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How to ease the care crisis; let granny have a wii (because online octogenarians are very big society)

A suggestion of boiled cabbage, laced with a faint, medicinal whiff. Magnolia-coloured walls lined with chairs turned towards a television set. And staring at the screen is a sea of blank, wizened faces attached to bodies waiting to die; ah the great British care home.

Just think, if the old dears are lucky, someone might even switch on the telly.

Unless, that is, this is the sort of care home that runs adult learning programmes for the elderly (check out the You Tube film) organised by social enterprise Learning for the Fourth Age (l4a).

At the Aigburth care home in Leicestershire, for example, here is an OAP enthusiastically playing tennis on the Wii, egged on by fellow residents, there is a 90-year-old emailing her great-grandson and everywhere is an attitude that sticks two fingers up at the stereotypical view of old people: “When you get to your 90s you feel you want to keep up with things.. it makes you feel you’re up with the world.”

Now I’m not usually one for Oprah-style outbursts, but even I found it difficult to watch the clip without smashing the air with a ‘You go girl!’ as the web-savyy pensioner tapped out her email.

As well as getting residents online, the care homes involved in l4a schemes run music, foreign language, flower-arranging and art sessions – basically any form of learning that people take an interest in. Because sessions are staffed by volunteers and local young people, the byproduct is community cohesion and intergenerational contact.

The experience of care home residents such as those in Leicester isn’t just a nice story. It could be another piece of the jigsaw when it comes to the crisis in care for the elderly.

Life expectancy is rising and by 2026, the number of people aged 85 and over will double and the number of people aged 100 and over will quadruple. In some 20 years’ time, around 1.7 million more adults will need some sort of care or support. Just last week the global dementia bill was said to be £388bn, according to the World Alzheimers Report. While I’m certainly not suggesting that getting ocotgenarians online will solve the crisis in care or provide the answer to one of modern society’s most pressing health problems, but surely anything that improves quality of life and cuts down healthcare bills is worth exploring further?

Programmes such as those in Leicester, says NIACE (the National Institute for Adult Continuing Education) transforms people. They are more interactive with each other, with the staff and with their families and are on fewer sleeping pills and anti-depressants; a reduction of 50% at one home that’s running adult learning scheme programmes.

Staff also reap rewards. As well as the fact residents are more motivated, they interact with them on a friend rather than carer-patient level. Anecdotally, absenteeism is rare and turnover low.

On the business side, money is saved because there’s less reliance on sleeping pills and anti-depressants – imagine the savings if this was replicated in every care setting in the country.

Politicians and policymakers take note; public finances are in a parlous state but if your granny has a wii, you might have to spend fewer pennies.

* Age UK recently launched a digital manifesto for older people with the Foundation for Art and Creative Technology, the digital media institution. It demands an end to digital illiteracy among the elderly by 2020. The manifesto argues that because the Internet is the public’s primary source of information, being able to surf, blog, or take part in community TV broadcasts not only empowers people but helps breaks the isolation that older people often experience.

Despite the fact that more pensioners have Internet access at home than ever before – almost 40% now compared to 11% 10 years ago – campaigners say it’s vital that older people are not left behind.

FACT says the issue is one of social justice that as it promotes localism and active citizenship.

Sounds like big society to me.

What about some real incentives if you want mobility in social housing?

Housing minister Grant Shapps has ignited a huge row this week after criticising some housing association bosses for their “morally wrong” salaries; some pay packets certainly sit uncomfortably alongside figures showing high unemployment among housing association tenants. But, asks Chloe Stothart, can plans for more social mobility schemes in the affordable housing sector really lead tenants into work?

Freelance journalist Chloe Stothart
Seaside towns can be a fun, bustling place for a summer break. But after the tourists head home, job opportunities can disappear too. Rosalyn McCrohon, who used to live in Cromer, Norfolk, thought she had little chance of finding work there after being made redundant from her job as a school administrator in October 2009. She decided to move. She choose Norwich, an hour and a half away, where she hoped the job prospects were better and where her children went to school.

It can take a long time for housing association tenants like Rosalyn to find a suitable home to move into. Existing tenants wait for transfers at the back of the queue behind new applicants who are in greater housing need. Falls in housebuilding, sales of social homes and growing waiting lists mean demand for housing is high. People who want to move may wait for a long time, in the meantime they could be living in deprived areas of high unemployment.

However, Rosalyn’s landlord, housing association Peddars Way, is a member of a national home swapping website which is intended to make it easier for tenants to move. The House Exchange scheme has 89,000 tenants registered and is run by housing association Circle Anglia, which has 61,500 homes in the east, south, Midlands and London. On House Exchange, a tenant enters their preferred area and type of home, and several matches come up. A survey of 600 users found 79% moved within six months while 8% waited between one and three years.

Rosalyn moved to Norwich in April six months after advertising her home on the site. Her children now have a much shorter journey to school and she has been offered a job editing a local magazine.

Poor mobility can not only make it harder for tenants to move for work, but it can also stop them moving to care for relatives or to escape overcrowded accommodation. A report commissioned by Circle Anglia from think tank the Human City Institute estimated poor mobility in social housing costs £542m a year. This includes the loss of free care that tenants would provide to sick and elderly relatives if they lived nearby, the increase in earnings tenants would forgo if they could not move for work and – for those who want to transfer to larger properties – the impact of overcrowding on health and educational performance.

Last month the government announced plans for a single national home-swap scheme. Its interest is closely tied to its drive to get more people off benefits and into work. Unemployed social tenants are firmly in its sights because of relatively high rates of worklessness in the sector: of the 9.1 million people who are without work, according to the 2007 government-commissioned Hills report into social housing, nearly a third live in social housing.

But can mobility schemes really reduce tenant unemployment? One look at the evidence, and it seems that Rosalyn’s story is the exception rather than the rule.

In national surveys mentioned in the Human City report, just 2% of tenants want to move for work; 26% want a larger home and 15% want to be nearer to family and friends.

A 2008 study by Sheffield Hallam University also found that few tenants believed moving home would increase their chance of finding employment. Many tenants interviewed had fairly low skills and were looking for low wage manual work, which has little job security. They did not believe there would be more secure or plentiful jobs elsewhere so there was little point in moving. They feared they might be underpaid benefits after getting a new job and might not be able to claim benefits again if they lost the job.

Social housing is not the only type of housing with an unemployment problem.

A Cabinet Office paper found 43% of working-age homeowners were unemployed and 55% were economically inactive in 2000/1 compared with 40% and 32% in social housing.

Perhaps the high rates of unemployment amongst home owners as well as social tenants suggest that there is no clear link between tenure and unemployment?

While an easy to use national mobility scheme will certainly help tenants to move to a home they like – and could help those with skills to move to get work – it is unlikely to have a big impact on unemployment or overcrowding on its own. The root causes of unemployment and overcrowding – such as the lack of appropriate skills, lack of stable jobs locally – are needed to make a real difference to those problems.
A version of this post appeared in the Society Guardian social housing pullout, Building Solutions, earlier this week.

Today’s new Society Guardian housing pullout

If you want a bite-sized glimpse of social housing setting out its stall ahead of the spending review, scroll down to the end of this post to see the Society Guardian pullout that I commissioned and which is published today. It echoes many of the issues being aired at the National Housing Federation annual conference that started in Birmingham today.

By a marvellous quirk of publishing fate, it can even be read by social housing’s alleged fat cats without fear of criticism as it had to go to press well before housing minister Grant Shapps officially put them in the austerity spotlight. Even more quaintly, not only is it a Shapps-free zone, but it’s also not yet online – hence the old school PDF format I’ve resorted to here.

Click on page 1 for a description by ex-Inside Housing editor Kate Murray of how the rising demand for homes, predicted budget, reduction in housebuilding and a plethora of other regime changes has left the affordable housing sector facing an unprecedented challenges.

Check p2-3 for a feature by housing specialist Chloe Stothart on how social landlords are making it easier for their tenants to find employment. There are also features by Mark Gould and Anita Pati on how associations are working in partnership on training their tenants and how other organisations have launched neighbourhood contracts to improve their areas or schemes to boost the inclusion of marginalised tenants.

The last page is worth a read, given the announcement today of the expansion in personal budgets – the scheme that allows patients more control over their care. The feature focuses on the work of landlord Look Ahead on the personalisation agenda, boosting choice for vulnerable tenants so they’re regarded as “customers” with real choice.

So even if you’re rattled by the telephone number pay cheques of social housing’s highest earners, there’s still much to be admired in the sector, not least, as I’ve stated in the pullout’s intro, its far-reaching social and economic impact.

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Who knows how to set up a peer mentoring project?

Moktar Alatas
Kicking off a regular interview slot, 18-year-old Moktar Alatas explains how he’s launching a local peer mentoring project, aspire2inspire (a2i) to encourage disaffected teens into work and training. He is driven by the experience of his brother, who is currently serving a prison sentence for a minor offence. Moktar lives in Ladbroke Grove, in the west London borough of Kensington and Chelsea which boasts some of the capital’s most affluent streets as well as pockets of deprivation. He was involved in a youth-led documentary in his area run by the Octavia Foundation, a charity set up by social landlord Octavia Housing.

My name is Moktar Alatas.

I’m a first year law student at Brunel University.

I’m trying to set up a project to inspire hope and instill confidence into disengaged young people from disadvantaged backgrounds, mainly by drawing these young people back into the world of work and education.

I started doing this a month ago, even though the idea has been around for much longer.

I want to do this because I feel that the area that I live in needs something that can realistically go about challenging the barriers that many of us deal with. As a young person myself I know how hard getting employment can be, I would say however that my brother’s experience in going to prison, has truly been the inspiration behind the project.

My aim is to transform the lives of many of the young people in my area who feel that there isn’t any hope for them. I believe that if I can give these young people financial independence, then many of the social ills that are poverty driven, such as drugs, crime, will be eliminated. The idea is to conduct ‘social surgeries’. Young a2i members go out into the community, targeting ‘hard to reach’ areas, and talking to their fellow young people with the aim of bringing them into our offices with the incentive of getting a employment/training. Next, a series of steps, including one-to-one meeting to identify and overcome any barriers that that young person may have. Finally, we work with that young person to find suitable placement.

So far in just a month we’ve managed to get over 50 people on our books, conducted numerous CV workshops, helped three people into paid internships, and helped another young homeless person into housing.

I hope to raise funding for it through the work that we do. By this I mean that rather than a charity, I want a2i to function like an actual employment agency. This, I believe will better fit into the premise of big society.

The hardest thing so far has been trying to provide the service with an imaginary budget.

The most rewarding thing will be to prevent people from going to prison, and instead into employment and training.

I’d love to hear from you if you could help me with any ideas that you have on how to go about organising, fund raising and delivering the service.

What about a little cultural equality?

I always thought going to see a West End musical on a Saturday night would be intolerable. Turns out it simply exposed the intolerance of other people.

I recently took my 21-year-old sister, who happens to have a learning disability, to see the sort of shiny dance-a-thon that I’ve always avoided because of the incumbent hen groups and coach parties (intolerant? Me?). But it was her birthday and I was game, especially as her idol, ex-Hear’Say singer Noel Sullivan, was in the lead role.

The evening got off to a great start. We had a drink in a Soho bar, an old haunt that I’d never thought I’d be able to take her to, thanks to her dislike of noisy crowds. But we got there before it was busy, she leafed through her show programme, happy and excited.

En route to the theatre, I could feel my sister’s excitement mounting (something about how she shot through Piccadilly, wielding her rolled up programme like a crowd-dispersal baton, muttering “out the way!” to anyone in her path).

Her happiness was infectious. We took our seats a couple of rows from the stage. The lights went down. The curtain came up. Our problems began.

Her gentle thigh slapping became more enthusiastic, as did the clapping, whooping, jiving and singing (pitch and word-perfect, by the way) through each of the 20 musical numbers. The culmination involved vigorous hip wiggling to the “Greased Lightning” medley; legs akimbo, arms outstretched, index finger sweeping the stage horizon, left to right.

There she was – my wonderfully ecstatic sister, wearing her Grease t-shirt and an expression of unbridled joy.

There I was, squirming uncomfortably somewhere between the rock of seeing my sister so happy and the hard place of being with someone so outrageously flouting the Unwritten Rules of Acceptable Behaviour.

Where are the coach loads and fancy-dressed brides-to-be when you need them? Other than clapping, not one other blasted person stood up to show they were even having a mildly good time.

I suggested “just bopping” while sitting down. Bopping? The repression I felt physically was so intense, it had even sent my vocabulary hurtling back to Enid Blyton’s England! I suggested “not dancing” – a ludicrous option, met with an astonished “why?”. The stage was full of dancers and singers, music boomed out across the auditorium, why shouldn’t she show she was enjoying herself?

As the performance continued, we suffered much staring, several irritated glances and a handful of few tuts until finally a miserable-faced mother and daughter duo in front of us turned round and exhaled a violent “SHHHHHHHH!”, motioning angrily for my sister to sit down.

“What exactly would you like me to do?” I hissed through clenched teeth.

By the time the woman sitting next to me put her hand on mine, I was ready to recite the universal declaration of human rights; instead she restored my faith in humanity.

“She’s special, let her be,” she whispered. Unable to reply thanks to the lump that had suddenly taken up residence in my throat, I heard her say she had a granddaughter with Aspergers and, anyway, most people probably wanted to do what my sister was doing but were too uptight.

While I was fuming at the reactions of what was ultimately a tiny minority, the wise soul next to me made me accept that the “situation” was not in fact a “situation” but simply a bloody good night out for my sister.

So what to do?

One well-meaning friend who I talked to afterwards suggested a designated area in the auditorium for people with special needs “so they can enjoy the show and no one else will be disturbed”. Hey! Great idea! Why hasn’t someone else thought of segregation? Hang on – they did, what was it called now..oh yes – apartheid!

What we need is cultural equality, as promoted by organisations such as Arts and Disability Ireland which advocate the engagement of people with disabilities as audience members. There’s some good work around promoting disability access at outdoor events and several organisations lobby on such issues but there seems less around the actual inclusion of people with disabilities into mainstream audiences.

Anyone know of any schemes along these lines?

By the way, to the miserable mother and daughter combo, should I ever have the misfortune to clap eyes on either of you sorry people again, I’d (a) perform a citizens arrest for crimes against happiness and (b) present you with two complimentary tickets to a special musical that I reckon you’d love. Want me to arrange for you to meet the cast?

How to avoid today’s children becoming tomorrow’s ‘NEETs’

Shaks Ghosh
Shaks Ghosh, chief executive, Private Equity Foundation
“Gob-smacking” is how Labour MP Frank Field, chair of the government’s Review on Poverty and Life Chances, referred last week to findings that, from their first day at school, children from families on the lowest incomes were already lagging behind their richer peers. Ahead of presenting evidence to the Prime Minister, Field said he would be concentrating attention on what happens during a child’s first five years that so impacts on their life-time opportunities.

But such statistics should come as no surprise, certainly not to those attending our annual conference today, Intervening Before its Too Late.  Earlier this year, Ex Curricula, a report by Demos, funded by the Private Equity Foundation (PEF), found that over one in 10 five-year-olds are at severe risk of disengaging from education when they begin school.  These so called ‘nursery NEETs’ (not in education, employment or training) don’t have the behavioural skills they need to learn.

Demos advocated that the focus of resource and policy for dealing with the NEET issue should be turned on its head.  It looked at “identifying the earliest possible point of intervention to prevent disengagement”.

This isn’t about branding babies but about dealing with risk factors as soon as they arise.

It makes sense. Vast sums are spent on dealing with the consequences of disengagement (this generation of NEET 16-18 year olds will cost society an estimated £35 billion over their lifetime).  And over the last decade, NEET numbers have remained shockingly steady at around 16-17% of 16-24 year olds.

However, although Field has said (with provisos) that “later interventions do look much less cost-effective”, I would argue that the right, evidence based charity interventions continue to stack up financially and that it’s imperative that we don’t stop at age six.

Take, for example, the social safety net that charities can provide in primary schools, charities like The Place2Be and School-Home Support which, by tackling serious emotional and family issues, remove disadvantaged children’s barriers to learning, leaving teachers to teach. They also bridge the critical journey to secondary school when, unsupported, the vulnerable can so often disappear into a black hole. As previously highlighted on The Social Issue, a review of SHS has found that for every pound spent on it, £21.14 is saved across the whole of society.

But what about engaging teenagers before they walk out of the school gate and become ever harder to reach? It’s at 14 that young people really show their propensity to become NEET and that targeted and yes, cost-effective help can turn around young lives.

Skill Force, a charity that works with 14-16 year olds is a case in point; 60% of its students who are entitled to free school meals go on to further education, compared to 6% nationally. Exclusions are reduced from a predicted 30% to less than 7%. The organisation, which has helped around 35,000 young people since it launched a decade ago, estimates that it saves the public purse some £40 million a year by reducing the number of young people likely to become NEET. That is why PEF supports its good work.

Skill Force staff, drawn mainly from the armed forces, provide outstanding role models and deliver an alternative in-school curriculum which draws together vocational qualifications, community volunteering and life skills both in the classroom and through outdoor activities. Amongst other things, students work towards the Duke of Edinburgh’s Award and the Young Lifesavers Award, studying their alternative curriculum for a day a week for up to two years.

A recent Skill Force rock climbing activity, encouraging team work and mutual support

Karl’s just one Skill Force beneficiary: “I never used to bother with going to school on Mondays – I used to take it as a day off. School really bored me. But then Skill Force was every Monday and I saw it as a good, positive start to the week. I started to enjoy what we were learning.” Fellow student Ryan adds: “What I have achieved has surprised everyone at college because they thought that I would have been kicked out by now”.

Would just one chance, pre-six, have been enough to help Karl and Ryan?  It’s impossible to tell.  So while I commend Field’s consideration of the welfare of the very young, I would welcome a wider shift of emphasis to prevention rather than just early intervention if we’re to avoid the children of today becoming the NEET statistics of tomorrow.

How to save society £21 for every £1 spent

Campaign film from charity School Home Support from Divert on Vimeo.

The school term has barely begun, but some things are for certain; new shoes are already scuffed, fresh friendships are being formed and, on average, up to eight children in every classroom are living in poverty.

George, for example, was persistently late for his primary school in the north east of England and was also collected late – usually by different people. After a fire at his council flat, he and his lone parent mother had been allocated a new home but could not afford to furnish it so had moved in with relatives. George had trouble concentrating in class and suffered from nightmares.

Things changed after support from an independent, school-based welfare worker who wrote to George’s mother about the school’s concerns. The worker, from charity School Home Support (SHS), applied for money from the organisation’s support welfare fund for a double bed, so that they could at least sleep in the new flat. George and his mother moved in, a bit of stability entered their lives and the worker is still supporting them to furnish their new home.

As George’s case proves, there are complex reasons why children end up truants, troublemakers or bullies, why they are always late or why they fail to do their homework. Although it is dangerous to suggest poverty alone is to blame, most experts agree that it is the root of many behavioural problems.

School-Home Support is one source of support. It offers school-based emotional and practical support through practitioners who help children and families in more than 240 primaries in 22 local authority areas across England. SHS staff are a non-timetabled resource, talking to parents at the school gates and visiting families at home with the aim of creating a link with school.

Scratch beneath the surface of an average classroom, according to SHS figures, and around seven children will have witnessed domestic violence, six will have been exposed to substance misuse and one child will be a carer for a family member. The idea is to nip problems in the bud before they appear and offer support beyond the classroom. SHS practitioners deal with issues such as parents who feel isolated because English is not their first language or families coping with substance misuse or mental health problems.

Last year the 26-year-old charity reached over 19,000 children and young people like George. It costs £5m to run a year, with funding from local authorities that have contracts with SHS, voluntary donations, support from venture philanthropy fund the Private Equity Foundation.

A recent evaluation of the social and economic impact of its work found that for every pound spent on SHS, £21.14 is saved across society in terms of reducing the cost of dealing with unemployment, crime, exclusion and the increased income as a result of higher educational attainment. A June 2007 report by consultancy New Philanthropy Capital compared the cost of SHS interventions with the cost of school exclusions and found that if all those in danger of exclusion had access to its services, then society would save £90m a year.

In the current climate, this sort of work is more relevant than ever; the knock-on impact of job losses can have profound effects on educational attainment. SHS staff point out that an event like the 1,700 jobs lost thanks to the closure of the Corus steel works on Teeside, for example, could effect families, relationships, dynamics and ultimately children’s behaviour and ability to perform, concentrate or attend school.

SHS has links to the whole family, it is well-placed to work with local authorities and other public sector agencies, supporting the coordination of services. Interestingly, it also puts paid to the myth that some people are ‘hard to reach’. In fact, it’s often the support services that are hard to find, because parents think they’re unapproachable or simply don’t know about them, and if they do, the onus is on the individual to make contact.

Let’s leave the last word to Angela, a mother-of-five from Hackney: “SHS were the only ones who never judged me as a parent. Carla, our SHS practitioner in school, never said ‘you’re no good.’ I’m not perfect but I do my best for my kids and I love them.”