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ADAPTATIONS: INVESTING IN CHANGE. CONSULTATION EVENTS JUNE 2012. CHANGING LANDSCAPE. Demographic change (ageing and disability) Independent living Prevention Personalisation Public spending pressures and responses

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adaptations investing in change

ADAPTATIONS: INVESTING IN CHANGE

CONSULTATION EVENTS

JUNE 2012

Adaptations Working Group

changing landscape
CHANGING LANDSCAPE
  • Demographic change (ageing and disability)
  • Independent living
  • Prevention
  • Personalisation
  • Public spending pressures and responses

= Need to make better use of housing stock: more effective delivery of adaptations

Adaptations Working Group

the group
THE GROUP
  • Membership from housing, social care and representative groups for older people and disabled people/equality groups
  • Independent Chair
  • Sub group of Wider Planning for an Ageing Population
  • Interim report
  • Wider consultation
  • Final report

Adaptations Working Group

issues
ISSUES
  • Complexity
  • Multiple delivery arrangements
  • Tenure differences
  • Local authority & Health Board differences
  • Boundaries
    • Housing/social care
    • Major /minor adaptations/equipment
  • Increasing demand
  • Housing supply

Adaptations Working Group

core principles
CORE PRINCIPLES
  • Control for the individual
  • Focus on prevention and enablement
  • Fairness, reliability and consistency in assessment
  • Fair access to financial and other support – anti-poverty
  • Understandable systems maximising ability to make choices

Adaptations Working Group

streamlining changes
STREAMLINING CHANGES
  • Information and advice
  • Planning ahead
  • Self-help and self-referral
  • Design
  • Maintenance and replacement
  • Links to repairs
  • Recycling of adaptations
  • Procurement

Adaptations Working Group

options for change
OPTIONS FOR CHANGE
  • Organisation and funding?
    • Local housing authority
    • Health and social care
    • The individual seeking the adaptation

Adaptations Working Group

local housing authority
LOCAL HOUSING AUTHORITY
  • Strategic responsibility with housing
  • Consistent framework across tenures
  • Options for ‘one stop shops’

BUT

  • Doesn’t ensure a holistic view across spectrum of care and support
  • Doesn’t tackle boundary with social care (minor adaptations and equipment)
  • Retains boundary (in most cases) between assessment (OTs) and delivery

Adaptations Working Group

health and social care
HEALTH AND SOCIAL CARE
  • Integration of adult health and social care
  • Part of overall system of care and support
  • Funding from integrated budgets
  • Could be organised via one stop shop

BUT

  • Unlikely to achieve consistency in delivery arrangements
  • May channel people unnecessarily into social care system
  • Separation of responsibilities for housing adaptations and repairs

Adaptations Working Group

the individual
THE INDIVIDUAL
  • Places the individual at the centre of the process with control
  • Single system of eligibility and funding
  • Personal budgets, grants and loans

BUT

  • Support would be required to help people navigate the process
  • Possible issues with maintenance and replacement of adaptations

Adaptations Working Group

consultation
CONSULTATION
  • Available at: http://www.scotland.gov.uk/Topics/Built-Environment/Housing/access/ROOPH/ADWG
  • Closing date: 27 July 2012

Adaptations Working Group

any questions
ANY QUESTIONS?

Adaptations Working Group