Draft National Strategy for Housing for Older People: A consultation Response from the Chartered Institute of Housing Scotland September 2011 September 2011 www.cihscotland.org Introduction The Chartered Institute of Housing Scotland (CIH) welcomes this opportunity to respond to the Scottish Government’s consultation on the Draft National Strategy for Housing for Older People. The Chartered Institute of Housing (CIH) is the professional body for people involved in housing and communities. We are a registered charity and not-for-profit organisation. We have a diverse and growing membership of over 22,000 people – both in the public and private sectors. CIH Scotland has more than 2,400 members working in local authorities, housing associations, housing co-operatives, Scottish Government and Government agencies, voluntary organisations, the private sector, and educational institutions. The CIH aims to ensure members are equipped to do their job by working to improve practice and delivery. We also represent the interests of our members in the development of strategic and national housing policy For more information on the contents of this paper, please contact the Policy and Practice Team: Chartered Institute of Housing Scotland 4th Floor, 125 Princes Street Edinburgh EH2 4AD 0131 225 4544 [email protected] www.cihscotland.org 2 Draft National Strategy for housing for older people: A consultation. Response from the Chartered Institute of Housing Scotland Introductory comments The CIH very much welcomes the development of a strategy that reflects the particular issues faced by Scotland in providing homes for those in later life. We have been pleased to play a part in this development through the Wider Planning for an Ageing Population Working Group and also through our Action Plan for Older People’s Housing1 and look forward to continuing to work with the Scottish Government in this important area of work. There is no doubt there is an ever increasing need for a strategic focus on housing and ageing. Well rehearsed statistics provide clear evidence of the ageing population time bomb and that the current approach is unsustainable. Something must be done to target prevention and support approaches for older people before the crisis hits and an even greater burden is placed on health and social care budgets. Alongside this we operate in an ever changing landscape, which is currently one of severe public spending constraint and fluctuating markets. It is in this extremely challenging context that the Scottish Government has set itself the target of developing and delivering a 10 year housing strategy for older people, and is to be commended for doing so. In general we agree with the aims and purpose of the draft strategy and our comments seek to support these and to enhance its robustness where we feel this is needed. It is an understatement for us to note that the strategy does not have all the solutions to the massive challenges of our ageing population. Whilst the document is clear that traditional service models cannot continue in the current financial climate, at present there do not seem to be a wide range of alternative options on the table. Over time, there may need to be a more open recognition that future generations of older people may not be able to depend of the state for provision of housing and support or care, though we accept that we are some way from teasing out the implications of this. Also, with some reluctance we recognise that in light of the Scottish Government’s concordat with local government, some aspects of the strategy may now be outwith the Government’s control and could be especially challenging for local government to deliver on in the context of competing priorities for limited funding. We do agree with the comments raised in Age Scotland’s consultation response2 that little attention has been paid to the particular issues faced by older people living in rural and remote communities. We would add to that appropriate reference should be made to the particular needs of older people from BME communities, perhaps especially in relation to the provision of information and advice on housing options. 1 2 http://www.cih.org/scotland/policy/AP_OP-June09.pdf http://www.ageuk.org.uk/PageFiles/17685/110818%20Age,%20Home%20and%20Community%20Ful l%20Response.pdf?epslanguage=en-GB-SC www.cihscotland.org 3 We believe that many of the intended outcomes for achievement by 2021, whilst laudable in their intention and ambition, may be difficult or even impossible to measure. We trust that appropriate advice will be sought from Scottish Government colleagues dealing with analytical services and statistics to ensure that the outcomes are measurable. Our comments on the draft strategy Introduction to the strategy Achieved outcomes and actions will always be more meaningful than strategies themselves, important though these are as overall expressions of intent. There is perhaps a tendency within all governments to take comfort in the aspirations and bold statements contained within strategies. The reference to the importance of housing as expressed in the Reshaping Care for Older People strategy contrasts significantly with the reality that there has been little engagement of housing organisations in the initial stages of the Change Fund. Similarly, the document perhaps over-plays the significance of the commitments made in Homes Fit for the 21st Century: the commitments on the national register of accessible housing and on simplifying access to adaptations are tangible actions and very welcome. But a commitment such as “ensuring needs of older and disabled people are better reflected within national and local planning and housing investment processes” has a grandness which does not offer the same reassurance that there will be a clear result or impact. Commitment 1 – clear strategic leadership Local Housing Strategies The document refers to the importance of local housing strategies and the need for them to be more integrated with local health and social care planning. Again these are grand aspirations but much needs to be done before this can be achieved. For much of the past 20 years or more, the housing needs of older people have largely been defined in the context of the need for specialist housing or housing with care. With changes in the nature of specialist provision such as sheltered housing, and the relative lack of new build specialist provision, there is in many senses a gap: what should local housing strategies now say about the housing and related needs of older people? This looks like an issue on which guidance might be welcomed, particularly by local authorities. There are links between this issue and the issue of the suitability for older people of new mainstream housing, which is addressed under Commitment 4 (investment in new housing provision). The Change Fund and the involvement of “housing” The fact that there is little early evidence of housing related services featuring in bids to the Change Fund is not a surprise to CIH. We see two issues here. Firstly, the prominent role of Community Planning Partnerships in the Fund is particularly problematic in relation to housing. The overall effectiveness of CPPs varies markedly www.cihscotland.org 4 from one area to another but we know of few areas of Scotland where the housing sector feels it is properly engaged with the CPP. Related to this, the second issue is the broader and long-standing challenge of how “housing” can engage more meaningfully with health and social care agendas and processes. CIH believes that a fundamental barrier to this is the disparate nature of “housing”: whilst the NHS and the local authority social work department are single corporate bodies, the housing sector (rather like the third sector) is made up of a range of bodies – primarily the local authority (whether or not it has its own stock) and housing associations. In many parts of Scotland it has never been easy for the housing sector to find a collective way of being a meaningful partner: one option might have been for the local authority, in its strategic housing role, to harness the voice of the housing sector as a whole. There may be some areas where this has happened to a degree, but generally, housing remains as a collection of organisations with whom it is not easy for health and social work to know how to engage effectively. What this might mean for the Scottish Government is a greater sense of realism in what can be expected of housing’s engagement with health and social care agencies and vice versa. That engagement should of course still be encouraged but perhaps with a greater recognition of the practical barriers. Demonstrating the case for housing and support It is not 100% clear whether the commitment to “identify the case for investment in housing and related support” is about physical housing provision as well as housing support provision. We think it is intended to cover both, and very much welcome this because, as mentioned earlier in this response, the focus on mainstream rather than specialist housing provision has meant a lack of clarity over what is and is not suitable for older people. Commitment 2 – Information and Advice Housing options approach We very much welcome the commitment to pilot the housing options approach for older people. Whilst the wider application of the housing options approach has been well promoted by the Scottish Government and bodies such as CIH, its origins have very much been in homelessness prevention, and it is clear that a different approach would be needed for older people. It will also need local authorities in particular to feel able to prioritise advice provision for people who are for the most part not in crisis, and that may be something we cannot take for granted as councils grapple with the pressures of the current financial climate. For this reason, central funding – as with the existing housing options hubs – may well be needed as a catalyst. It should also be recognised within the strategy that the information, advice and awareness raising of issues affecting older people and the choices they make is not just a matter for older people. As well as not being a static group, if the prevention www.cihscotland.org 5 approach is to be successful, people should be aware of the choices facing them before reaching old age. Commitment 3 – Better Use of Existing Housing Adaptations We welcome the ongoing work to look at how adaptations are delivered. Looking at funding of adaptations across the tenures will not be easy, given the very obvious differences between the arrangements for council and housing association tenants respectively. Whilst funding issues may be tricky to resolve, what should be more achievable is to ensure that assessment of individuals’ need for adaptations is consistent across tenures. We welcome the development of a Scotland-wide register of accessible housing and are pleased to be members of the working group overseeing its development. We do, however, have one caveat in relation to this indicator: ‘By 2021. We expect/aim, to reduce the proportion of people who say that they need an adaptation in their home’. In our view this may not be a fair measure and may be counter-intuitive to ‘shifting the balance of care’. If the provision of information and advice is successful, it is possible that more older people may say they need an adaptation to their home, and so measuring a failure here may reflect success elsewhere in the strategy. Repairs to owner occupied property – trusted trader schemes The development of “trusted trader” schemes across Scotland was expected to be one outcome of the Scottish Government’s work related to implementation of the 2006 Act and, in particular, the scheme of assistance. It does not appear that a lot of progress has been made on this, but it might be helpful if the document made an explicit reference to the fact that most, if not all, Care and Repair schemes operate a form of trusted trader information for older people. Helping older people to move home We welcome the commitments on facilitating advice and support for older people wanting to move. However, in encouraging social landlords to introduce packages of support and assistance to facilitate moving, we would also recommend guidance be provided to landlords to help minimise ‘packages’ that encourage coercion by others (such as relatives), an experience some landlords have had when introducing cash incentives, We would also ask, though, whether the aim “to reduce the proportion of older people who say they want to move…” is properly measurable. www.cihscotland.org 6 Existing sheltered and supported housing We welcome the commitment to prepare a practical guide to the redevelopment of existing sheltered housing, and to provide “practical advice” on the development of supported housing. Personal resources and investment in housing We would add a health warning to the otherwise welcome intention of the Scottish Government to explore whether more attractive equity release products can be identified. Even discounting recent severe difficulties in the housing and lending market, pure actuarial arithmetic makes attractive equity release products all but impossible to develop on a commercial basis. Contrary to what the document says, it is not just perceptions about equity release products which act as a barrier to takeup: even well reputed products, such as some annuity-based “home income plans”, offer what many older people consider to be a disappointing return. But as people are living longer, this is only going to affect such products detrimentally. And if no attractive products could be developed when lending practices were less regulated, there seems little chance of more attractive products being developed in the new climate of “responsible lending” which we assume is here to stay. The aim “to help more older people use their personal resources to make improvements to their home and support arrangements” may therefore be overambitious, as well as possibly being difficult to measure. Commitment 4: New Build Housing New specialist housing provision It seems significant that this part of the document says little about the need for specialist housing for older people. This might partly be addressed by cross-referring to commitments in the previous section about providing advice on the provision of new supported housing, but some reference to the issue is needed in this section too. This should include a statement about where specialist provision sits with the new funding regime and, in particular, the Innovation and Investment Fund with its greatly reduced grant rates. New mainstream housing provision We are anxious about the suggestion that Housing for Varying Needs standards may no longer be relevant now that the Scottish Building Standards have been enhanced further. We do welcome, though, the undertaking to examine the issue in detail, as we believe a close examination of what HVN standards offer over and above the Building Standards is an essential precursor to any dismissing of the standards. We have particular concerns relating to any reduction of the ‘barrier free’ concept that applies to HVN. www.cihscotland.org 7 Commitment 5: Preventative Support This section chimes clearly with the findings of the Christie Commission in its report on the Future Delivery of Public Services, which states a key objective of reform should be to ensure that public service organisations “prioritise prevention, reduce inequalities and promote equality”3 and focus on preventative spending There is no doubt that preventative support is key to reducing the need for costly health and care provision and critical to the success of this strategy. However, we would argue that the indicators: By 2021, we want housing support services to be available in all areas of Scotland and offered by public, private and third sector organisations and By 2021, social landlords will play a central role in sustaining communities which support local older people and disabled people are simply stating the status quo, not challenging or improving on it, and are not ambitious enough to sit within a 10 year strategy. Perhaps the intention of these is not clear and need to be rephrased? Handyperson services The indicator on the cost of this service and the desire for it not to act as a disincentive has the potential to cause some difficulties for landlords, particularly at a time of reduced grant levels and as surpluses are focused on SHQS and contributing towards new build developments. We would argue that, whilst it is undoubtedly a challenge, the focus here should be on older people recognising the value of the service provided and, where they are able to, paying the charge accordingly. 3 http://scotland.gov.uk/Resource/Doc/352649/0118638.pdf www.cihscotland.org 8
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