Housing Needs for People with

a Learning Disability
A Local Authority Perspective

Scott Woodhouse

Context

2% of adult population have a learning disability

Equates to 3200 people in North Tyneside
Adult Social Care linked into 650 people
Spend
o Adult Social Care - 24m gross
o VFM profile North Tyneside is a high spender on
learning disability services
o Also we have high unit costs when compared to other
LAs

Current Needs (1)

Where people are living at the present
time:
226 people living in supported living services
85 people in residential care
339 people living by themselves at home or in
the family home with family carers

Current Needs (2)

Services cover a range of levels of need
over and above the person having a
learning disability:
Complex needs
Behaviours that challenge
Physical needs
Autism
Mental health

Future Numbers
Increasing numbers of people
2012

2014

2016

2018

2020

% Inc

+ 3%

People aged 18-64 predicted to have a

learning disability

3,037

3,060

3,090

3,116

3,129

Of which moderate to severe

680

688

697

705

712

+ 4.7%

Of which severe

179

181

183

185

187

+ 4.9%

Not high numbers but average cost of

54k per annum for higher cost packages

Changing Need
Higher expectations from customers
Balance of personalisation, choice and
control versus cost and efficiency
Less reliance on residential care
Affordable options need to be looked at

Summary of Need
Group
People living with older
carers

Units in 2014

Units in 2015

Variable numbers needing

housing

Comments
Numbers not specifically
known but need some
capacity
Will monitor and review as
part of ISL project

ISL properties no longer

fit for purpose

Residential care

Hospital

Part of Winterbourne
Review cohort of people

Transition

Further 3 in 2016

General housing list

Totals

Further work to prioritise

names

20
18

18

Further 20 to be added
once prioritised

Market Position Statement

Housing strategy
led
Housing options for
vulnerable groups
Supported by Adult
Social Care

MPS Key Messages

Current policy
Support people to remain independent and
live in the community
Current performance 90% in settled
accommodation
But this comes at a cost..
Others in residential care / hospital

Funding
Reduction in ASC budget over the last 4
years - 20m
Austerity set to continue - 5m in 2015/16
Government budget detail is imminent but
direction unlikely to change
We need to look at how we spend the
funding we have..

Housing Delivery Options

Key future principles are:

There are a range of

housing partners, NT
Homes, Registered
Providers, Private
Sector

Shared provision
Self contained, minimise matching issues
Enablement support to maximise opportunity /
independence of individuals
Assistive technology
People need to buy
Community and social assets
in to the concept of
shared support as
Role of the family
part of the service
delivery model

Future Model of Housing (1)

Shared support arrangements
Develop these across the borough
Concierge / block support available to
meet generic needs
Additional support for individuals through
support plan and personal budgets

Future Model of Housing (2)

Single block of 12-16 self contained
properties with communal facilities, ie
Beardall Court
or
Multiple properties on a single site to
replicate traditional housing provision, ie
new housing developments

Manage Demand and Cost

How can we use the model of housing
provision to manage demand and the cost
of services
Relate this to amount of personal budget
More cost effective delivery models
Strategic approach needed

Environmental Solutions
The right housing can help manage
behaviours and promote independence
Design solutions
Inside and outside space
Cost effective if part of build

Reducing costs.
Typical costs of services,
assume 98 hours and overnight

Cost range of
40k to 216k
per annum

Single person services 78k

Two people sharing 105k or 52.5k each
Three people sharing 120k or 40k each
Four or more sharing - 132k or 33k each
Assume 98 hours per week plus 7 x
sleep-in (12.80 per hour and 36 sleep)
If more than one person also 20
additional 1:1 hours per person.

and remember, these are long

term costs..
30, 40, 50 years plus

so what are service users

telling us.

North Tyneside User Forum

North Tyneside User Forum

North Tyneside User Forum

North Tyneside User Forum

North Tyneside User Forum

Impacts of the Care Act 2014

Sue Wood