Abstract
Extra care housing is an important innovation in the care and support of older people, and is a housing model that has considerable potential to support older people in leading active, independent lives. Based on cost-effectiveness analyses on statistically matched samples with physical functioning as the primary outcome measure, the study found that costs were lower when comparing equivalent people who moved into publicly-funded residential care homes in 1995, and similar to the more dependent type of person moving into care homes in 2005. Similar or lower costs combined with better outcomes mean that although extra care housing does not appear to provide a direct alternative, it can support some older people at risk of moving into a residential care homes in a cost-effective way.
Highlights
The appropriate response to the housing and care needs of an ageing population is much debated in the policy and practice literature in England [1], alongside considerations of how to ensure affordable and sustainable funding
Based on cost-effectiveness analyses on statistically matched samples with physical functioning as the primary outcome measure, the study found that costs were lower when comparing equivalent people who moved into publicly-funded residential care homes in 1995, and similar to the more dependent type of person moving into care homes in 2005
Similar or lower costs combined with better outcomes mean that extra care housing does not appear to provide a direct alternative, it can support some older people at risk of moving into a residential care homes in a cost-effective way
Summary
The appropriate response to the housing and care needs of an ageing population is much debated in the policy and practice literature in England [1] , alongside considerations of how to ensure affordable and sustainable funding. The personalisation and social care transformation agendas in England emphasise placing individuals at the centre of the process of bringing housing, health and social care together, with the aim of giving people greater choice and control over the services they receive [1,2]. As part of these agendas, the government, in partnership with the Homes and Communities Agency, supported the growth of extra care housing through the Department of Health’s Extra Care Housing Fund.
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