Transcript Document

Perspectives on housing and
dementia
Nottingham, 14 September 2006
An Ageing Population: a global issue
According to the US census a person turns
50 every 7 seconds and 10,000 people turn
59 every day!
Challenges for policy makers and practitioners, as
well as people with dementia and their carers
“It’s not about the numbers, it’s
about the quality of care”
National housing priorities
Extra Care Housing: £40m available under DH’s
2007/2008 programme – shift to LTC in this round
Prevention technology grant: £60m 2006-2008 and
ICAT pilots (forthcoming)
Housing Corporation: National Approved Housing
Programme 2008-2010 (announcement 2007)
Department of Communities and Local Government:
guidance on housing for older people strategies
(pending)
Department of Health: recent White Paper and New
Ambition for Old Age
Quality matters: more than bricks and mortar
Individual rights as citizens – dignity and respect
Care and support needs – appropriate information,
assessments, service planning, regulation and
inspection
Access to services – information and provision of
services to meet diverse needs e.g., social vs medical
models of care, the built environment
Future funding – health, social care and housing
costs
Individual rights as citizens: some issues
Dignity and choice within social, medical
and environmental setting e.g., scheme
design
Promoting independence and well-being,
White Paper objectives
Tackling age and disability discrimination:
new disability equality duty
Care and support needs: some issues
Single Assessment Process: testing new
models to support integrated assessments
Social Care pathways: key lines of enquiries
on housing with care needs
Clinical/medical needs: medications
programmes and old age psychiatry
Support for carers e.g. commissioning
respite care
Access to services: some issues
Primary and health care: patchwork of provision and
sometime subsumed under older people’s mental
health services
Social care: prevention rather than cure
A new ambition for old age recognised that services
for people with dementia are often the Cinderella
service
Housing: need for better range of housing options
e.g. Extra Care, floating support, telecare.
Advice, information and advocacy: support people
with dementia and their carers to make decisions
Future funding: some issues
Social care costs: Individual budgets,
personal income, Supporting People, home
and residential care
Health costs: medication, inpatient and
outpatient OPMH care
Housing costs: assisted living schemes/
extra care, supported housing, adaptations
Future funding – more flexible packages of
funding, personal accounts, workforce?
What next for housing? - local solutions
Extra care has a role in maintaining independence and
health of people with dementia (Suffolk County Council and
Housing 21/UWE/Dementia Voice)
Often poor solutions locally and this results in crisis
placement in residential care (South Glos)
Extra care enables family and relatives to remain part of
the informal support network (Anchor Trust)
Prevents social exclusion amongst older people (Oxford
and Bradford Dementia Centres)
Emerging use of telecare to support people at home
(Northampton report forthcoming)
Areas for further investigation?
A lack of knowledge of the needs of people from BME
communities and dementia in extra care housing
A better understanding of the links between onset of
dementia for people with learning disabilities
A longitudinal study of the impact of Assistive Technology
and people with dementia in different housing
environments
Raising training and the quality stakes across the
continuum of housing, care and support, including
residential and nursing care
Who pays for care?: new models of funding in the light of
individual budgets/direct payments, social care contracting
Some useful LIN resources
That’s my home: a CDrom outlining the housing needs of
older people with dementia
Supporting People with dementia in extra care housing.
Fact sheet 14
Least-use assistive technology in dementia care.
Case study 3
Extra care housing grant guidance and toolkit
Technical briefs on funding, paying for care, and mixed
tenure
Viewpoint: Extra care housing is not the answer for
everyone with dementia
Contact details
Jeremy Porteus
National Programme Lead - Networks
Care Services Improvement Partnership
Department of Health
Email: [email protected]
Website: www.cat.csip.org.uk/housing