Written evidence submitted by HACT Fit
for Living Network
SUMMARY
Regeneration
programmes need to encompass mechanisms/approaches that will effectively
include low income older home-owners.
There
is no national policy framework which addresses the new social
phenomenon of high levels of low income home-ownership combined
with increased longevity. This is needed to ensure the necessary
co-ordination between a wide range of policy areas including housing,
health, public health, social care, information and advice, financial
services and tackling fuel poverty/the Green Deal.
If
regeneration programmes do not encompass mechanisms/approaches
that will effectively include low income older home-owners, significant
additional costs will fall on services, most particularly health
and social care.
The
loss of private sector housing funding from 2011-12[57]
means that innovation and creativity will be needed to meet the
needs of low income older home-owners living in poor and unsuitable
housing
The
approach set out in the paper Regeneration to enable growth:
What Government is doing in support of community-led regeneration
will not address the needs of low income older home-owners
living in poor and unsuitable housing which should be an integral
component of regeneration
BACKGROUND
HACT, (the Housing Action Charity), works with housing
providers to improve the well-being and living conditions of poor
and marginalised people.[58]
HACT has a long track record of working on older people's and
private sector housing issues, right back to when the organisation
was first established in the 1960s. This includes its role in
supporting Care & Repair services as an innovative way of
addressing poor private sector housing conditions.
HACT's Fit for Living Network[59]
is looking at new ways of improving the housing conditions and
well-being of the most vulnerable and marginalised older home-owners
who are living on low incomes in the poorest quality and most
unsuitable housing conditions.
The Network brings together around 15 well-connected
policy makers, practitioners and older activists engaged in housing,
finance, care and support and home improvements for older people
from across the public, private and voluntary and community sectors.
A list of Network members is provided at Appendix 1.
The Network is focusing on identifying solutions
that:
are
person-centred;
enable
people to do things for themselves, ie a supportive self-help
approach;
are
evidence-based;
involve
effective collaboration and partnership working;
can
demonstrate impact;
provide
value for money; and
reflect
the diversity of places in which older home-owners live.
Why is there a need to focus on older home-owners
living on low incomes and in poor/ unsuitable housing as part
of regeneration programmes and approaches?
A growing number of older home-owners living on low
incomes also live in poor and unsuitable housing. The preferred
tenure of owner occupation in the UK today is working its way
through the age groups, creating a situation which is new in both
scope and scale.
How this group understands the options for meeting
the cost of, and managing, home repairs, maintenance and adaptations
is a growing social issue with significant social ramifications,
particularly for health, social care and the well-being of the
older people themselves, if it is not addressed. This is a group
who, predominantly throughout their lives, have taken responsibility
for themselves and their housing, but now find themselves unable
to continue to do so without financial and practical assistance.
The following facts are particularly pertinent:
Owner-occupation
amongst lower income households has been encouraged for more than
three decades. The shift from social renting to owner-occupation
has resulted in low income home-owners outnumbering low income
households who rent their homes. However, there is poor awareness
about the lifetime costs and responsibilities of owning a home
and there have been few changes in financial support in recognition
of the shift towards more widespread home ownership.
Two-thirds
of low income older households are home-owners.[60]
One
in six low income home-owners lives in a home which is considered
"non-decent" and one in three live in homes that do
not meet their needs in terms of accessibility or adaptations.[61]
A significant
proportion of low income home-owners do not have significant equity
in their homes to enable repairs, improvements or adaptations
to be carried out.
Many
older home-owners face significant problems when trying to maintain,
repair and improve their homes and older home-owners with sensory
impairment, dementia or other age-related conditions face particular
challenges.
If
the number of low income older home-owners living in poor and
unsuitable homes is not to increase, with associated impacts on
services such as social care and health, new, innovative financial
models, policy frameworks and practice are needed. Impacts on
social care and health include increased admissions to hospital,
delayed discharge from hospital and increased demand on social
care services including residential care.
Enabling
vulnerable older home-owners to maintain and adapt their homes
so that they can continue to live independently will generate
significant savings in health and social care budgets, eg:
a fall
at home that leads to a hip fracture costs the state £28,665
on averageover 100 times the cost of installing hand and
grab rails;[62]
where
it is appropriate, postponing entry into residential care for
one year saves an average of £28,080 per person;[63]
a
hospital discharge service that enables older people to return
to a safe and suitable home environment saves over £100 per
daythe amount charged to local authorities when patients
"block beds"; and[64]
just
one year's delay in providing an adaptation to an older person
costs up to £4,000 in extra home care hours.[65]
Developments in a number of policy areas including
energy efficiency/tackling fuel poverty, public health, health
and social care provide an opportunity to establish a focus on
older low income home-owners and how they can be supported to
remain safely and independently in their own homes for as long
as they chose to do so. Specific examples worthy of note are:
the
Green Deal. Along with low-income private sector tenants, low-income
homeowners are most at risk of experiencing fuel poverty. Exciting
initiatives are already being developed that incorporate microgeneration
and energy management, eg the London Rebuilding Society, Energy
Saving Trust and Easy Town Shimmer scheme.[66]
The Green Deal will provide an opportunity to scale up such initiatives;
and
the
new arrangements for GP commissioning provide a significant opportunity
to link health and housing in very practical ways to benefit older
low income home-owners, through mechanisms such as repairs and
adaptations on prescription and commissioning of minor repairs
and improvements by GP consortia.
How effective is the Government's approach to
regeneration likely to be? What benefits is the new approach likely
to bring?
Regeneration programmes need to encompass mechanisms/approaches
that will effectively include low income older home-owners, a
growing number of whom live in poor and unsuitable housing and
struggle to meet the cost of repairing and adapting their home
so that they can stay living there for as long as they chose to
do so.
If regeneration programmes fail to do this, the growth
in the number of older home-owners living on low incomes and in
poor housing will result in additional costs to services, most
particularly health and social care, as well as costs to the individuals
concerned, their families and the communities within which they
live.
The loss of private sector housing funding from 2011-12[67]
means that innovation and creativity will be needed to meet the
needs of low income older home-owners living in poor and unsuitable
housing. This will need to involve new partnerships between private,
public and civil society organisations and financial intermediaries.
There is no national policy framework which addresses
the new social phenomenon of high levels of low income owner occupation
combined with increased longevity. This is needed to ensure the
necessary co-ordination between a wide range of policy areas including
housing, health, public health, social care, information and advice,
financial services and tackling fuel poverty/the Green Deal. A
planning framework which sees addressing population ageing as
an economic and social priority is needed.
The approach set out in the paper Regeneration
to enable growth: What Government is doing in support of community-led
regeneration will not address the needs of low income older
home-owners living in poor and unsuitable housing which should
be an integral component of regeneration. Within the document,
the listing of programmes that provide support for vulnerable
groups does not include any that focus on older people.
What lessons should be learnt from past and existing
regeneration projects to apply to the Government's new approach?
The 2003 report, Now You See Me
Now You Don't,[68]
examined how older people were faring
in regeneration. The main finding of the report was that there
were significant shortcomings in the extent to which older people
were being engaged in regeneration of their housing or having
their housing needs and aspirations met. These shortcomings must
not be repeated in the new approach.
What action should the Government be taking to
attract money from (a) public and (b) private sources into regeneration
schemes?
Recognise that:
action
is needed at both national and local levels to enable low
income older home-owners living in poor quality housing to live
independently in their own homes for as long as they chose to
do so;
despite
older low income home-owners having a potential asset which can
be used to pay for repairs and improvements (their home), many
currently have limited, or no, access to conventional sources
of finance and credit to fund work to make their homes fit to
live in;
social
lending to low income marginalised groups living in lower equity
homes is unlikely to be taken up to the extent needed by private
institutions;
the
private sector is also likely to have a limited role in relation
to directly providing financial products to this group because
many older people don't trust the financial products they offer,
and because there are a range of other needs that have to be addressed
for people to buy into schemes and make use of the money. These
include the provision of independent information and advice and
practical support to get repair and improvement works carried
out;
the
support of trusted intermediaries enabling investment by corporate
bodies, banks and wealthy individuals into civil society organisations
is needed to unlock the value of homes to make them fit to live
in. Such organisations will have a crucial role in raising awareness
of appropriate financial products and increasing trust and confidence
amongst older low income home-owners in relation to such products.
These organisations could include local authorities, housing associations,
voluntary sector organisations, Home Improvement Agencies and
Community Development Finance Institutions,[69]
all of whom have knowledge of, and working links to, local communities;
and
approaches
to address the home repair and improvement needs of older low
income home-owners can contribute to regeneration through the
creation of jobs and training opportunities.
Specifically to attract money to address the home
repair and improvement needs of older low income home-owners as
an integral part of the approach to regeneration, the following
are needed:
Government
promotion of:
local
solutions, encouraging local authorities to take a place-based
budgeting approach to the provision of finance for older and vulnerable
people; and
partnerships
between local authorities, housing associations, Home Improvement
Agencies and Community Development Finance Institutions[70]
and other social lenders to ensure appropriate forms of loan finance
are available to older low income home-owners.
Government
encouragement:
for
financial innovation in the delivery of home repair and improvement
for vulnerable and older low income home-owners, building on existing
best practice;
to
the banks to deliver on Corporate Social Responsibility commitments;
for
investment in this area of work from banks, benevolent funds and
philanthropists; and
to
Local Economic Partnerships to take a role in ensuring that home
improvement loan funds are co-ordinated.[71]
Government
investment in growth of existing social equity release/loan schemes
with a track record (such as London Rebuilding Society and Wessex
Reinvestment Trust) through application of Big Society funds which
would lever in private sector resources. These organisations are
currently facing barriers to accessing the necessary capital to
expand their work which includes providing various forms of loan
products to low income older home-owners.[72]
Government
stimulus of the market for social investment tools, such as social
impact bonds, local social investment bonds, and long-term finance
using the Big Society Bank.
Reform
of the banking sector to:
make
it more competitive and encourage partnerships to create new financial
products and services; and
encourage
new financial intermediaries, competition and greater fairness
and inclusivity in financial services (through a UK Community
Reinvestment Act).
Legislative,
technical and capacity support from Government and the mainstream
lenders to enable charitable grant makers and benevolent funds
to deliver housing equity related loans, as an alternative to
non-repayable grants, within a compliance and consumer friendly
framework.
These actions need to sit within the context of:
The
development of integrated, but locally sourced, information, advice
and support services to enable older and vulnerable low income
homeowners to make informed choices and access appropriate fair
and affordable finance.
Recognition
by housing providers of the role that they can play in meeting
the needs of low income older home-owners who live in the communities
within which they work. Such roles may include making services
and/or home improvement products available to home-owners and
working in partnership with Community Development Finance Institutions
to enable the provision of appropriate financial products.
Practical
links to the energy efficiency agenda including the Green Deal
and Renewable Heat Incentive schemes which are areas of activity
that can regenerate and stimulate growth as well as tackle fuel
poverty amongst older people, including those home-owners living
on a low income.
National
and local promotion of effective local initiatives and services
which can be defined as "small input, big impact". These
are interventions and initiatives that involve relatively small
amounts of resources that can have a significant impact on individuals
and their quality of life, eg handypersons schemes, repairs on
prescription, hospital discharge schemes etc.[73]
Their promotion should include, (where possible), cost benefit
analyses, in particular in the context of changes to the ways
in which health and social care services are delivered.
March 2011
APPENDIX 1
FIT FOR LIVING NETWORK MEMBERS
Sue Adams, Care & Repair England
Marjory Broughton, South East Regional Forum on Ageing
John Bryson, independent consultant working with
Warwick University
Martin Cheeseman, London Borough of Brent
Patrick Conaty, Common Futures
Stewart Fergusson, Orbit Housing Group
Domini Gunn-Peim, Audit Commission
Lindsay Hay, Bristol Care & Repair
Naomi Kingsley, London Rebuilding Society
Malcolm Levi, Chair of the Network
Jane Minter, Housing 21
Joe Oldman, Age UK
Fred Payne, Bankers Benevolent Fund
Jeremy Porteus, Department of Health
Shaun Robinson, Foundations
Sandra Spence, Black Country Housing Group
Danielle Walker-Palmer/Andrew Thompson, Friends Provident
Foundation
HACT
Michelle Adeyinka, Projects Director, HACT
Heather Petch, Director, HACT
Tamsin Stirling, HACT Associate
57 For the first time since 1949 national government
has allocated no funding for private sector housing (Care and
Repair England (2010), The Perfect Storm) Back
58
www.hact.org.uk Back
59
www.hact.org.uk/fit-for-living Back
60
DWP (annual series), Households Below Average Income Back
61
CLG (2009), English House Condition Survey, 2007 Back
62
Laing and Buisson (2008), Care of Elderly People: UK market
survey 2008 Back
63
Heywood et al (2007), Better outcomes, lower costs Back
64
University of Birmingham (2010), The billion dollar question:
embedding prevention in older people's services-10 high impact
changes Back
65
Care and Repair England (2010), Home adaptations for disabled
people Back
66
www.londonrebuilding.com/Blog/shimmer Back
67
For the first time since 1949 national government has allocated
no funding for private sector housing (Care and Repair England
(2010), The Perfect Storm) Back
68
Riseborough M, Jenkins R (2003), Now you see me, now you
don't Age Concern, London Back
69
Work is currently being supported by the Joseph Rowntree Foundation
to pilot a new equity release product, the Home Cash Plan, which
involves local authorities and local voluntary bodies ensuring
that older people get the information, advice and support they
need (wwrf.org.uk/publications/equity-release-older-home-owners) Back
70
See eg London Rebuilding Society (www.londonrebuilding.com) and
Wessex Reinvestment Trust (www.wessexrt.co.uk) Back
71
The Foundations 2008 report Lending Some Comfortnoted
the rationale for regional models for home improvement loan funds
linked to local delivery of information, advice and support to
vulnerable older home-owners Back
72
www.wessexhil.co.uoans.html and http://lrs.raisingit.coow-the-scheme-works/f5eff21b-cc88-4215-9276-5efacfdaa6aa Back
73
Joseph Rowntree Foundation (January 2011), How can local authorities
with less money support better outcomes for older people? Back
|