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Healthy Homes for Healthy Lives: How Specialist Housing Can Address the Ageing Population Challenge

The UK is getting older

The UK has a rapidly ageing population – a growing demographic that will only put further pressure on our already desperate housing crisis. It is projected that, by 2039, the number of people aged 75 and over will double from 5 million to nearly 10 million.

Over recent years, the Government has focused policymaking on specific reforms to help younger people get onto the housing ladder; or, in some cases, they have actively abandoned any progressive housing reform at all. Schemes such as the Help to Buy ISA and Help to Buy Equity Loan threw a lifeline at those first-time buyers looking to get their foot on the housing ladder amidst a backdrop of austerity and a squeeze on the public purse. However, in this focus, the Conservatives have failed to properly address the vulnerable, rapidly ageing population who are unable to pursue the specialised housing they need.

Recently we have seen the need for a better approach to older people’s housing championed within Parliament and the establishment of the Older People’s Housing Taskforce, a joint effort from the Department for Levelling Up, Housing and Communities and Department of Health and Social Care. However, with the change in Housing Minister once again and the looming General Election next year, the Taskforce is unlikely to make the necessary progress to address older people’s housing challenges. Research from the National Housing Federation (NHF) argues that we need 38,000 new homes for rent for older people each year; much more than the 8,000 we are currently achieving.

Specialised social housing for older people is an important and necessary way to ensure that older people can live in homes that suit their needs, and to address vital health concerns. To address this, the next Labour Government will need to implement a significant programme of building for older people, embedded across two key commitments made at the 2023 Labour Party Conference: Angela Rayner’s commitment to building 1.5 million new homes, and Wes Streeting and Andrew Gwynne’s 10-year plan for a National Care Service.

What can Labour do about it?

Labour have recognised the need for adapted housing and have included provisions for this within the National Policy Forum document. However, whilst this is useful, there remains a need for large-scale development that can provide the need for housing at scale and foster communities.

This is where a partnership in Birmingham may provide the outline to give Labour a big step up in achieving its ambitious home ownership target whilst pursuing a deeper social cause

An exceptional scheme

In 2004, when Birmingham City Council was looking at closing 29 care homes that had become unsustainable, they pursued an alternative programme that would address the shortage of care options whilst increasing provision for older people on middle incomes and those requiring social housing. The programme was not only aimed at meeting the needs of older people, but also those in Birmingham seeking family-sized homes, as the initiative sought to release these back into the market, including social housing underoccupied by older people.

The resulting partnership with the ExtraCare Charitable Trust saw a £200 million strategic programme to build five large scale Integrated Retirement Communities (IRCs) in Birmingham: New Oscott Village in Erdington , Pannel Croft Village in Newtown, Hagley Road Village and Bournville Gardens Village in Edgbaston (pictured) and finally Longbridge Village, completed in 2017. Homes became available for outright purchase, shared ownership purchase and affordable/social rent.

In total, the partnership resulted in a total of 1,168 units being built in five retirement villages.

Of these, 30% were for affordable/social rent, freeing up 342 units of social housing that were previously underoccupied for families requiring accommodation, providing a solution to both meet the needs of the ageing population and address the housing crisis facing younger generations.

The partnership also supported Birmingham’s diverse population. 70% of Pannel Croft’s residents are from Afro-Caribbean backgrounds, helping to facilitate a community for the older Afro-Caribbean population in Birmingham.

The subsequent health and social care benefits of the partnership, confirmed by a longitudinal study conducted by Aston University, resulted in savings for Birmingham City Council in social care costs, savings for the local NHS in Birmingham and savings for older people living in these IRCs – highlighting how increasing such partnerships can address both the housing and care challenges of an ageing population. The partnership also helped the Council to reach its own Health and Well-Being Board targets, with a 38% overall reduction in NHS costs and a 46% reduction in routine and regular GP visits for those living in the IRCs. Replicating this partnership across councils nationwide would tie in perfectly with Labour’s aims for both large-scale housebuilding and a National Care Service.

What next?

This example also demonstrates the wide-ranging socio-economic benefits that the building of social and affordable housing brings. By rolling out this partnership on a larger scale, Labour can facilitate a cyclical housing market where all older people who wish to downsize and move into accommodation such as IRCs can do so, and younger people and families can access family-sized homes. The role of IRCs in Labour’s National Care Service was noted in the Fabian Society’s recent report on this topic, which noted that “a major expansion of housing-with-care and supported living schemes” should be a “high priority”, recognising that “the UK has far less specialist housing for older people than many comparable countries, and what is available often does not provide sufficient support to prevent care home admissions when people’s needs grow more complex”. To remedy this, Labour should mandate that all local authorities have an older people’s housing plan which specifically mandates for provision of specialist housing and care for elderly.

Going further, Labour have recognised the urgent need to release parts of our greenbelt for development. Labour should aim to strategically release large parcels of land in conjunction with local councils, specialist housing providers and developers to develop these sites. In areas around cities, this could involve greenbelt land, allowing residents within cities to downsize and release valuable housing stock within urban centres.  By pursuing this, Labour would be bringing more homes back into the market, helping a vulnerable demographic and providing solutions to both councils’ rising social care costs and our ever-growing housing crisis.

Joshua Lee works as a Senior Researcher for Henham Strategy where he specialises in housing and planning policy.

Sarina Kiayani is Policy and External Affairs Manager at ARCO and sits on the Fabian Society Executive Committee.

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Labour’s Plans to Increase Home Ownership & Abolish the Leasehold System

The Labour Party will gather shortly at Liverpool to discuss the National Policy Forum’s report which is likely to form the basis of the manifesto for the next General Election.

Labour is seeking the support of aspirant home owners with proposals to guarantee the deposit of those who can obtain a mortgage. The party is concerned that the number of home owners is falling especially among young people.

The Leadership wants to see the proportion of all households who are home-owners reach 70%. The current rate is 65%. The last time it was 70% was in 2003. This target is therefore ambitious given the decline in wages and is dependent on a growing economy.

Labour will retain the Right to Buy for council tenants, though the discount rate will be reviewed. Council leaders will argue that this policy will not help their efforts to reduce the record numbers of homeless households in temporary accommodation.

Labour supports leasehold reform

The report sets out helpful polices to attract the support of the 4.86 million leaseholders who live in England and Wales. Scotland abolished their leasehold system in 2004.  Many leaseholders live in marginal constituencies.

Leaseholders do not own any bricks and mortar in their homes. They own the right to live in their property for a limited period. Once their lease runs out, they will become mere tenants if they do nothing. Service charges disputes are commonplace. Freeholders can recover their legal costs from leaseholders even if they lose at court. Virtually all the former UK colonies no longer have a leasehold system.

In 2002 Labour introduced the Commonhold and Leasehold Reform Act. This was designed to replace the leasehold system with commonhold. It failed due to opposition from many vested interests. 

There are only a handful of commonhold sites in England and Wales. Commonhold is not just for flats. It also applies to interdependent buildings with shared facilities and common parts. On the Isle of Shepey in Kent, the owner of a mobile home site gave the land via a commonhold company to the site residents who now manage the site themselves.

The Law Commission’s proposals to replace the feudal leasehold system with the modern commonhold tenure will be implemented in full at minimal cost to public funds. Commonhold will become the default tenure for flats.  Such proposals are very timely as the Government has decided to drop their own plans in this area. The Conservatives will deny that this is linked to nearly 40 % of their donations coming from developers.

Fire Safety

All leaseholders will be protected from the costs of remediating fire safety defects for cladding and non-cladding defects. All dangerous buildings will be identified, registered, and made safe. In September 2021 there were over 1000 unsafe buildings in London alone. The current government still does not know how many blocks are unsafe. The rate of remediation is painfully slow and there are non-qualifying leaseholders who are ineligible for help  under the 2022 Building Safety Act. Such proposals are welcome.  

The report refers to the rate of remediation being accelerated. However, there is no mention of who will pay for such work or how it will be carried out. This area needs to be sharpened up though the financial implications are challenging. 

Flat sales are falling due to the complexities around the Building Safety Act. Some conveyancers  will not act for leaseholders who are forced to sell at a loss at auctions. 

Further work needed

There are other problematic issues for home owners that need addressing. Shared ownership needs to be reformed. How can this be considered as a form of ownership when such residents can be evicted for two months’ worth of rent arrears and lose all any equity that they have built up?  There is currently a Commons Select Committee inquiry into shared ownership. It is likely to be critical.

The estate charges that house owners pay on unadopted private estates to volume builders are controversial. Home owners can lose their homes if they ignore such charges. These are known as fleecehold. The former Labour MP for Bishop Auckland Helen Goodman produced an excellent 10-minute rule Bill in 2017 (see her YouTube video here).  Her Bill is outside the scope of the Law Commission’s work though the  Competition and Market Authority are in the process of investigating such charges.  

The situation for the owners of mobile homes is crying out for reform. They own the property but not the land it sits on. They have to pay 10% commission to the site owner if they wish to sell.

Attitude of Party members

Labour outside Westminster appears at times to have a cultural problem with owner occupied housing. Although leasehold reform has been in nearly all Labour election manifestos since the war, this issue has seldom been discussed at Labour conference. None of the progressive think tanks have produced reports on leasehold reform, though see this report by the Welsh Government. 

One of the reasons for the failure of the 2002 Act was the lack of support outside Parliament. Unfortunately, the work of the leasehold reformers such as the Leasehold Knowledge Partnership, the National Leasehold Campaign and Commonhold Now are seldom discussed in Labour circles.

Devolution

Labour will introduce a Take Back Control Act. This will devolve power away from London. It is not clear what the implications are for housing. The NPF envisage that new development corporation will lead in partnership with developers and local councils in the drive for building new homes. Will Sadiq Khan be empowered to require developers to introduce a commonhold scheme as envisaged in previous manifesto? Will “fleecehold residents “be able to require local councils to adopt communal facilities on their estates? 

The NPF report is strong on the need to build more homes. Potential home owners will be attracted to the Labour Party by the thought of a guaranteed deposit. However, doubts remain whether young people can obtain a mortgage when the average property in London costs over £600,000.  Reinvigorating commonhold will attract political support. The Labour leadership needs to provide support to Labour parliamentary candidates on how to campaign on leasehold reform.


Dermot Mckibbin is on the Executive Committee of Labour Housing Group, and will shortly become a member of the new Beckenham & Penge CLP

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Housing: Labour’s Sixth Mission?

The ‘Final Policy Documents’ from Labour’s National Policy Forum for Labour Conference include the core housing policies from which Labour will draw its Manifesto for next year’s general election. It is therefore probably the most important statement since the 2019 Manifesto and the Housing Green Paper ‘Housing for the many’ produced by John Healey in 2018.


It is right that our national housing policy should be comprehensive, dealing with all tenures and tackling issues that affect people across the range of incomes and stages of life. So, I welcome the fact that the document looks across the housing landscape. However, I also remain convinced that the big-ticket item in housing is how to provide many more homes for social rent, and the document is not impressive on that front.


The document addresses access to home ownership and proposes a mortgage deposit guarantee scheme for first-time buyers, a good proposal that is long overdue after years of inflationary and hugely expensive Tory demand subsidies. There are good proposals to reform stamp duty and to back schemes like ‘first dibs for local people’ on new developments (first pioneered by Islington).

I also fully support the emphasis given to reforming the feudal leasehold tenure – about which Dermot McKibbin has written persuasively for Red Brick. The document repeats the target of 70% home ownership, with no timescale, but not the previous commitment to restore social housing as the second biggest tenure. The latter was a statement of intended direction, and its disappearance is a big concern.

The proposed reforms to planning, flexibility around the green belt, scrapping the infrastructure levy, and the ‘unleashing’ of ‘patient capital’ into housebuilding, and higher disability standards, are all outlined, although the devil will be in the detail of each of these and the word ‘reform’ is used too often without saying what and how. Planning needs to stop being so reactive and developer-led so I hope it is true that we will ‘pioneer new models of strategic development’ – but we need meat on the bones.

I like the proposed reform to compulsory purchase orders and there is a hint of awareness of the underlying problems caused by the land market and developer profits, but overall the package of land-related reforms seems weaker than the 2015/2017/2019 Manifestoes. As there is little discussion of the public investment needed to purchase land and build infrastructure, it is not clear how the package will transform the planning process in practice to secure the claimed major uplift in housebuilding. In an era of Metro Mayors and at a time when councils are itching to build themselves, I am not convinced by the idea of new development corporations. No-one wants to wait for new administrative structures to be established.


Following the Tories’ huge cuts to social housing grant, planning gain (the mechanism of s.106 agreements) has produced half of all affordable housing. More could be achieved but maximising affordable supply – especially achieving social rent rather than sham affordable tenures – through planning rather than accepting what is offered might also require additional subsidy. One key change not addressed is to end the abuse of the specious ‘viability test’ through which developers pay too much for land and understate their likely profit to escape their responsibilities to the community by arguing that affordable homes are not viable in the resulting development.


I like the promise raised by the Warm Homes Plan – which will ‘upgrade all the homes that need it’. It’s a critical issue on the path to net zero but, as elsewhere in the document, additional spending is implied without being it being clear where the funding will come from. Homeowners and landlords are unlikely to put up the money without a lot of central government help, and it would take up the bulk of the green investment budget to upgrade all homes. There is a commitment to ‘improve the quality and safety of existing social homes’ but we need clearer guarantees in the post-Grenfell era and following the spike in damp/mould problems in the stock.


Any comprehensive strategy must address the private rented sector. Here the document has good ambitions and quite strong proposals – a Renters Charter, ending no fault evictions, a binding decent homes standard and action against poor landlords, banning discrimination against those on benefits and a national landlord register. My first worry is that there is no assessment of what will happen to the market if all these changes are made: we need to understand what the outcome might be and to plan the further interventions that might be needed. Secondly, all these changes, excellent in themselves, require local authority intervention and enforcement, and on a large scale. It will not happen without the resources – in the form of tenancy relations officers and environmental health officers especially – to implement it, and there is no mention of resources. And thirdly, nothing is said about rent levels or about the iniquitous impact of the Local Housing Allowance and total benefit cap levels: none of the proposals will meet the document’s claim that it will make private renting more affordable.

So, what about the delivery of homes directly to people in housing need, the 100,000+ households in temporary accommodation and the millions on waiting lists or stuck in the misery of the private rented sector who need a secure genuinely affordable home? Except for those who retain a quaint belief in trickle down – ie that the poor will eventually benefit from building market homes – most people understand that only social rent meets these needs. Yet this is the tenure that is addressed least in the document – and this is its greatest weakness.

It starts ok: ‘Labour will also put genuinely affordable housing, and in particular social housing, at the heart of our plan to increase housing supply.’

But what are the specifics? Let us remember that we were committed to gearing up to building 150,000 additional social rent homes a year, including 100,000 new council homes. The commonly accepted minimum requirement is for 90,000 social rent homes a year. Gearing up to any of these figures would be a challenge over a Parliament and very substantial increases in grant and local authority/housing association prudential borrowing would be required. We know that councils have been itching to build many more homes, it is only central government and funding that has held them back.


Making the case for housing investment is a constructive challenge to Labour’s economic as well as housing policy. There have been many studies over the years which consistently demonstrate the positive economic impact of housing investment, including by the SHOUT campaign, all of the housing organisations, and most economic researchers. New social rented housing should never be considered as simply a cost, it also generates an income stream for ever, reduces the cost of benefits, and creates real productive growth.


Regrettably, the document has no targets for affordable or social rented housing. Its key proposal is that Labour will ‘Reprioritise government grant by reforming the Affordable Homes Programme’. The current AHP runs from 2021-2026 and by late 2024 it will be very largely committed. Even then, extra subsidy (grant) would be needed to shift the very final stages of the programme from, for example, ‘affordable rent’ to ‘social rent’ homes – but there is no promise of the extra spending needed to go with the idea.


The ‘reprioritisation’ commitment would have more credibility if it targeted the totality of housing expenditure programmes rather than just the AHP, because some remaining housing demand subsidies could be repurposed.

And what about the years beyond 2026 – the last 3 years of a Labour Government? On current Tory spending plans, capital spending on housing falls off another cliff at that point. With no new AHP announced for 2026 onwards, the UK Housing Review reports that predicted spend on affordable homes will fall from £2233m in 2025/26 to £529m in 2026/27. If Labour sticks to Tory plans there will few affordable homes of any kind. To avoid huge further cuts and to maintain a programme – even at the current inadequate size – Labour must commit to additional spending on housing over and above current Tory plans.

Although reforms to restrict the right to buy are proposed, the policy will continue in some form. Adding in demolitions, losses will continue but at a reduced level. There is a hoped-for increase in social rent from planning but an inevitable reduction in output of new homes from the AHP after 2026. On balance it seems unlikely that the document’s proposals will lead to a net increase in the social housing stock until well into the Labour government, and possibly not at all. This is unconscionable.


Even if we provide the additional spending needed for a new AHP the homes will take some years to produce. We face a housing emergency where we are currently unable to meet the need for temporary accommodation let alone the increasingly urgent need for permanent homes. With 130,000 children living in temporary accommodation, we know the costs of bad housing and homelessness are huge in health, education, well-being, and life chances. The only effective short-term response to the housing emergency will be a major programme of acquisitions, bringing homes into the social rented stock for early use.

One final gripe. The document has only a few words on homelessness – we will have ‘a workable strategy’ which will ‘transform lives’. But it appears to be only about one aspect of homelessness – rough sleeping – and is platitudinous. It is miles away from what is needed if a new Labour government is genuinely to tackle homelessness.

The NPF document’s first words in the housing section – ‘Housing is a human right’ – should be at the core of Labour’s policy making, but there is no commitment to put the human right into law. As they stand, the policies set out will not take us much nearer to achieving that aim.

There are some good ideas and proposals, but the document is seriously deficient in failing to identify serious targets, means of delivery and, above all, resources. It is particularly weak in failing to adopt a target for additional social rented homes or even a sense of direction or some hope. There is a serious risk that, by the end of Labour’s first term, trends that have become entrenched under the Tories – rising homelessness, increasing housing need, and growing unaffordability – will not have been reversed.

Housing investment contributes positively to all Labour’s Five Missions. It secures growth; it makes a major contribution to achieving net zero; it promotes good health and well-being; it builds safe communities; and it breaks down barriers to opportunity. Housing should be Labour’s Sixth Mission.


Steve Hilditch was a founder member of LHG when it formed 42 years ago. He worked as a housing professional and consultant and advised the last Labour Government, various Select Committees and many Labour Councils on housing matters. He recently carried out a detailed housing review for the new Labour Westminster Council. He edited Red Brick blog for 10 years, publishing a compendium book of 100 posts in 2020.