Housing Options for Older
People (The HOOP)
In Partnership with First Stop.
November 2016
Our Starting Point
Part of the agenda of Housing for
an Age Friendly Manchester.
Sits alongside other priorities
such as Extra Care and Age
Friendly Neighbourhoods.
Greater Manchester Perspective too:
 27 RPs working together across the devolution agenda.
One sub group is Housing and Health led by Charlie
Norman, CE of St Vincents HA.
 Group looking at 3 priorities where housing feels it can play
its biggest role in the integrated health agenda:
- HOOP
- Hospital discharge
- Warm Homes.
Very important to us that integration is not just about health
and social care.
Partnership with First Stop
 Existing and established resource
 We offer complementary services.
 Helps us to look at a wider agenda as well.
 http://www.firststopcareadvice.org.uk/
They offer the telephone and website services – we are
the local Partner.
Were 16 local Partners funded by DCLG until last year.
How does our service work?
 Dedicated resource for health and social
professionals in North Manchester CCG area.
 Aimed at people over 50 where a health issue is
exacerbated by poor housing.
 Aimed at professionals who know little about
housing and how to navigate the system – and
have little time to find out.
 Service is cross partners and cross tenure.
Levels of Service
 Information – to groups of residents and
professionals – getting the word out.
 Advice – one to one, single contact/intervention or
provision of information or advice.
 Casework: individually tailored in-depth casework.
What outcomes are we looking for?
 Older people will:
- Retain independent and active through the right
accommodation, advice and networks. Reduce Isolation.
- Maintain good health.
- Be supported to move if they wish to do so.
- Access to advice to stay put if they wish to do so.
Year 1 review.
 255 level 2 and 3 cases.
 Referrals from at least 10 different types of health or social
care professional.
 Able to pick up other cases from those who had applied
directly to move house.
- Numbers achieved through active promotion of service at
word of mouth as successes started.
Tenure
Tenure
Number
% of cases
Council tenant
(HRA)
77
28%
HA tenant
64
25%
Home owners
64
25%
Private rented
28
11%
Living with
family/friends
6
2.5%
Hospital discharge
5
2%
B&B
2
1%
Supported housing
2
1%
Shared Ownership
2
1%
Homeless
4
1.5%
Residential Care
1
0.5%
Total
255
100%
Outcomes
Outcome
Number
% of cases
Advice given
112
44%
Moved home
64
25%
On offer for a new
home
3
1%
Staying put
57
22%
Deceased
7
3%
In respite
1
0.5%
Referred back to
Adults (re
residential Care)
3
1%
Still open
8
3%
Total
255
100%
Destination for Movers
Property type/tenure
Number
% of movers
Extra Care Housing
11
17%
Sheltered/Retirement
Housing
28
44%
Age restricted general needs
12
19%
Adapted general needs
1
1.5%
Bungalow – HA/ALMO
4
6%
Bungalow - purchased
1
1.5%
Private rented
3
5%
Supported
1
1.5%
Residential Care
3
5%
Total
64
100%
Previous tenure of movers:
Previous Tenure
Number
% of movers
Social Tenant
35
55%
Home Owner
12
19%
Private rented
7
11%
Lodger
2
3%
Hospital
4
6%
B&B/Homeless
2
1%
Supported Housing
1
1%
Shared owner
1
1%
Total
64
100%
Age of referrals
Age
Number
% of cases
50’s
51
21%
60’s
59
25%
70’s
58
24%
80’s
62
26%
90’s
8
3.5%
Total
238
100%
Funding!
 Year 1 was jointly funded by the
Housing Revenue Account and North
Manchester CCG. Year 2 funded
entirely by NMCCG.
 Cost is 40k a year.
 Looking at funding for 2 further
Manchester posts in other CCG areas.
Potentially across GM?
Savings:
 First Stop had an independent review carried out in
2015 to look at public purse savings.
 We used part of this methodology to estimate our
savings.
 We estimated a minimum annual saving for 2015/16
of £858,782.
Savings
 Mainly based on:
 Alternatives to Residential care
 Lower care packages (or not increase to larger care
packages.
 Avoiding falls and hospital admissions.
 Less need for health and social care staff
interventions.
 Always very difficult to prove but it opens the
conversation about the importance of the service.
Case Studies:
 Attached to the report – but some huge successes!
What have we learnt?
 Huge need for the service.
 We have been lucky to have housing options
available.
 Good to have an extra pot of money to help with
moves.
 Getting the right person in post is vital.
 Need to be able to influence the right people for
further funding.
2016/17




First 6 month headlines:
33 people moved.
127 Referrals of which 20 back from Y1.
35% of referrals are from home owners and private
rented tenants. (same as Y1).
 Dealing with more complex cases.
 Potential for bigger savings.