat

Overview

► Introduction► WHY - The scale of the challenge – environment,

demographics and social demands ► OPPORTUNITY - Potential Housing, Health & Social

care efficiencies► WHAT - Housing products & services that support

ageing► HOW - Work in partnership, Attract private sector

investment and make it happen!

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Housing Enviroment

► The housing market came to a stand still after the recession hit in 2008/09, signs of recovery 2013/14

► The bail out of the banks and change in Government led to tightening of the public purse, 4th year of pressure

► The Committee of Public Service and Demographic change concluded in Mar 2013; UK is “Woefully under prepared for ageing”, with Retirement solutions lagging at least 10% behind other Countries like Australia, USA.

► Sustainable housing is not keeping up with increasing demographics, for the first time over 65’s tip 10 million, Lifetime Homes 2008 failed.

Housing Profile changing

People over 65 are sat on approx. £1trillion of

capital locked into predominantly family

homes.

The 65 and over age group equal 79% of all

home owners.(Census Data 2011)

Demographic pressure, Health & Social Care

“Ready for Ageing” published Mar 2013, projects by 2030► 100% more people over 85 and as the fastest growing

sector, need access to housing with care/support services, need to keep people at home, to sustain National Health services.

► 80% more people living with some form of Dementia = every 1 in 3 of us

► 50% more people over 65,many still working facing pension reductions.

► Overall the state spends £140bn on older people – 6% social care, 35% health and 59% welfare benefits

(Source: Fit for Living Network, hact)

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Health and Social Care Statistics► Overall the state spends £140bn on older people – 6%

social care, 35% health and 59% welfare benefits (Source: Fit for Living Network, hact)

► Older people account for 55% GP visits, 68% Outpatients & 78% in patient bed stays.

► Nursing care costs average £570 pw (£29,640pa) pp.► Residential care costs average £334 pw (£17,370pa) pp.VS► Personal care at home Med/High package on average

£224 pw (£11,650pa) pp.► 6 weeks intervention at home preventing hospital saves

on average £12,206 pp.► Postponing Residential care for one year saves an

average £28,080 pp.(Source: PSSRU at the University of Kent)

Potential Public Service Efficiencies

Quality fully accessible Housing ► “NHS spends £600m treating people every year because

of Cat 1 hazards in poor housing, the vast majority associated with falls” (Source: NHS Reform report Jan 12)

Housing with access to Care and Support at home► Estimated savings preventing hospital £12,206 pp pa.► Postponing Residential care 1 year £28,080 pp.(Source: PSSRU at the University of Kent)

► 37% of UK Homes are under occupied, with ½ (3.3m) occupied by people aged 50-69 – Releasing family housing to prevent homelessness and over occupying

(Source: Housing our ageing population 2012)

► Health agenda effects all of us, young and old, but older people are at the forefront of a potential health crisis

► Ageing well, in your own home, high on political agendas- More control & Dignity, Community spirit- Demos commissioned to research June to Aug 14

► £Trillion of grey equity, but little incentive to downsize- Scarcity of suitable housing

► Inspire the younger old “Empty Nesters” to downsize - Better choice and NOT just bungalows!

- Community spirit, NOT segregation

► Right location, Right offer – We all WIN!

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Housing Solutions

Where we live matters► We all expect to exercise choice and dignity as we age…

► Affordability and choice of retirement housing is critical NOT just Extra care housing!

► As we age, life can be very cruel and we can face challenges to staying in our own home.

► Public services desperately need to keep people out of hospital and institutional care.

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Extra Care Housing

► 1990’s Sheltered housing providers reviewed their service offer to older people to prevent movers

► Over the past 20yrs LA’s have seen ECH as a replacement for Residential care preventing early or unnecessary admissions in to care

► Private sector called it Assisted Living

Fundamentally ECH is a CONCEPT - Accessible & Sustainable housing with access to care & support 24/7, benefitting from access to community facilities which promote social interaction, good nutrition, hydration and well being. Every community could/should provide an EC environment!

Deliver a sustainable difference

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► Existing housing predominantly isn’t fit for ageing well, re-modeling/retrofit of existing homes essential.

► Provide a mix of housing and services to meet a new generation of needs, aspirations and expectations.

► Be responsible for each customers experience as one of choice, dignity and control.

► Affordable solutions and effective services = better outcomes…

SMART Inclusive Design is essential

Future proof design of individual homes and large schemes

► Homes that age with you by easily adapting.► Homes with additional space to care for loved ones.► Communal space that will easily convert to apartments.► Specialist studio apartments for acute supported housing

now that easily convert if needed to mainstream.► Care Homes that can change use to housing.(C2 to C3)

Efficient construction methods and supply chain partnership► Listen to customers.► Push the boundaries, Innovate.

Extra Care Plus…. 60 units acute care

Life Long Family Homes

Accessibility - “Ageing Well”

Good quality Housing supported by a network of services and facilities allows people to stay at home..

► Mix of property type and tenure all accessible and flexible.

► Future proof design and build

► Environments that promote good physical/mental health, pay attention to natural light and sense of place

► Specialist housing that reduces dependency on institutional health / social care services = “the public purse goes further”.

► Life long Homes and Communities, plan well and work together.

An Ageing Well Community

The Hub, provides community facilities and a base for services to

respond to personalised assistive technology

calls 24/7. Providing a heart to the community.

Social Enterprise Handy mans services, support people in the

community to maintain their homes and their

independence.Localised Broadband results

in more home working, reduced carbon footprint

and efficiencies as well as telehealth & telecare.

There are many older people and people living with

disability in our community, in housing that is accessible &

provides for all tenures. Variety is sustainable.

Keepmoat “Ageing Well” Specialist Community Regeneration;► Refurbishment and Remodelling of existing housing

and conversion of buildings – Future ProofFuture Proof► New Build homes, New homes, Specialist housing and

Accommodation all tenures – Future ProofFuture Proof► Design and Build all inclusive services – SMARTSMART► Repairs and Maintenance - CaringCaring► Project Management - ExperienceExperience ► Resident Liaison Officer’s – CaringCaring

A Total housing and care solution, influenced A Total housing and care solution, influenced by working in partnership……by working in partnership……

Remodelling Hard to Let Housing

Callendar Court in Gateshead ►We extensively remodelled and transformed a hard-to-let 11-storey tower block into a popular and attractive extra care scheme with 20 one-bedroom and 20-two bedroom self-contained flats.►New build Community facilities were bolted on to the ground floor.

Grade 2 Conversion and New Build extension

Waltham House, Wirksworth► A Grade II listed building was

converted to preserve the façade and several internal features to provide a day centre, library, restaurant, health suite and 5 respite units.

► The newly constructed adjoining building with its elegant exterior enhances provides 39 1 and 2 bed apartments.

Large scale master planning “Ageing Well”New Resources, ECH, new affordable housing and homes

for sale creating efficiency and inclusion 1350 New Homes 10-15yrs

Phase 1► Extra care ► School► Local Retail► Recreational

Catalyst to regeneration► Affordable housing► Market sale► Training & Employment

How we test our services? We!

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Do This!

Not This!

Partnering and Funding

► PPP – Land, Intelligence, Investment and Delivery (Public Private Partnerships)Various Models; JVC – SPV – Prop Co – Strategic Alliance► Public sector Concession Rights – The Partner provides

strategy, feasibility and delivery services► DPP2 - speedy procurement of development partner

Attracting Private Investment;► Demonstrate demand► Secure Revenue► Right Products

Construction• New build

• Remodelling• Product type

Operations• Management• Maintenance

• Lifecycle

Partnership Requirements

• Right Partners• Procurement

• Structure• Guarantees

Successful DeliveryRequires Integration

Funding Options• On/Off Balance sheet

• Length & cost of fund

Sites• Land assembly• Existing assets

Added Value of Partnering

Following the learning and applying these principles we can;

Accelerate activity and maximise best value via;► Best Use of public land, reinvesting in communities► Private sector investment long or short term► Economic benefit – training & employment► Supporting Social Enterprise

Longer term development pipeline secures efficiencies through supply chain and resources – Partnership is 2 way….

TIME OF CREATIVITY TIME OF CREATIVITY & OPPORTUNITY !& OPPORTUNITY !

Questions?Paula Broadbent

Retirement Solutions DirectorTel; 07891981992

Paula.broadbent@keepmoat.com

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