Below we list recent key policy documents impacting on housing, ageing, care, adaptations and repairs.
2017-19 BETTER CARE FUND POLICY FRAMEWORK PUBLISHED
The long awaited 2017-19 Integration and Better Care Fund Policy Framework has been published by Dept of Health and DCLG.
This new Framework determines the use of BCF monies for the remaining two years of the Fund (2017-18 and 2018-19).
The Framework includes details about payment of extra money for social care announced in the recent Spring Budget.
National funding for Disabled Facilities Grant (DFG) increases as expected (£431m in 2017-18 & £468m in 2018-19 compared with £394m in 2016-17).
Counties are again being encouraged to pass on the full amount of DFG grant to housing authorities, but there is strong encouragement* to work with health and social care to innovate and integrate adaptations delivery.
Further details about the DFG and BCF are still to be finalised and a Grant Determination letter from DCLG to Local Authorities will be sent out in April.
The associated BCF technical guidance will be published at a later date.
The Framework was published on the same day that the Communities and Local Government Select Committee has published the findings of its Inquiry into Adult Social Care, which is critical of DFG delivery and calls for a fundamental review of provision.
Also on the same day NHS England launched its proposals for health service reforms – Next steps on the NHS Five Year Forward View. Disappointingly, whilst citing the importance of integration, this document does not refer to housing in that mix, only health and care.
*National Condition 1: Plans to be jointly agreed (p28 extracts re DFG)
…….. decisions around the use of the DFG funding will need to be made with the direct involvement of both tiers working jointly to support integration ambitions……………. meet local needs for aids and adaptations, whilst also considering how adaptation delivery systems can help meet wider objectives around integration………..
HOUSING WHITE PAPER INCLUDES SECTION ABOUT OLDER PEOPLE
The Government launched its Housing White Paper, ‘Fixing our broken housing market’, on 7th February 2017. Whilst primarily focussing on building new homes for new households, it does include a short section specifically about older people (‘Housing for our future population‘, page 63- see note below).
This inclusion is an improvement on the previous Housing Strategy and, whilst it will not go far enough for many people in the housing and ageing fields, it does at least offer the possibility of future action as a result of responses to the consultation.
The White Paper sets out a series of questions, including some concerning housing and ageing.
The deadline for responses to the Consultation is the 2nd May 2017.
Housing White Paper – extracts re Housing & Ageing
Clause 4.42……To ensure that there is more consistent delivery of accessible housing, the Government is introducing a new statutory duty through the Neighbourhood Planning Bill on the Secretary of State to produce guidance for local planning authorities on how their local development documents should meet the housing needs of older and disabled people……. It will also set a clear expectation that all planning authorities should set policies using the Optional Building Regulations to bring forward an adequate supply of accessible housing….
Clause 4.43 comments on the issues around helping older people to move home and in 4.44 says ‘The Government is committed to exploring these issues further and finding sustainable solutions…., including… conversation [to]… generate a range of ideas for incentives and other innovations for the Government to consider: improved information and advice for older people about housing choices, including advice on adaptations; supporting custom build for older people; looking at how community living could work; as well as innovative models of housing with support available. These will sit alongside the Government commitments to fund and develop supported housing, including sheltered, step down and extra care housing……..
With regard to Supported Housing and the application of Local Housing Allowance, Clause 4.48 says ….The detailed arrangements for implementing the new model and approach to short term accommodation will be set out in a subsequent Green Paper which we will publish this Spring. [Feb 2017]
LOCAL GOVERNMENT ASSOCIATION’S HOUSING COMMSSION FINAL REPORT Local Government Association (LGA) has published its Housing Commission’s final report, Building our Homes, Communities and Future, setting out findings, conclusions and recommendations.
The Housing Commission* was tasked with setting out a forward-looking vision for the future of housing and the relationship between councils and communities around four topic headings;
- House building
- Place shaping, community and infrastructure
- Employment, welfare reform and social mobility
- Housing, health and quality of life for an ageing population
With regard to the latter section, it calls for housing to be ‘at the heart of integrated health and care’ and makes seven related recommendations including;
25. Ensure sufficiently funded systems are in place to enable older people to modify their homes to support prevention and positive ageing in ways that generate savings to health and care services.
26. Plan and deliver housing as part of emerging integrated health and social care services, with activities and facilities designed to support older people to age well in their homes and communities for longer.
29. Age Friendly neighbourhood principles should be built into planning policies, integrating All Age Friendly housing as part of healthy, inclusive mixed tenure housing developments.
In 2017 a series of projects will commence to support and spread related innovation across local government.
*Sue Adams, CEO of Care & Repair England, was one of the expert advisers to the Commission on the housing, ageing & health section.
THE CARE ACT 2014, GUIDANCE AND REGULATIONS The Care Act 2014 will radically transform the provision of adult social care. It is ‘wipe clean’ legislation ie previous adult social care law was repealed. The new law comes into force from April 2015. The Care & Support Statutory Guidance and associated Regulations tell local authorities how they have to implement the new law. Weblink to Guidance and Regulations: www.gov.uk/government/news/final-care-act-guidance-published Before & during the passage of the Care Bill, and in subsequent negotiations & consultations about content of the Statutory Guidance, housing organisations including Care & Repair England, made the case for the specific inclusion of housing. A Briefing from Care & Repair England which analyses the references to housing in the Guidance is available here
ADAPTATIONS & DISABLED FACILITIES GRANTS Home Adaptations for Disabled People – A detailed guide to related legislation, guidance and good practice This is the most up to date, comprehensive guide to law and practice and is based on the Dept for Local Government’s revised (but unpublished) revised guidance. It provides local authorities and those charged with service planning and provision with clear and comprehensive information about the legal position concerning home adaptations and specifically Disabled Facilities Grant (DFG) alongside examples and ideas for service delivery. Published by the Home Adaptation Consortium in 2013. Download here
Home Adaptations Consortium blog http://homeadaptationsconsortium.wordpress.com/ includes information on the consortium’s role and membership plus links to reports and websites of interest to people concerned about quality provision of home adaptations for disabled people in England.
KEY PAST EVIDENCE/POLICY DOCUMENTS
Better outcomes, lower costs – Implications for health and social care budgets of investment in housing adaptations, improvements and equipment: a review of the evidence. Click here for report.
Lifetime Homes, Lifetime Neighbourhoods – A National Strategy for Housing in an Ageing Society. Click here for report.