To what Extent has the Government Been Successful in

Download Report

Transcript To what Extent has the Government Been Successful in

To What Extent has the Government Been Successful in
Supporting Older People to Make the Right Choice of
Housing? The Perspective of People Over the Age of 70
Living in Family Homes
Author: Mark Radford
Supervisor: Dr. Athina Vlachantoni
Centre for Research on Ageing
www.southampton.ac.uk/ageing
1
Outline of Presentation
1. Why is the topic ‘one of the biggest challenges of
the 21st Century’? (DCLG 2008)
2. Methodology
3. Research and Results
4. Discussion Points
5. Conclusion
2
Why do older people’s housing choices
present such a crucial challenge to
policy makers in the 21st century?
1. Demographic changes
2. Health resources
3. Transitions in living arrangements
4. Disparity in income and wealth
3
Estimated and projected population aged 85 and over: United Kingdom 2008 and 2033
Source: Office of National Statistics Bulletin: 2008 based National population projections: 5
4
Hospital and community health service gross current expenditure per head: by age
2002/3
Source: Census 2001, cited in Focus on Older people 2005 Office for National Statistics p52
5
People Living Alone by sex and age, Great Britain 2007
Source: Office for National statistics: Focus on Older people, last updated May 2009
6
MSc Dissertation Methodology
1. Critical policy review
2. Academic literature review
3. Series of semi-structured interviews
31 individuals, 12 couples, 6 widows, 1 person with husband in care home
Urban home : 4 couples, 3 singles
Suburban : 6 couples, 2 singles
Rural home: 2 couples, 2 singles
7
Government Policy Principles
‘Our approach is based around a few simple
principles: that everyone should be able to make
a choice that mirrors their lifestyle and
circumstances; above all, to remain safely in their
own home, near friends and family, as long as
they wish to, that good housing is essential for
good health and well-being, and should be valued
and planned as such ; and that, as years go by
there will be a choice of desirable housing with
support and care to match changing capabilities’
(Baroness Andrews, Communities and Local
Government Minister DCLG 2008:9)
8
Government Policy Principles
Quality and Choice for Older People’s Housing - A
Strategic Framework (DH, ODPM 2001)
Lifetime Homes, Lifetime Neighbourhoods. A National
Strategy for Housing in An Ageing Society (DCLG
2008)
1. Quality and Choice
2. Integrated Housing, Health and Care
3. Information and Advice
9
Quality and Choice for Householders?
‘Although Lifetime Homes Lifetime Neighbourhoods (CLG, 2008), the
new national strategy for housing in an ageing society, has generally
been enthusiastically received, within the Royal Institution for
Chartered Surveyors there are some concerns that the housing needs
and preferences of some groups have received less attention,
particularly those older home-owners who are relatively well and
living in large family size homes’(Croucher et al 2008 : 6)
‘The impression is one of almost bewildering choice. But when push
comes to shove- especially in a crisis - there is no choice at all’ (HAPPI
2009: 14)
10
Research & Results
1. Satisfaction with own home and locality – in
order to assess success in helping people to
remain at home
2. Factors influencing choice of alternatives,
using the HAPPI design elements – to assess
provision of choice
3. Emerging themes from interviews
11
Home Satisfaction of Older People Age 70-80
Source: The author’s research
Home Satisfaction of Older People Age 80+
Source: The author’s research
12
Neighbourhood Satisfaction of Older People Age 70-80
Source: The author’s research
Neighbourhood Satisfaction of Older People Age 80+
Source: The author’s research
13
Percentage Ranking HAPPI Design Elements, High, Medium and
Low, Average Overall Ranking and Final Overall Ranking
Source: The author’s research
14
Themes Emerging From Recorded
Interviews
15
The Importance of Neighbourhood and Locality
‘Everyone in the town knows us. On Saturday morning he can go to
buy a paper and be gone for hours’ female aged 73
‘We have wonderful neighbours, Steve from over the road dug our
vegetable patch when Arthur was ill. We have great fun with him, he
makes Arthur laugh’ female aged 80
‘I would like to be able to buy a pint of milk without having to get the
car out of the garage’ male aged 71
‘I don’t go out much but then I don’t think many people of my age do’
female aged 92
‘I know it’s a family home, but I don’t want to move because it’s the
only home I’ve had. All my memories are here, and I don’t want to go
anywhere else’ female aged 92
16
Fear/Confidence Towards Prospect of Moving
‘I love my house. Moving would be stressful. I wouldn’t know
where to start with packing things up’ female aged 72
‘I think we are too old to move now’ female aged 89
‘The future is something unpredictable and therefore cannot be
planned’ male aged 73
Contrast in attitudes younger old/older old, movers/non-movers
17
Perception of Alternatives
‘I’ve lived in Germany and I know that most people there are
happy to share. I don’t think it’s the same in England, we’re not
made like that. We keep ourselves to ourselves’ male aged 72
‘Why should I want any shared facilities? If I want to see my
friends, I can invite them in’ female aged 78
‘I’m not interested in tea-dances’ male aged 75
‘I would miss opening the front door, letting the sunshine in and
seeing the garden’ female aged 78
‘Little dark flats that are pokey’ male aged 73
18
Home Adaptations and Assistance
‘Nobody tells you. You have to put yourself out to get anything
organised. It took me a fortnight to contact the social workers’
female aged 80
‘It’s perfect here now really. I’m very lucky. I’m happy enough and
would be very sad if I had to move’ female aged 93
‘People say you should be able to get assistance but I don’t think we
need it’ female aged 79
No knowledge of FirstStop
Contrast FirstStop with Seamless Relocation
19
Government Success in Supporting Older People to
Continue to Live in Their Own Homes
• Majority wish to stay in their family homes as long as
possible
•Evidence that the vulnerable are being supported by
government agencies
But
• Importance of informal support networks – Big Society
• Reluctance of some to consider the future, risk that choice
will be made in a crisis
20
Government Success in The Provision of Alternatives
• Insufficient choice in locality near family and social
networks.
• Existing options often too small. Downsizing?
• Dislike of shared facilities.
• Generic and accessible information.
21
Conclusion
Evidence of success
but
Insufficient supply of attractive housing in the locations
where people wish to live.
Policy makers Continue to support vulnerable
Address supply issues in localities…localism?
Communicate with new generation of older householders
22
Bibliography
Barnes, M. (2005) The same old process, Older People participation and deliberation, Ageing
and Society 25 (2) 245 - 259
Cambridge Centre for Housing & Planning Research (2010) Evaluation of the FirstStop
information and advice service for older people, their families and carers, Cambridge Centre for
Housing and Planning Research, Cambridge
Croucher, K. (2008) The housing choices and aspirations of older people, DCLG London
Croucher,K. (2008i) Developing a housing strategy for our ageing society. Policy and Politics,
36(4):613-14
Croucher, K. Wilcox,S. Holmans, A.(2009) An Examination of the Housing Needs and Supply for
an Ageing Society Royal Institute of Chartered Surveyors, London
Dannefer, D. (2003) Cumulative Advantage/Disadvantage and the Life Course: Cross-Fertilizing
Age and Social Science Theory Journal of Gerontology (Social Sciences) 58 (16) S327-337
Department of Communities and Local Government (2006i) – The Local Government White
Paper DCLG London
Department of Communities and Local Government (2006ii) Strong and Prosperous
Communities – The Local Government White Paper DCLG London
Department of Communities and Local Government (2007i) English House Condition Survey
2005 Annual Report DCLG London
Department of Communities and Local Government (2007ii) National Strategy for Housing in an
Ageing Society – a pre-strategy document seeking your views DCLG London
23
Bibliography continued
Department of Communities and Local Government (2008 i) National Indicators for Local
Authorities 2008 and Local Authority Partnerships: Handbook of Definitions DCLG London
Department of Health (2002) Quality and Choice for Older People’s Housing – The Story so Far,
DCLG London
Department of Health (2003) Preparing Older People’s Strategies – linking housing to health,
social care and other local strategies, DCLG London
Department for Work and Pensions (2005) Opportunity Age: Meeting the challenges of ageing in
the 21st century, DWP London
Department of Work and Pensions (2010) Building a Society For All Ages – Consultation Report
DWP London
Donald, I. (2009) Housing and health care for older people Age and Ageing 2009; 38: 364-367
Evandrou, M. and J. Falkingham, J (2005) A Secure Retirement for All? Older People and New
Labour. A More Equal Society? New Labour, Poverty, Inequality and Exclusion. J.Hills and
K.Stewart. 167 -188 Bristol: Polity Press
Fuel Poverty www.fuelpoverty.org.uk accessed 20th September 2010
Gilroy, R. (2008) Places that Support Human Flourishing: Lessons from Later Life, Planning Theory
and Practice, Vol. 9, No. 2 pp. 145-163
Greengross, Baroness. (2008) Debate. Policy and Politics 36(4): 611-14
24
Bibliography continued
HAPPI (2009) Housing our Ageing Population: Panel for Innovation. Homes and Communities
Agency: London
Hill and Sutton (2010) Housing Transitions: Older People’s Changing Housing Needs Centre for
Research in Social Policy, London
HM Government (2010) The coalition: our programme for government. London Cabinet
Office
International Longevity Centre (2007) Towards Lifetime Neighbourhoods: Designing
sustainable communities for all, a discussion paper, ILC UK London
International Longevity Centre (2009) Weathering the downturn: What is the future for
Lifetime Neighbourhoods? ILC UK London
Joyce, R. Muriel, A. Phillips, D. Sibieta, L (2010) Poverty and Inequality in the UK 2010 Institute
of Fiscal Studies, London
National Audit Commision (2003) The Warm Front Scheme NAC London
National Health Service Information Centre (2010) Social Care and Mental Health Indicators
from the National Indicator Set 2009-10 Provisional, England accessed at
www.ic.nhs.uk/statistics-and data-collections/social-care
Office of the Deputy Prime Minister (2006) Sure Start to Later Life: Ending Inequalities for
Older People ODPM London
Office for National Statistics (2005) Focus on Older People: HMSO Norwich
25
Bibliography continued
Office for National Statistics (2008) 2008 Based population predictions
www.statistics.co.uk/downloads/futurepopulation
Office for National Statistics (2009) Focus on Older People:
www.statistics.gov.uk/focuson/olderpeople
Office for National Statistics (2009) Wealth in Great Britain: Main Results 2006/8 ONS Newport
Wales
PSSRU (2008) Evaluation of the Extra Care Housing Funding Initiative: Summary of Initial
Findings PSSRU University of Kent, Kent
Royal Bank of Scotland (2006) RBS Offset Moving Frequency Index
www.mortgaeintroducer.com
Tinker A. Askham, J. Hancock, R. Mueller, G. And Stuchbury, R. (2001) Eighty-five not out: A
study of people aged 85 and over at home. Anchor Trust, London
Walker, A. (2008) At last, a housing strategy for an ageing population. Policy and Politics, 36(4):
612-13
Wilson, D. Aspinal, P. Murie, A. (1995) Factors Influencing Housing Satisfaction Among Older
People University of Birmingham Centre for Urban and Regional Studies, Birmingham
Wright, F. Tinker, A. Hanson, J. Wojgani, H. and Mayagoitia, R. (2008) Some social consequences
of remodelling English shelter housing and care homes to ‘extra care’ Ageing & Society 29 2009,
135-153
26