This document discusses accelerating the delivery of age-friendly communities through Keepmoat's "Ageing Well" strategy. It notes the challenges of an aging population and increasing demands on health and social care. Keepmoat's strategy focuses on providing housing and services to support aging in place through partnership, attracting private investment, and inclusive design. Examples are given of remodeling projects and new developments that provide a variety of accessible housing and community facilities to meet the needs of an aging population in a cost-effective way.

1. 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 Broadbent
Retirement Solutions Director Keepmoat

2. 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!

3. 3
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.

4. 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)

5. 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)

6. 6
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)

7. 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)

8. ► 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!
8
Housing Solutions

9. 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.
9

10. 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!

11. Deliver a sustainable difference
11
► 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…

12. 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.

13. Extra Care Plus…. 60 units acute care

14. Life Long Family Homes

15. 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.

16. 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.

17. 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, influencedA Total housing and care solution, influenced
by working in partnership……by working in partnership……

18. 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.

19. 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.

20. 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

21. How we test our services? We!
21
Do This!
Not This!

22. 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

23. Construction
• New build
• Remodelling
• Product type
Operations
• Management
• Maintenance
• Lifecycle
Partnership
Requirements
• Right Partners
• Procurement
• Structure
• Guarantees
Successful Delivery
Requires Integration
Funding Options
• On/Off Balance sheet
• Length & cost of fund
Sites
• Land assembly
• Existing assets

24. 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….

25. TIME OF CREATIVITYTIME OF CREATIVITY
& OPPORTUNITY !& OPPORTUNITY !
Questions?
Paula Broadbent
Retirement Solutions Director
Tel; 07891981992
Paula.broadbent@keepmoat.com

26. Like what you heard? Then continue the
debate online
Search for “Future Communities” on LinkedIn and join in the
conversation