An Age of Uncertainty? T he future of home adaptations in a changing world
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Transcript of An Age of Uncertainty? T he future of home adaptations in a changing world
An Age of Uncertainty?
The future of home adaptations in a changing world
Sue AdamsCare & Repair England
Presentation
Emerging policy context with regard to state assistance with home adaptations
Ideas being explored by the National Home Adaptations Consortium
Practice connections
Who?
Care & Repair England; national housing charity aims to address poor and unsuitable housing conditions amongst older population, particularly low income home owners (since 1986)
Pioneered; local Care & Repair services, Minor works grants, Handyperson, Housing Options, Healthy Homes, Older People & “Housing Activism” plus related policies esp. adaptations and PSHR
Home Adaptations Consortium
Single aim: ‘To champion quality provision of home adaptations for disabled people’ - since 2008
Broad alliance includes: COT, CIEH, CIH, NHF, Hanover, Habinteg, Foundations, AgeUK, ADASS, Mencap, MS Society, RL Glasspool, ACO, Royal British Legion
Think tank discussions - published ‘Is it so much to ask?’ www.careandrepair-england.org.uk/pdf/dfgc_broc.pdf , and CSR Submission
Age of Uncertainty………….
Fundamental shift in thinking
Revision of ideas around role of the state vs the individual including disability and later life (OP=half+ of all disabled)
Social model of disability and responsibility of society in enabling independence and inclusion
Social Model of Disability
Disability arises from the barriers presented by society and the built environment rather than being inherent in the person themselves
Society should make adjustments to ensure the inclusion of the individual, regardless of their differences
Lifetime Homes founded on this vision
Age of Uncertainty: Social Care
State is re-negotiating its ‘contract’ with citizens and their care & support, particularly in later life
Dilnot review of adult social care funding and Law Commission review of legislative framework
DH White Paper - soon
Age of Uncertainty: Housing
State’s role in housing – massive change
100% cut in private housing funding
73% cut to DCLG Capital funding, end of social housing grant
Localism
[And yet, DFG survived…….]
Age of Uncertainty…..
There is also a more subtle undercurrent of debate resulting in a shift in public attitudes – deserving vs undeserving, use of assets
Not just theoretical– will impact on front line thinking and day to day practice
Implications for home adaptations help
Time lag……..
Between ideological shift and law
Between policy & implementation
This can be problematic for practitioners
Long term view…..
How we got to where we are today
– a reminder of the foundations
of the system that you are dealing with
Adaptations: Social Legislation
Chronically Sick and Disabled Person’s Act 1970 – duty to arrange practical assistance in the home and any works of adaptation
NHS and Community Care Act 1990 – assessment rights (introduced FACS)
[Children’s Act 1989/ Carers and Disabled Children’s Act 2000]
New law will ‘wipe slate clean’
Adaptations: Housing Legislation
1985 Housing Act
1990 Local Government and Housing Act - Mandatory DFGs introduced
Housing Grants, Construction and Regeneration Act 1996 - current
RRO (Housing Assistance) 2002 – broad power to provide assistance
Future influences
Personalisation and Individual Budgets
Equalities Act 2010
Taking the long view……
System over past 40 years moved to a rights based model with mandatory entitlement but:
Mismatch of need and resources allocated for such a system
Even less money: Survival of adaptations help may depend upon benefits to health/ social care costs
Emerging Factors
Take personal responsibility (plan ahead/ insurance?) to make provision for your own care and changes of circumstances
Fragmentation (whilst voicing integration) in the face of funding pressures and reform
Localism – vs public dislike of ‘postcode lottery’
Medium Term Prospects
Off the agenda…….
DFG Formal ‘Guidance’
Social Housing ‘Guidance’
Audit Commission Inspection
Lifetime Homes Standards
On the Horizon
DFG ‘industry led’ good practice guide with DCLG sign up
Health and Well-being Boards charged with ‘addressing the wider social determinants of health’
New health service funding systems
Planning reform; drivers for healthy communities, inclusive design
Last CSR - Against the Odds
DCLG – 7% rise in DFG allocation No cuts to any LA A few large
increases (c.30%)
Big issues LAs not matching
allocation Rising need
NEXT CSR????
Rising need for adaptations
Factors impacting on growing need Demography
Health and Disability
Housing – tenure shift, condition, suitability
Individual resources- income and savings
Data: Time to Adapt –Care & Repair England
Driver: Demography
The number of older disabled people is expected to double from 2.3 million in 2002 to 4.6 million by 2041
On current projections in 2036, 810,000 people aged 75 or more would be living in properties that they consider unsuitable for their needs.
The vast majority (c 70 per cent) 567,000 will be owner occupiers
Driver: Lack of suitable stock
1.4 million individuals reported having a medical condition or disability that resulted in them requiring specially adapted accommodation
22% said they lived in unsuitable homes
Survey of English Housing – Annual, CLG
Where next?
Thinking ahead
Consortium Think Tank days in preparation for CSR submission concluded:
Retain broad Statutory/ National framework
There is scope of system improvement and local innovation but alongside adequate budget setting
Adaptations falls between the cracks - investment by one sector (housing) results in gains by others (social care, health) – needs champion
Thinking ahead
Make best use of scarce resources - radical system reform, proportionate administration (small, medium, large adaptations), break down professional barriers, best use of stock, cross tenure
Enable self help – holistic, independent, impartial information for self funders too
Single body responsible for all aspects
Thinking ahead
Health link key - but conundrum of medical vs social model of disability
Localism –making the case for funding, better ‘PR’, tell stories
Role for Health and Well-being Boards to drive improvement - data, planning & prevention, include adaptations in national outcomes framework
Consortium members will……
Continue national efforts to gain recognition of their value Social care funding debate Public health ie. PHWB outcomes Welfare reform/ HB/ tenancy lobby Media stories
Self help and sharing good practice Design better homes for all (LTH, LTNs) Guides
Other useful information
Living Well at Home – APPG (Housing and Care) Inquiry report www.housinglin.org.uk/Topics/type/resource/?cid=8167
Coming soon? Good Practice Guide to DFG
Chance to contribute to: Adaptations Good Practice Case Studies
Contact Details
Weblink to Time to Adapt Report
www.careandrepair-england.org.uk/timetoadapt.htm