The Homes and Communities Agency's Kevin McGeough's presentation to the Capita Sheltered Housing conference 2015 on 20 March, looking at housing options for older and vulnerable people.

1. Successful places
with homes and jobs
A NATIONAL
AGENCY
WORKING
LOCALLY Event Capita Sheltered Housing
Conference, London
Name Kevin McGeough
Date 20TH
March 2015
Delivering
Housing options and
opportunities for older
and vulnerable people

2. Contents
 Setting the context
 HCAs role in improving supply of specialist
housing including new opportunities (Cassh 2)
 Importance of quality in homes for older and
vulnerable people (HAPPI)
 Lessons from Care and Support for Specialised
Housing Fund (CASSH)

3. The context
(current trends – demand/supply)

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. Increase in demand from dementia
specific cases

8. 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.
8
4,000
12,000
Peak
Avg
x2
x2
Supply at
lowest
for nearly
70 years
Data from Elderly Accommodation Council (EAC )

9. 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
 However, estimates also ignore demand from older people without existing support needs who are seeking specialist
housing, which is estimated as being up to 6m people
9

10. The HCA’s role and new
opportunities (Cassh)
(funding and supply)

11. 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

12.  £3.3bn for affordable housing up to 2018
 £886m initial 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).
12
2015-18 Affordable Homes
Programme
Note: HCA and DCLG CORE data.

13. Care and Support for 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 (now open for bids!)
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)

14. 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

15. 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

16. 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

17. Care and Support for Specialised Housing
CaSSH Fund – Phase 2
 Assessment criteria
– Value for money
– Deliverability
– Fit with local strategic priorities
– Sustainability
– Design and Quality
 17th
February Launch
 Bids to be submitted by 29th
May 2015
 Allocations announced, Autumn 2015
 All homes complete by 31st
March 2018
 Prospectus can be found here:
 https://www.gov.uk/government/publications/care-and-support-specialised

18. Importance of Quality
“HAPPI” - Housing our ageing population: panel
for innovation

19.  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
19

20. Improving the quality of housing
for older people (and other groups)
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

21. 10 principles of good housing

22. 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. 23
Pilgrim Gardens, Leicester, HAPPI Winner, completed schemes, 2014 - PRP

24. 24
Pilgrim Gardens, Leicester, HAPPI Winner, completed schemes, 2014

25. Lessons from CaSSH 1

26. CaSSh fund
Phase 1 allocations to CaSSh were announced on 24th
July 2013,
for affordable housing and affordable home ownership only.
 £130 m 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

27. 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

28. 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

29. 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

30. Tile Hile, Dementia
Centre, Coventry
£4.56m project, £1.286m CaSSh, 33 x 1 bed apartments
Cloister arrangement, Homely features, importance of outside space

31. 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
17th
February Launch
Bids to be submitted by 29th
May 2015
Allocations announced, Autumn 2015
All homes complete by 31st
March 2018