The Appendices

THE APPENDICES

Appendix A: The Consultation Findings Appendix B: The Joint Strategic Needs Assessment for Tameside Appendix C: Tameside Homelessness Review Appendix D: Linkages with Key Strategies Appendix E: Housing Needs Assessment

Appendix A: Consultation Responses

Topic Theme Comment Causes of homelessness in Tameside Finance  Lack of money  A lot more people not coping financially  Unemployment  Debt  People getting used to a certain standard of living that they cannot sustain Causes of homelessness in Tameside Properties/Accommodation  National housing shortage, particularly social housing Causes of homelessness in Tameside Age  Homeless people tend to be under 35  Hospital discharges picks up people over 55, so they do not get sent straight from the hospital to Housing Advice

Causes of homelessness in Tameside Properties/Accommodation  8 million people on housing waiting list Causes of homelessness in Tameside Properties/Accommodation  Lack of housing options Causes of homelessness in Tameside Properties/Accommodation  ‘Affordable’ housing is not affordable  People cannot afford to get in housing if not in work  Bedroom tax stops people from moving into available accommodation

Topic Theme Comment Causes of homelessness in Tameside Breakdown in Family  Breakdown of family Relations relationships Causes of homelessness in Tameside Substance Misuse  Lifestyle ‘choices’ such as drugs, alcohol

Causes of homelessness in Tameside Mental Health  Mental health issues/problems Causes of homelessness in Tameside Combination of Factors  Each individual will have a different combination of factors that have led to their homelessness, sometimes interrelated, mental health problems, drugs, finances etc. Causes of homelessness in Tameside Change in Circumstances  Factors such as benefits changes, rent arrears, universal credit changes, reduction in security of tenure contribute to homelessness

Causes of homelessness in Tameside Finance  Insufficient finances to support oneself Causes of homelessness in Tameside National Policy  Welfare Reform

Causes of homelessness in Tameside Properties/Accommodation  Not enough properties

Causes of homelessness in Tameside Finance  The main causes we have on homelessness within Tameside are that tenants are getting section 21 notices. There are a lot of people with rent arrears Causes of homelessness in Tameside Mental Health  Mental health is also an issue

Topic Theme Comment but we find it tends to be just one of multiple issues, with the main cause being that the individual does not have a support system. Many do not have family or friends who they can turn to for help.

Causes of homelessness in Tameside Breakdown in Family  We find it tends to be one of Relations multiple causes, but the main issues happen because people do not have a support system. If they have no family or friends who can they turn to for help?

Causes of homelessness in Tameside Breakdown in Family  Family breakdown is a key Relations trigger to homelessness.

Causes of homelessness in Tameside Negative Relationships  Relationships with ‘friends’. We work with men who have friends who wreck their flats or cause a nuisance, and this then affects their tenancy agreement. Often, they are too scared to say no to people so they end up losing their home.

Causes of homelessness in Tameside Substance Misuse  An alcoholic would rather

Topic Theme Comment spend his money on alcohol. If people are given food, sleeping bags (etc.), this means that they are more likely to spend money on alcohol because their needs are being met on the street. They are more likely to stay homeless because of drugs, alcohol and an inability to budget.

Causes of homelessness in Tameside Finance-Budgeting Skills  People are expected to be able to do maths, yet one third of people in the UK have a maths level of age 11 or under. One of the main things we help people with is budgeting. It is comparable to parenting for adults. For example, the care system does not help people to be ready for life.

Causes of homelessness in Tameside Breakdown in Family  Relationship break up is a Relations very common issue. Men are more likely to leave the home or be asked to leave the home particularly if there have been domestic violence

Topic Theme Comment issues. This has happened even in the case of the male being the victim.

Causes of homelessness in Tameside Finance  Some people in employment are at risk of homelessness if they are earning low wages and are not entitled to benefits. An example was given of a young man who is employed as a teaching assistant.

Causes of homelessness in Tameside People with an Offending  Leaving custody and finding it History Leaving Custody hard to find accommodation Causes of homelessness in Tameside Domestic Violence  People fleeing from domestic violence Causes of homelessness in Tameside Breakdown in Family  Parents cannot Relations accommodate and there is a breakdown between them Causes of homelessness in Tameside Properties/Accommodation  Lack of accommodation for large families  There is an increase in the number of very large families comprising 7 or 8 children. These families find it hard to obtain accommodation. Causes of homelessness in Tameside Properties/Accommodation  Loss of supported housing

Causes of homelessness in Tameside Operational Issues Processing and Response Times:

 There has been a significant

Topic Theme Comment increase in the numbers of housing benefit applications.  Housing benefits are not processed quickly enough

Causes of homelessness in Tameside Operational Issues Information Sharing:

 Need better information sharing about property  There are issues around differences in the information sharing protocols of DWP and the housing benefit service Causes of homelessness in Tameside Operational Issues Contacting Services:

 Need links and contact person with DWP and the housing benefit service Causes of homelessness in Tameside Operational Issues  Inflexibility of Department of Work and Pensions (DWP’s) and Job Centre Plus’s Procedures  Sanctions placed on benefits

Causes of homelessness in Tameside Change in Circumstances  Changes to benefits such as stopping or reducing benefits is a key trigger to homelessness.

Prevention tools/actions to prevent homelessness which have worked Ongoing Support which  The Housing First initiative meets the needs of those gives people a property then

Topic Theme Comment at risk of homeless helps build the support needed around them afterwards  Providing this stable home gives the person a foundation from which to build their lives

Prevention tools/actions to prevent homelessness which have worked Negotiation/Mediation  Dialogue between a tenant, their landlord and an Oldham Council officer led to the tenant, who was being threatened with notice/eviction due to rent arrears, not being evicted. Clear communication helped prevent the tenant becoming homeless, and the input of an independent third-party helped create a better dialogue between the tenant and the landlord  The provision of supported housing projects helps prevent homelessness

Prevention tools/actions to prevent homelessness which have worked Ongoing Support which  The church lets homeless meets the needs of those people use its phones at risk of homeless because it costs them money to ring about their benefits.

Prevention tools/actions to prevent homelessness which have worked Ongoing Support which  The main reason that New meets the needs of those Hope, at the Church of the at risk of homeless

Topic Theme Comment Nazarene, works for people is because when they become part of the church or they ask for help from New Hope, they become part of a wider family that works very differently to traditional services. People are treated like a friend from the start – we will invite people to our house for tea!

Prevention tools/actions to prevent homelessness which have worked Pre-Eviction Protocol  The Pre-eviction protocol can work well  The Welfare Rights Team and Rainbow Haven Prevention tools/actions to prevent homelessness which have worked Faith Sector  The Church of the Nazarene is working in partnership with staff from Curzon Ashton on some projects and both are providing complimentary provision of food on Christmas Day.

 The BOAZ charity is helping asylum seekers and they are based in central Manchester.

Prevention tools/actions to prevent homelessness which have worked Ongoing Support which  We enable people to stay in meets the needs of those their own home by supporting at risk of homeless them to budget correctly and

Topic Theme Comment help them to sort out their houses if they have not looked after it. This often prevents them from being evicted. For example, we have one man who we are helping. He has lowered his alcohol intake; he is cleaning his flat, we are helping him with his recycling, and to keep up to date with his finances etc.

Prevention tools/actions to prevent homelessness which have worked Building Relationships and  We have drop-ins on a Advocacy Monday and Sunday and we build up relationships with people. We take people to Housing Options. We contact the services for them so that we can try and find emergency accommodation.

Prevention tools/actions to prevent homelessness which have worked Ongoing Support which  We accept people’s post. meets the needs of those at risk of homeless

Prevention tools/actions to prevent homelessness which have worked Negotiation/Mediation  Contact with family and friends can be effective and there are times when SERCO has given a person who has

Topic Theme Comment received a decision extra time in their accommodation Prevention tools/actions to prevent homelessness which have worked Ongoing Support which  Short term, it is a hot meal, meets the needs of those compassion and helping at risk of homeless where you can.

Prevention tools/actions to prevent homelessness which have worked Long Term Investment in  Long term we need Education and Skills investment in parenting Development classes, pregnant mums, sex education etc. At the moment we are just perpetuating the problem. We need to help the youth now and to stop the next generation going down the same route.

What could be done to make homelessness prevention more effective? Ongoing Support which  Could there be a computer meets the needs of those placed in the Tameside at risk of homeless Housing Advice Service for service users so that people can fill out forms etc? There could be a member of staff to help, or possibly a volunteer.

What could be done to make homelessness prevention more effective? Properties/Accommodation  More non-priority bed and breakfast places are needed. At the moment the provision is for single men over 35 years.  There is currently no provision for non-priority homeless women. We should encourage and

Topic Theme Comment support people to open houses in multiple occupation (HMOs).

What could be done to make homelessness prevention more effective? Clear communication,  There are examples of managing expectations homeless people who have had a bad experience of trying to access services and this has deterred them from returning. Tailor services to the  It was noted that some particular needs of the people may be dyslexic and individual. this can cause problems. There are also some tenants who may never be able to live independently. Housing providers need to tailor their services to the particular individual

What could be done to make homelessness prevention more effective? Identifying the Cause  The main factors are that we should try and prevent homelessness from happening. Firstly the person/family at risk of homelessness should be stabilised. Their benefits should be in place and we would work with them to get the right benefits.  Access to welfare rights advice is good to have because if a client needed

Topic Theme Comment them we would refer them to their team. To prevent homelessness we would need to get to the root cause and find out what the issue is – they could have mental health problems; they could be fleeing domestic violence. If their house is in bad repair then they would need to contact housing standards. They could also apply to be put on the housing register.

What could be done to make homelessness prevention more effective? Sharing Policies and  Some of the barriers that Technical Expertise with organisations have when the Third Sector helping people include for example – bureaucracy. Things like policies, Health and Safety, etc.  It was suggested sharing policies and good practice with those working with homeless people/people at risk of homelessness. It would be a good idea to identify some templates that can be shared online.

What could be done to make homelessness prevention more effective? Agencies and Services  We should have a multi- Working Together to agency meeting about Prevent Homelessness tenants, who are at risk of homelessness.

Topic Theme Comment Representatives from mental health services, and drug and alcohol services should attend the meeting. We need to work together.

What could be done to make homelessness prevention more effective? Operational Issues  Earlier notice that rent arrears are arising would be better than calling when things have gone to court.

What could be done to make homelessness prevention more effective? Operational Issues  Housing Associations are often helpful but if they send information out and the resident cannot read then the resident does not respond. We have to help them.

What could be done to make homelessness prevention more effective? Operational Issues  People are scared of speaking to officials. Interestingly, if you run a ‘shoddy’ service people feel worthless but at the same time if it is ‘too posh’ they feel unworthy. There needs to be a happy medium. Otherwise people feel defensive and sometimes aggressive. What could be done to make homelessness prevention more effective? Operational Issues  Would like to improve telephone contact with New Charter and the housing benefit service. Usually

Topic Theme Comment placed in a queue for at least 15/20 minutes every time someone calls. What could be done to make homelessness prevention more effective? Operational Issues  Some would like an initial point of contact to channel people through. The main factors which may cause repeat homelessness in Tameside Borough Finance  Not being able to budget, substance misuse etc.

The main factors which may cause repeat homelessness in Tameside Borough Underlying issues  People who lose their social housing and think that the answer is to private rent. However, they still do not know how to budget, and could have a substance misuse problem so they don’t get out of the cycle.

The main factors which may cause repeat homelessness in Tameside Borough Anti-Social Behaviour  People causing damage to homes they live in or anti-social behaviour  Possible that people will be repeatedly evicted until no landlords will accept them, leading to them becoming homeless.

The main factors which may cause repeat homelessness in Tameside Borough Finance  A lack of financial safeguards, at least in some areas, for landlords. The Bond scheme is supposed to provide security for

Topic Theme Comment landlords offering a tenancy.

The main factors which may cause repeat homelessness in Tameside Borough Properties/Accommodation  Reduction in number of council funded spaces for homeless people in supported housing

The main factors which may cause repeat homelessness in Tameside Borough Mental Health  Many homeless people might have an undiagnosed and untreated mental health condition  A lack of sufficient mental health care facilities

The main factors which may cause repeat homelessness in Tameside Borough Data Protection  Another difficulty is sharing information between public and private sector organisations in the light of data protection

The main factors which may cause repeat homelessness in Tameside Borough Signposting  Homeless people with complex and varied problems not having the contacts to deal with their specific issues, but instead having perhaps a general contact who is not qualified for the specific issues

The main factors which may cause repeat homelessness in Tameside Borough Agencies and Services  A lack of joined up working Working Together to between the different services Prevent Homelessness that deal with homeless people, i.e. social landlords, landlords, council, police (etc.). Although some integrated partnerships are already in place, they are not currently holistic

Topic Theme Comment  Difficult to bring private landlords into these integrated partnerships

The main factors which may cause repeat homelessness in Tameside Borough Reduction in/Lack of  No tenancy support. Services  Need more floating support.

The main factors which may cause repeat homelessness in Tameside Borough Reduction in/Lack of  The lack of supported housing Services has been an emerging theme in a number of the consultation sessions

The main factors which may cause repeat homelessness in Tameside Borough Reduction in/Lack of  Lack of a support network Services

The main factors which may cause repeat homelessness in Tameside Borough Properties/Accommodation  Local authority not able to build more social housing  Not enough 1 bedroom flats available The main factors which may cause repeat homelessness in Tameside Borough Properties/Accommodation  More people relying on the private rented sector where the focus of landlords is profit  Private rented sector not having the same support network as Registered Social Landlords (RSLs) The main factors which may cause repeat homelessness in Tameside Borough Properties/Accommodation  Not enough education and communication to people as to why houses need to be built,  Local authority too slow to release land, or always focused on maximum profit from land sales

Topic Theme Comment

The main factors which may cause repeat homelessness in Tameside Borough Specific At Risk Groups  Domestic abuse victims may be Who May Have Recurring assisted, and then they return to Homelessness their partner and later become homeless again  Repeat offenders may lead to recurring homelessness  Care leavers may have repeat homelessness  People with short custodial sentences. There is a short sentences merry-go-round. What could be done to make homelessness prevention more effective? Support from Businesses Where businesses are making a good profit, can we encourage them to employ homeless people, make provision for people to work and get work experience What could be done to make homelessness prevention more effective? Operational Issues DHP and Housing Benefit are an issue. To make things more effective staff need a link with Housing Benefit. What could be done to make homelessness prevention more effective? Properties/Accommodation  More non-priority bed and breakfast places are needed. At the moment the provision is for single men over 35 years. For example Sam’s, May, Greystones and Impact  There is currently no provision for non-priority homeless women. We should encourage and support people to open HMOs What could be done to make homelessness prevention more effective? Operational Issues - Dignity  I took 2 clients to the

Topic Theme Comment and Respect methadone centre and I was in my hoody. I got treated differently.  I understand that staff probably receive a lot of abuse but even so, people should be treated with some respect. People get stuck in a cycle of being treated badly.

What could be done to make homelessness prevention more effective? Advocacy  Cloverleaf can help with advocacy for people. If you are someone in authority you get a result but if you are homeless you get less help.

What could be done to make homelessness prevention more effective? National Policy  Some of the issues are national and we would have to try and change legislation at a national level. For example, we need to support those coming out of care up to the age of 25.

What could be done to make homelessness prevention more effective? Operational Issues  Put in place triggers to enable earlier interventions to prevent tenants from amassing huge rent arrears and being evicted. The client’s consent needs to be obtained at an earlier stage.

Topic Theme Comment New Charter has introduced a range of new initiatives which have led to a drop in the number of evictions. This includes the Second Chance Initiative where families on the verge of eviction have been given a second chance. Also the new approach followed when signing up new tenants.

What could be done to make homelessness prevention more effective? Properties/Accommodation  Widening structure of tenure

What could be done to make homelessness prevention more effective? Education  Intervention that focuses on lifestyle changes, such as changing budgets, educational, changing behaviour

What could be done to make homelessness prevention more effective? Donations to Charities  Fundraising to help donate to Addressing Homelessness charities addressing homelessness

What could be done to make homelessness prevention more effective? Ongoing Support which  Helping people stay in their meets the needs of those homes through TMBC support at risk of homeless services such as community responses, rather than going into care, hospital, homelessness etc.

What could be done to make homelessness prevention more effective? Aids and Adaptations  Possible adaptation of current provision of equipment such as community response alarms, pendants, for the application of helping keep people at risk of

Topic Theme Comment becoming homeless to stay at home

What could be done to make homelessness prevention more effective? Signposting  Signpost people to welfare rights

What could be done to make homelessness prevention more effective? Sustainable Communities  Create sustainable communities and help people develop a stake in their community, which can help prevent homelessness by providing social support

What could be done to make homelessness prevention more effective? Agencies and Services  Data protection causes barriers – Working Together to we need more joined up thinking. Prevent Homelessness Increasing Multi-Agency Public Protection Arrangements (MAPPA) – better info sharing between agencies. Could there be an accreditation for trusted organisations so that we can share information more easily? Could we come together to consider the cases of homeless people and identify what can be done to help?

What could be done to make homelessness prevention more effective? Agencies and Services  Housing is low key in health Working Together to discussions despite the link Prevent Homelessness of housing and health. It needs to be given a higher priority. What could be done to make homelessness prevention more effective? Agencies and Services  More joined up working Working Together to between police, RSLs, health

Topic Theme Comment Prevent Homelessness services (etc.) in relation to housing What could be done to make homelessness prevention more effective? Finance  If someone is in debt problems, they should only be served notice as a last resort

What could be done to make homelessness prevention more effective? Ongoing Support which  Additional support meets the needs of those at risk of homeless

What could be done to make homelessness prevention more effective? Operational Issues - Dignity  There needs to be a dramatic and Respect change of atmosphere at the job centre – the current situation is not acceptable. It is the security there that is the issue.

What could be done to make homelessness prevention more effective? Raise Awareness of  Advocacy for people – we need Services to make sure that people know about services so that they can get the help that they need. Whilst a worker may proactively seek a translator they do not give people information about the translators.

What could be done to make homelessness prevention more effective? Ongoing Support which  If we had ‘hubs’ where people meets the needs of those could get help that would be at risk of homeless good. If we scrapped Universal Credit but put in Universal Support!

Topic Theme Comment

What could be done to make homelessness prevention more effective? Agencies and Services  More empathy on tenancy skills Working Together to for people who are not involved Prevent Homelessness with a service. What could be done to make homelessness prevention more effective? Agencies and Services  Secure the engagement of all Working Together to agencies to prevent Prevent Homelessness homelessness and to prevent crises. Intervention needs to be taken at the beginning when issues first arise. ALL agencies have a responsibility to prevent homelessness and not to leave issues to escalate. A primary focus should be to keeping a customer safe from homelessness, which ever agency or Registered Provider (RP) they are engaged with.

 There are examples where approved premises are looking to evict a customer for small arrears rather than encouraging the tenant to engage and pay amounts owed back in management payments. Evicting a tenant for small arrears provides the tenant with very limited options if the tenant accrues arrears and ultimately is evicted.

What actions do you think could be taken to prevent homelessness from recurring? Ongoing Support which  Ongoing support is need from

Topic Theme Comment meets the needs of those different services. Services at risk of homeless are stepping out too quickly once a person has been given accommodation. E.g. Social Services, Mental Health Services, Probation Services. This happens until there is a crisis. They deal with crises.  Services need to know what they can do to support. What actions do you think could be taken to prevent homelessness from recurring Early Interventions  We need early interventions from agencies that work with anyone who may be at risk of homelessness. What actions do you think could be taken to prevent homelessness from recurring Providing Those at Risk of  People with short custodial Homelessness With the sentences need to know how Skills to Sustain Their to sustain their tenancy. Tenancy  Clients need to be supported to set up bank accounts, to get ‘tenancy’ ready  New Charter used to have an initiative called, The Key to the Door, which was very effective. Perhaps the borough could do something similar.  If people are not fit to set up their own income and have no one to help them, they will not have any income coming in and housing benefit takes

Topic Theme Comment a long time to come through.

What are your top priorities for preventing homelessness in Tameside? Raising Awareness  Raising awareness so that everyone is aware of the reality of the situation What are your top priorities for preventing homelessness in Tameside? Agencies and Services  Appropriate information Working Together to sharing system Prevent Homelessness

What are your top priorities for preventing homelessness in Tameside? Long Term Investment in  Education, parenting classes Education and Skills etc. Development

What are your top priorities for preventing homelessness in Tameside? Agencies and Services  Co-ordinating activities and Working Together to services Prevent Homelessness

What are your top priorities for preventing homelessness in Tameside? Properties/Accommodation  Getting access to more private sector properties and working with private sector landlords What are your top priorities for preventing homelessness in Tameside? Agencies and Services  We need better partnership Working Together to working and communication Prevent Homelessness between agencies. In the new Tameside Council headquarters, agencies are brought together on the ground floor to provide a one stop shop. This promotes better partnership working and communication between agencies to provide a better

Topic Theme Comment service to customers. Consideration needs to be given to how Tameside Housing Advice may engage in this initiative.

What are your top priorities for preventing homelessness in Tameside? Agencies and Services  The importance of Working Together to partnership working and the Prevent Homelessness early identification of tenants who are struggling to pay their rent. Currently different departments are dealing with housing and the accrual of rent arrears. Staff need to work together and money problems need to be identified earlier. A trigger needs to be in place. For example, if someone doesn’t pay their rent one month this should trigger an intervention.

What are your top priorities for preventing homelessness in Tameside? Support which meets the  People would love more needs of those at risk of support around welfare rights homeless and benefits. Including increasing personal budgets and support maximising income and also the need to stop delays in their benefits. What are your top priorities for preventing homelessness in Tameside? Agencies and Services  More joined up working Working Together to  A link to the Benefits Service Prevent Homelessness

Topic Theme Comment

What are your top priorities for preventing homelessness in Tameside? Agencies and Services  Obtain tenants’ consent at an Working Together to earlier stage, to enable Prevent Homelessness services to help prevent them becoming homeless. What are your top priorities for preventing homelessness in Tameside? Agencies and Services  We need to work more in Working Together to partnerships, multi-agency Prevent Homelessness working. What are your top priorities for preventing homelessness in Tameside? Agencies and Services  Effective working with NHS, Working Together to Housing, Employment and Prevent Homelessness training days. What are your top priorities for preventing homelessness in Tameside? Properties/Accommodation  We need provision to help in an emergency – mainly we need emergency accommodation.

What are your top priorities for preventing homelessness in Tameside? Agencies and Services  We would like landlords to Working Together to inform us how much rent Prevent Homelessness arrears a tenant is in at an early stage so that the Debt Advice Team can work with tenants to prevent tenants being taken to court. What are your top priorities for preventing homelessness in Tameside? Access to Funding  The priorities for preventing homelessness in Tameside are that we need to access the funding. We also need to get in touch with housing benefits and grants.

 Funding sources should be local and national.

Topic Theme Comment What are your top priorities for preventing homelessness in Tameside? Properties/Accommodation  Having both temporary and permanent accommodation for large families What are your top priorities for preventing homelessness in Tameside? Properties/Accommodation  More temporary accommodation What are your top priorities for preventing homelessness in Tameside? Properties/Accommodation  We need to make sure that accommodation is acceptable for all their needs. Access and Format  The information is not easily Information about Preventing Homelessness accessed.  It is internet based, and there is no printed information. It would be a good idea to have some business cards/leaflets/posters and post cards. Also good to have a community board and have this updated on a regular basis.  We should put some post cards and business cards in local shops and Taxi Company’s. There should be opening times on the cards and an address as well where to go. It may not be sensible to place the information in local newspapers or magazines.  Front line staff need to be briefed on the cards that we are putting out so if someone asks them a question they

Topic Theme Comment would know what it is about and have the correct answers. Information about Preventing Homelessness Contacts and Resources  Experienced people in the public sector will have contacts at different organisations. However, people who do not work in the public sector per se (for example those in the voluntary or faith sector) may not have the contacts  Street Support has a website and app which has a list of resources for homeless people  Street Support states what different services deliver and what different services require in terms of support, donations etc.

Information about Preventing Homelessness Information in Alternative  Quite easy with access to a Formats computer  Need to make what is available on the internet accessible to people without the internet, i.e. physical stalls with advice at key locations. The nine towns are centre points for physical stalls which could offer

Topic Theme Comment advice – perhaps the stalls could be rotated between towns  Learn from services such as Topaz café

Information about Preventing Homelessness Website  The team have not used the Housing Advice website much, and usually go straight to the housing provider. The vast majority of our interactions with New Charter have been very positive. However, we have noticed that you do have to be actually homeless to be able to get any support.

Information about Preventing Homelessness Website  The Tameside Housing Advice website is great. It tells you where they are based, provides their telephone number and details about their opening times, and relevant information for those who need help.

People with an Offending History Poor Mental Health  An example was given of a client who has been in and out of prison; he has mental

Topic Theme Comment health issues, has no support network and cannot hold down a tenancy. Mental Health Services do not know about him and he is likely to have a full housing duty.  People can be sectioned in hospital and be evicted.  Higher incidences of young men with a dual diagnosis. People with an Offending History Problem Sustaining  Repeat offenders may lead to Tenancies recurring homelessness  People with short custodial sentences. There is a short sentences merry-go-round.  People with short custodial sentences need to know how to sustain their tenancies. People with an Offending History Problem Sustaining  If someone came out of Tenancies prison or a hostel then we would work with them. Welfare rights would be involved with rent arrears and get them backdated. It is all about pulling agencies together. There is a need to make the individuals aware of maintaining tenancy skills. People with an Offending History Working Together to  People who are leaving Prevent Homelessness prison –The team should have relationships with the prisons to discuss accommodation issues. If

Topic Theme Comment there is a relationship with the staff at the prison, issues such as rent arrears and any other queries can be sorted before the person leaves prison. Housing Advice should give them an assessment beforehand.

People with an Offending History Information Sharing  Shelter gives less than a weeks’ notice before a prisoner is released and so there is no chance of triaging and they present on the day.  It would help if Shelter could send ID over prior to the person presenting. A similar set up to that which happens in the hospital discharge process would be helpful.  However, some of those released from prison may not present at Tameside Housing Advice straight away. They may stay with family and friends and then present later. In this instance they are not seen as a release from prison case, however their background history later reveals this. In the past the staff used to go to prisons.

Topic Theme Comment  It was noted that some people can be in and out of prison frequently. It was suggested that Shelter could liaise with those in prison to clarify if they have accommodation so that the landlord and housing benefits service can be notified of the current position.

Care Leavers Communication  Care Leavers – The team need to give them personal advice and target them

Veterans Information  Armed Forces – Welfare Rights works at the hospital and work with pathways. There are Veteran Breakfasts set up and people do attend them. The veterans do have very complex needs and need to get sorted with GP`s.

People with Mental Health Issues Agencies and Services  The team should have a Working Together to multi-agency meeting about Prevent Homelessness tenants who are at risk of homelessness. This should be attended by representatives from mental health services, and drug and alcohol services. We need to work together.

Topic Theme Comment

People with Mental Health Issues Information  Mental Health issues – Leaflets could be put in the waiting rooms and doctors could be asked to give them out patients. It would be good to put posters up in Primary Care Centres so people can read them whilst waiting. The post cards or business cards are easy to give someone and they carry them around if needed.

Victims of Domestic Abuse Information  Victims of domestic abuse – There is a need to target those aged 18 years and above. We should give them support and personal advice. Asylum Seekers Agencies and Services  Asylum Seekers with leave to Working Together to remain in the UK –They have Prevent Homelessness 28 days’ notice to leave SERCO accommodation. The problem is that if they do not have a national insurance number then it is difficult to progress, and it takes a while for a National Insurance number to come through.

Young People Information  It is a very good idea to involve Education. The team could go to the college and

Topic Theme Comment schools and educate young people about what we can offer them when they are leaving education. Some people do not realise what help they can get so we need to inform them earlier so that they will know. We could also use the media to publicise this information.

Wider Consultation on the Draft Strategy Undertaken from June 2018 to October 2018

Theme Comments Received on the Draft Preventing Homelessness Strategy From the Wider Consultation of Strategic Partners

From June 2018 to October 2018

A Holistic and Integrated Response I agreed that a Holistic and Integrated Response to Preventing Homelessness is needed to prevent duplications to Preventing Homelessness and to streamline activity.

A Holistic and Integrated Response Competition relating to procurement is the biggest issues which affects partnership working. When the contracts to Preventing Homelessness are due to go out for competition, the organisations retreat and keep best practice to themselves.

A Holistic and Integrated Response Mental health is now onboard with this agenda. to Preventing Homelessness

A Holistic and Integrated Response The service called Through the Gate is not working as well as it could. An example was given of a prolific offender to Preventing Homelessness who fell through the net three times.

A Holistic and Integrated Response Drug and Alcohol and Rehab are very reactive to Preventing Homelessness

A Holistic and Integrated Response We need to be more honest as professionals when we refer our complex needs clients to services to enable more to Preventing Homelessness swift and smooth move through. A supported accommodation provider can often become ‘stuck’ with customers whose needs were not fully disclosed at referral and then later transpire making them very difficult to move on and rehouse.

Theme Comments Received on the Draft Preventing Homelessness Strategy From the Wider Consultation of Strategic Partners

From June 2018 to October 2018

A Holistic and Integrated Response Our clients may have mental health issues and face homelessness. There is a high threshold for access to to Preventing Homelessness community mental health services. We need to understand better the role of the community mental health team, their threshold and the resources available.

A Holistic and Integrated Response We have MDTs (multi-disciplinary teams) We need to understand each other’s roles better. (e.g. housing, and to Preventing Homelessness health/hospital) Some clients are deemed intentionally homeless and fall through the gap.

A Holistic and Integrated Response What happens when people are on leave? to Preventing Homelessness

A Holistic and Integrated Response Could we have private consortiums with the involvement of the Benefits Service? to Preventing Homelessness

A Holistic and Integrated Response We need a dedicated person/Homelessness Champion for co-ordinating homeless issues in the Adults Service. to Preventing Homelessness

A Holistic and Integrated Response To promote integrated working it may be helpful to be based together. The social workers are based in Crickets to Preventing Homelessness Lane Health Service and they are more aware of each other’s roles on a daily basis.

A Holistic and Integrated Response We need a Preventing Homelessness Champion in the Courts. to Preventing Homelessness

A Holistic and Integrated Response We need GP Preventing Homelessness Champions. to Preventing Homelessness

Theme Comments Received on the Draft Preventing Homelessness Strategy From the Wider Consultation of Strategic Partners

From June 2018 to October 2018

A Holistic and Integrated Response If a homeless person has a clash with regard to appointments, Universal Credit work coaches have discretion to Preventing Homelessness around appointments. However when making a new claim the first appointment with the DWP is very important. Those already on benefits have an online journal and can send a message via this journal to the work coach to notify the work coach that they are unable to attend their appointment. They can notify the work coach of “To Dos” and these can be picked up by their work coach.

A Holistic and Integrated Response There are different categories of clients. Some are signing sick. In Universal Credit there is a conditionality group to Preventing Homelessness which various conditions. There are easements which switch off conditionality.

A Holistic and Integrated Response Representatives of DWP could provide a presentation to the staff at Tameside Housing Advice to inform them to Preventing Homelessness about the online journal, the easements, what they are and how they work, Universal Credit (UC) and how it is made up (including the Housing Element), and conditionality within UC.

A Holistic and Integrated Response There is a GP project with Veterans – to encourage patients to inform their GP if they are a veteran. to Preventing Homelessness

A Holistic and Integrated Response Include paragraph on Tameside Adult Safeguarding and make reference to the Government’s recommendation in the National Rough Sleeping Strategy and the recommendation to undertake serious case reviews for deaths of

Theme Comments Received on the Draft Preventing Homelessness Strategy From the Wider Consultation of Strategic Partners

From June 2018 to October 2018 to Preventing Homelessness rough sleepers.

Access to a Wider Range of Expand current housing stock, for example by utilising empty properties across the borough Affordable Permanent Accommodation Options

Access to a Wider Range of THA have made some referrals to Ashton Pioneer Homes (APH) for the shared living scheme however the issue Affordable Permanent has been that many people accessing THA do not want to share accommodation – they want self-contained Accommodation Options properties.

Access to a Wider Range of The risks with shared tenancies are so high and the consequences if a shared tenancy fails are also very Affordable Permanent problematic. Accommodation Options

Access to a Wider Range of The APH Shared Tenancy Scheme would really suit ex-armed forces as they are used to sharing accommodation. Affordable Permanent Accommodation Options

Access to a Wider Range of A supported accommodation provider stated that “I have professional experience of a shared tenancy failing for 2 Affordable Permanent of our customers and they both became homeless as a result, although both are rehoused individually now.” Accommodation Options

Access to a Wider Range of We have a PRS support worker who can support people into PR tenancies; however this has been proving

Theme Comments Received on the Draft Preventing Homelessness Strategy From the Wider Consultation of Strategic Partners

From June 2018 to October 2018

Affordable Permanent challenging due to Private Landlords remaining reluctant to offer tenancies to those out of work or those with Accommodation Options additional needs. Furthermore most Private Lords do not accept the BOND scheme.

Access to a Wider Range of We need a clearer picture of the statistics around accommodation available. Affordable Permanent Accommodation Options

Access to a Wider Range of It is difficult for a victim of domestic violence DV [domestic violence) to obtain housing unless they enter a refuge. Affordable Permanent Accommodation Options

Access to Affordable Permanent The provision of 1 bed properties does not meet the demand; it is very difficult for us to move on our customers Accommodation Options from commissioned temporary supported housing as there are so few 1 bed properties available. Furthermore for our tenants who require adaptations it is even more difficult as it is not easy to get private landlords or RSLs to agree to adaptations.

Access to Affordable Permanent In the review you found that 151 individuals were referred for supported housing yet only 57 accepted and housed Accommodation Options – a strategy will not fix this problem – the only thing which will fix this problem is making more supported housing placements available and finding and funding more supported accommodation. We have lots of immigrants in the UK who need housing and this makes our resources stretched even further – how is the strategy tackling this issue?

Theme Comments Received on the Draft Preventing Homelessness Strategy From the Wider Consultation of Strategic Partners

From June 2018 to October 2018

Allocation of Social Housing My client has a son with learning disabilities. My client lives in a one bedroom flat and his son sleeps on the sofa. This arrangement is not working. My client needs a 2 bedroom property so that his son can have his own room. The son is deemed homeless and has been moved to temporary accommodation in Gibson Terrace. He needs support which is father is willing to give but is unable to give due to the lack of appropriate accommodation. What can be done?

Early identification of risk How can one identify the risk of homelessness earlier and who should this be flagged up to? What criteria do services have to respond to this risk?

Early identification of risk The Adults Service completes a checklist before they allocate a care package. This checklist could include a question to identify any problems which may affect the client’s ability to retain their current accommodation. If clients have rent arrears they could mention the benefits free phone line.

Early Intervention Before a Crisis Continue to introduce initiatives to prevent registered social landlord tenants from being evicted because of problems they have encountered with the introduction of new Universal Credit Payments.

Early Intervention Before a Crisis Benefits advice needs to be improved and expanded to reach more people. With Universal Credit, more people including those who are working, will be on benefits and requiring support and advice.

Early Intervention Before a Crisis The new HRA brings about the new duty to refer which means that job centre and DWP staff need training so they know who to refer and when so that there can be earlier intervention.

Theme Comments Received on the Draft Preventing Homelessness Strategy From the Wider Consultation of Strategic Partners

From June 2018 to October 2018

Early Intervention Before a Crisis Our Housing Association pre eviction protocol means we refer cases to THA where the rent department identify serious debt – this applies to tenants who are 6-8 weeks in rent arrears. We also have specialist teams who work to identify those most at risk of eviction.

Early Intervention Before a Crisis In respect of Mediation family group conferencing may be able to offer support. The Homelessness Team at the Council have already made contact and looking to strengthen links with this service to support homeless families and young people under 2018.

Early Intervention Before a Crisis CLG has a medication service which works with families.

Early Intervention Before a Crisis What multi agency approaches are used with adults? In CSCS all children have multi agency plans and meetings which follow a set structure to ensure that there is no duplication and doubling up of support.

Early Intervention Before a Crisis The protocol for 16 and 17 year olds outlines that referrals for support for homeless young people need to be made at the earliest stage to prevent homelessness. There are still some issues with this protocol which the MDT is trying to iron out.

Theme Comments Received on the Draft Preventing Homelessness Strategy From the Wider Consultation of Strategic Partners

From June 2018 to October 2018

Early Intervention Before a Crisis 6-8 weeks in rent arrears is too late for an intervention – this should be coming as soon as rent arrears start to accrue not waiting until crisis.

Early Intervention Before a Crisis Rent arrears at any level indicate other issues – what consideration is given for those tenants who refuse support?

Early Intervention Before a Crisis You can refer to CAB anyone who may require support with budgeting or financial support.

Early Intervention Before a Crisis If a client is facing eviction due to the state of their property the difficulty is knowing who to contact for help with this. What help is available? This issue is even more difficult when the client owns their own home and are about to lose their property.

Early Intervention Before a Crisis When someone is taken into custody they only receive a specified number of HB payments. This means that if they do not end the tenancy significant arrears will accrue and the Housing Provider would not be able to receive reimbursement for the arrears. If a person is given a long term sentence they are encouraged to end the tenancy.

A key issue is that no one tells the landlord/housing officer that the tenant has been taken into custody.

If the offender has a joint tenancy then this is not an issue.

Theme Comments Received on the Draft Preventing Homelessness Strategy From the Wider Consultation of Strategic Partners

From June 2018 to October 2018

A key issue is that no one tells the landlord/housing officer that the tenant has been taken into custody.

If the offender has a joint tenancy then this is not an issue.

The notification of the landlord/Housing Officer that the tenant has been taken into custody should be built into the routine Court paperwork. One of the questions should be “have you spoken with your landlord/Housing Officer?

The other issue relates to the tenant’s belongings. What happens to these if the tenant is taken into custody?

The person working with the offender before being charged and sentence needs to be identified and alerted to the above issues.

Identifying, Cultivating and A good way to get more people interested in homelessness and ways that they can help is to consider different Empowering Untapped Resources passions. For example our organisation works closely with various community groups in order to educate about in the Community homelessness and tap into local activities for their customers.

Increased Resilience and Targeted The homeless/those at risk of homelessness have low self-esteem Support

Increased Resilience and Targeted Substance misuse can be used as a coping mechanism for early bereavement. There is a need to identify and

Theme Comments Received on the Draft Preventing Homelessness Strategy From the Wider Consultation of Strategic Partners

From June 2018 to October 2018

Support work with at an early stage those who had an early bereavement.

Increased Resilience and Targeted There was a need to change the way agencies were working with clients at Foundation. Previously the Police Support were making contact to arrest people from Foundation rather than forging constructive links in helping to support the residents. Now when a resident comes, they are introduced to a Neighbourhood Officer who supports them to integrate into the neighbourhood. A strength based approach to work with residents is used. With regards to appointments, staff celebrate those who turn up for an appointment and make residents know the implications of not turning up for an appointment.

Increased Resilience and Targeted Residents of Foundation Supported Accommodation are sent to the Ready Steady Training run by Adullam since Support that is the training which is commissioned by the Council and which is formally recognised. The learning acquired from the training is consolidated by running the Fit Kit training.

Increased Resilience and Targeted The Be Well Training which presents the wellbeing plate, and includes “weight matters”. Support

Increased Resilience and Targeted There is a need for developing parenting skills in the borough. Support

Increased Resilience and Targeted Placements at Foundation are supposed to be for 6-9 months. There is the aspiration for moving on. Support

Theme Comments Received on the Draft Preventing Homelessness Strategy From the Wider Consultation of Strategic Partners

From June 2018 to October 2018

Increased Resilience and Targeted Volunteering and employment opportunities are organised by Foundation Supported Accommodation. Greenscape Support is commissioned to do the gardening at Foundation. Greenscape are now working with Mind. They are a Social Enterprise and give Foundation customer’s volunteering opportunities. Foundation commission Duns Cleaning to undertake their cleaning and Duns give opportunities for customers to be involved. Step Together provides volunteering opportunities for those with offending backgrounds.

Increased Resilience and Targeted Provide emotional support to young people who are homeless, and safeguard young people from migrating from Support Tameside to sleep rough in the centre of Manchester.

Increased Resilience and Targeted Drug users and alcoholics who are ‘entrenched’ in substance abuse do not prioritise housing – they prioritise Support getting hold of substances. In order to prevent future entrenched substances abusers we need to educate children in school about the dangers of substance abuse and the realities and this should in turn tackle to issue of drug users who become homeless and cannot be engaged in services. In CGL we have only 1 member of staff dedicated to working with 18-25 year olds – could the strategy not address this by advising that we need more staff to work with young people. Engaging in schools could make a big difference in the future – it is too late to fix the issues we already have with the entrenched drug users in Tameside who are homeless.

Increased Resilience and Targeted Can we not just target services at those who want help rather than those who do not?

Theme Comments Received on the Draft Preventing Homelessness Strategy From the Wider Consultation of Strategic Partners

From June 2018 to October 2018

Support

Increased Resilience and Targeted Services need to be aimed at all but targeted at individualised needs. Support

Increased Resilience and Targeted What does this tailored support look like? What do you mean by tailored? Support

Increased Resilience and Targeted Adullam offer tailored support and also have complex need support workers who do community support work. We Support also offer tenancy training.

Increased Resilience and Targeted The concern for RSLs in accepting someone with complex needs is that those needs [are] maybe met initially by Support resettlement support from supported housing providers when they first move in but the support is time limited and when it ends the RSL is then left with a tenant which they cannot sustain as they cannot meet their needs. Some tenants will require support much more longer term – how can these people’s needs be met?

Increased Resilience and Targeted Greater Manchester and Cheshire Community Rehabilitation Company can only support their customers whilst Support they are on orders / licences after which they are not funded to work with them. They do have exit plans.

Theme Comments Received on the Draft Preventing Homelessness Strategy From the Wider Consultation of Strategic Partners

From June 2018 to October 2018

Increased Resilience and Targeted There are structures in place to identify and respond to DV: Support  MARAC  Minted  The Welfare Benefits Team The Freedom Programme which is run at Cavendish Mill. This trains victims of DV on identifying the traits of the perpetrator of DV, the warning signs etc. There is a Freedom book.

There is a Peer Mentoring Programme for victims of DV. Many victims would not interact with professionals.

Increased Resilience and Targeted What support could be provided by the housing provider when they leave prison, if they relinquish their tenancy Support when they are taken into custody?

Access to a Wider Range of Affordable Permanent Accommodation Options

Increased Resilience and Targeted There is a volunteering scheme in place at Jigsaw. Support

Increased Resilience and Targeted Employment is sometimes the last thing on someone’s mind if they have other complex needs. These needs to be

Theme Comments Received on the Draft Preventing Homelessness Strategy From the Wider Consultation of Strategic Partners

From June 2018 to October 2018

Support/Employment considered in the strategy as pushing someone towards employment who is not ready could be very detrimental. Part time volunteering could be a good first step for some.

Increased Resilience and Targeted When people present to THA they want to solve their housing issues and might not be willing to discuss Support/Employment employment – however further down the line this is something which should be explored once they are settled and the immediate crisis has been solved.

Increased Resilience and Targeted Floating support needs to be put in place which helps people to gain the most basic living skills before employment Support/Employment is even considered as some vulnerable people cannot even cook a meal or shop, they are not thinking about going into employment.

Increased Resilience and Targeted DWP understand that different people have different needs and we are able to waiver some sanctions if the Support/Employment individual is homeless or has additional needs. We can be flexible if it is deemed necessary and appropriate.

Increased Resilience and Targeted It is important to teach young people life skills in school such as budgeting, mortgages and bank accounts. Support/Employment

Preventing Rough Sleeping It is good to see that the Housing First Model has been included in the strategy

Theme Comments Received on the Draft Preventing Homelessness Strategy From the Wider Consultation of Strategic Partners

From June 2018 to October 2018

Preventing Rough Sleeping There has been an increase in the number of people sleeping rough in Hyde.

Prevention Tools We provide an Advocacy Service and we all mediate between clients and their families/others. The Bridges Service also mediates.

Prevention Tools A client in a Jigsaw property accrued £50-60 in rent arrears and this triggered a response.

Proactive Information Management GDPR has an impact on improved joint working. A protocol is needed for sharing information. and Provision of Advice

Proactive Information Management The lack of consent gives rise to no urgency. and Provision of Advice

Proactive Information Management Some organisations will not accept generic consent to disclose information about tenants and require individual and Provision of Advice signed consent forms from the customer for every service who requests information – therefore a joint consent form would not help. This is because we are a national organisation so our finance department for example will only accept consent from each individual service.

Proactive Information Management GDPR is going to make the sharing of information and issues around consent even more of a problem. How can and Provision of Advice we get around this?

Theme Comments Received on the Draft Preventing Homelessness Strategy From the Wider Consultation of Strategic Partners

From June 2018 to October 2018

GDPR sets a time limit on how long consent lasts therefore if consent was gained from a tenant at the start of their tenancy then years later this consent would no longer be valid. GDPR also states that consent must be given for each individual organisation and for each purpose which is intended to be used – this is another reason a generic form would not work.

Proactive Information Management Tenants have the right to refuse to consent to the sharing of information with certain services therefore a generic and Provision of Advice from would take this right away from them.

Proactive Information Management Can we not just each ask the people we are working with to sign an individual consent to share information from for and Provision of Advice our own services?

Proactive Information Management We need an online directory of services which all professionals and service users can access. and Provision of Advice

Proactive Information Management The registration process for housing is online. I have a client in hospital who is very limited on what she is able to and Provision of Advice/ do. She cannot return to her home and is not able to register online due to her physical condition. What support is

Theme Comments Received on the Draft Preventing Homelessness Strategy From the Wider Consultation of Strategic Partners

From June 2018 to October 2018

Increased Resilience and Targeted available to help those who cannot access the online registration process? There are also clients who are not able Support to read or write.

Raised Awareness of the Causes Specify the types of tangible things that people can do to help homeless people. of Homelessness, and Services and a Shared Understanding that Preventing Homelessness is Everyone’s Business

Raised Awareness of the Causes of Homelessness, and Services The strategy needs to be accessible to all and written in plain English. and a Shared Understanding that Preventing Homelessness is Everyone’s Business

Raised Awareness of the Causes Adullam are currently working on a media project which will be delivered in schools addressing the issues of of Homelessness, and Services homelessness. and a Shared Understanding that Preventing Homelessness is Everyone’s Business

Raised Awareness of the Causes Sanctuary has encountered problems with private landlords who are unwilling to permit target hardening measures of Homelessness, and Services to be put in place. Victims of DV are frightened to discuss DV and target hardening measures with their landlord. and a Shared Understanding that There is a need to educate the private sector landlords about Sanctuary. However registered social landlords are Preventing Homelessness is “brilliant”.

Theme Comments Received on the Draft Preventing Homelessness Strategy From the Wider Consultation of Strategic Partners

From June 2018 to October 2018

Everyone’s Business

Raised Awareness of the Causes How well trained GPs are on identifying the signs of DV. This includes being able to identify the behaviours and of Homelessness, and Services mannerisms which indicate having been a victim of DV. The victim’s partner may speak on the victim’s behalf when and a Shared Understanding that they are presenting at their GP. This indicates that the person may be a DV victim. Preventing Homelessness is Everyone’s Business An [Independent Domestic Violence Advisor] IDVA was trialled at the hospital.

Raised Awareness of the Causes Sanctuary has encountered problems with private landlords who are unwilling to permit target hardening measures of Homelessness, and Services to be put in place. Victims of DV are frightened to discuss DV and target hardening measures with their landlord. and a Shared Understanding that There is a need to educate the private sector landlords about sanctuary. However registered social landlords are Preventing Homelessness is “brilliant”. Everyone’s Business

Raised Awareness of the Causes Why do we not have a Homeless Day once a year and ask everyone what can you donate? This could be skills, of Homelessness, and Services expertise, resources etc. and a Shared Understanding that Preventing Homelessness is

Theme Comments Received on the Draft Preventing Homelessness Strategy From the Wider Consultation of Strategic Partners

From June 2018 to October 2018

Everyone’s Business

Resources The strategy seems to be making more referrals. Is service there to respond to increased demand?

Or is this about demonstrating demand so that one can evidence this and put forward a business case for more resources from central government.

Support There does not appear to be a strategy for providing support. Many people need help with financial management advice and banking arrangements , direct debits etc.

Appendix B - Joint Strategic Needs Assessment for Tameside 2017-18

Joint Strategic Needs Assessment for Tameside

2017/18

SUMMARY

HEALTH & WELLBEING

Due to the unique position of the local authority and local CCG, where a single commissioning function exists between the council and CCG for health and social care This JSNA summary of health and wellbeing is for Tameside but includes both Tameside only and Tameside and Glossop information, as the CCG commissions health services for both Tameside and Glossop. Therefore the information contained in this JSNA summary will cover both Tameside only and Tameside and Glossop. Please note that publicly available Public Health data is based at Local Authority level and not CCG level. Information in this summary is for Tameside only unless otherwise stated.

The local view of Health and Wellbeing in Tameside

The Tameside area of Greater Manchester sits on the edge of both the Pennines and the Peak District. Tameside is named after the river Tame which flows through the borough and spans the areas of Ashton-under-Lyne, Audenshaw, Denton, Droylsden, Dukinfield, Hyde, Longdendale, Mossley and Stalybridge. Tameside borough shares its border with Manchester, Stockport, Oldham and the borough of High Peak. Glossop is a market town in the High Peak, Derbyshire, about 15 miles (24 km) east of Manchester. Historically, the name Glossop refers to the small hamlet that gave its name to an ancient parish recorded in the Domesday Book of 1086.

The resident population of Tameside and Glossop is approximately 254,646, (13% Glossop, 87% Tameside) with the GP registered population currently being 245,511, meaning that the health economy of Tameside and Glossop doesn’t serve all the residents of Tameside and Glossop, with around 4% receiving health and social care services outside the Tameside and Glossop boundaries..

Population

More people now live in Tameside than at any time in the past, with population projections estimating that this will continue to increase over the next 10 years.

The ethnic composition of the Tameside population is also changing, with the current Census (2011) showing that 15.8% of the local population are from an ethnic minority group; this is an increase from the last Census (2001) of 7.4%.

Health & Well-being

The issues for health & wellbeing in Tameside are complex and often lie outside the traditional health and care services. It is widely recognised that social and environmental determinants and their interdependencies influence the health and wellbeing outcomes of our population and communities.

As the population continues to grow, age and change, so too will the demand for health and social care services across the area, thus a need to enable our population to live as long as possible in good health, illness and disability free to ensure services can cope with increased demand and that health and social care are affordable to the local economy.

Changes in the ageing population now are currently contributing to the increased demand on health and social care services. The demands on these services will continue as people live longer and the dynamics of the ageing population changes. The number of carers will also increase as more people live longer and therefore it is important to have responsive flexible arrangements in place to support people caring for others and to support people who want to live independently; this will create an health and social care culture where the need for secondary hospital services are a last resort.

Demand for early years and school age children’s services is also on the increase therefore children’s service will need to adapt and respond to take into account the changing diversity of the population going forward.

Health and Well-being at a glance

 The health and well-being of people in Tameside is generally worse than the England average, with the exception of a few wards.  Deprivation is higher in Tameside with over 10,560 children under 16 years living in low income families. A decrease from previous years.  Life expectancy at birth for both males and females is lower than the England average ( approx. 77.3 years males, 80.7 years females)  Life expectancy locally is 10.4 years lower for men and 8 years lower for women in the most deprived areas of Tameside compared to the least deprived areas.

 Healthy life expectancy at birth is currently 56.4 years for males in Tameside and 58.8 years for females in Tameside. This is significantly lower than the England averages but an improvement on previous years.  In year 6, 33.9% of children are classified in the excess weight category, an decrease on previous years, GCSE attainment, under 18 alcohol specific hospital admissions, hospital admissions for self-harm and injuries, breast feeding initiation and at 6 to 8 weeks and smoking in pregnancy are all significantly worse than the England average.  Rates of smoking related deaths and hospital admissions for alcohol harm are significantly higher than the England average  Deaths from Cardiovascular disease in 2014/16 show that 594 people (104.1/100,000) in Tameside died prematurely, higher than the England average (73.5/100,000).  Deaths from Cancer in 2014/16 show that 894 people (156.5/100,000) in Tameside died prematurely, higher than the England average (136.8/100,000).  Deaths from Respiratory disease in 2014/16 show that 248 people (43.7/100,000) in Tameside died prematurely, higher than the England average (33.8/100,000).

Useful Information:

Longer Lives: http://longerlives.phe.org.uk

Public Health Outcomes Framework: fingertips.phe.org.uk/profile/public-health-outcomes-framework

Tameside Health Profile: fingertips.phe.org.uk/profile/health-profiles

General Practice Profiles: finger tips practice profiles

Tameside Child Health Profile: fingertips.phe.org.uk/child-health/profile

Older Peoples Health & Wellbeing: https://fingertips.phe.org.uk/profile/older-people-health/

Inequalities

Tameside and Glossop is split into five neighbourhoods; Ashton, Denton, Glossop, Hyde and Stalybridge, with 40 general practices serving the five neighbourhoods in total. Of the 40 practices 34 practices (85%) are more deprived than the England avearges, with 21 practices (53%) being more deprived than the Tameside and Glossop average. There are five practices in Tameside and Glossop that fall into the 10% most deprived practices in the country. ( Hattersley Group Parctice, Ashton GP services, West End medical centre, Cottage Lane surgery, Stamford House). These practices are in the neighbourhoods of Ashton, Glossop and Hyde.

Tameside and Glossop is also broken into to 30 wards. 19 within the Tameside boundary 11 within the Glossopdale boundary. Health and Wellbeing outcomes across these wards varies considerably with poor health outcomes such as disaese prevalence and premature mortality being significantly higher in the wards of St Peters, Gamesley and Hadfield North.

Health inequalities are the differences between people or groups due to social, geographical, biological or other factors. These differences have a huge impact, because they result in people who are worst off experiencing poorer health and shorter lives.

Some differences, such as ethnicity, may be fixed. Others are caused by social or geographical factors (also known as 'health inequities') and can be avoided or mitigated.

In England, the cost of treating illness and disease arising from health inequalities has been estimated at £5.5 billion per year. In terms of the working-age population, it leads to productivity losses to industry of between £31–33 billion each year. Lost taxes and higher welfare payments resulting from health inequalities cost in the region of £28–32 billion. Estimating the costs of health inequalities: A report prepared for the Marmot review).

The following JSNA summary will enable commissioners and service providers to better understand the complexities and needs of the population served within the Tameside and Glossop health and social care economy. A wider set of statistics and information will be available on the Life in Tameside & Glossop JSNA website. www.lifeintamesideandglossop.org This summary takes the data that has been collected, collated and analysed and pulls out the key issues, challenges and improvements that effect our population across the life course.

Starting and Developing Well

EARLY YEARS and PRE SCHOOL

The early years are a key determinant of health. The Marmot Review recognised this in its priority policy objective - 'Give every child the best start in life' - which is crucial to reducing health inequalities across the life course, and other social and economic inequalities throughout life.

The foundations for virtually every aspect of human development - physical, intellectual and emotional - are laid in early childhood. What happens during these early years (starting in the womb) has lifelong effects on many aspects of health and well-being - from obesity, heart disease and mental health, to educational achievement and economic status.

The following are key findings across Early Years. More information can be found here Overview of child health

Population of children under 5 years

Across Tameside and Glossop there are approximately 14,847 children under the age of five years.

In 2016 there were 2,886 babies born in Tameside, with 21% of babies born in the most deprived quintile. 11% of babies were born with a low birth weight, with 7% being of very low birth weight (<1500 grams) and the highest proportion of births was born to mothers aged 25-34 years (61%). 1% of babies were born to women under 18 years; 10% 18 to 24 years and 29% to women over the age of 35 years.

Outcome Challenge Implications Recommendations 1. Children in low There are nearly a quarter of under The Marmot Review (2010) suggests Increase opportunities for parents to income families 16s living in low income families that childhood poverty leads to work and to work in well paid across Tameside and Glossop (23.7%), premature mortality and poor health employment. this equates to around 10,473 outcomes for adults. Reducing the children compared to 20.1% in numbers of children who experience Support parents from more deprived England. The highest proportions of poverty should improve these adult backgrounds at the pre-birth stage more. these children live in the wards of health outcomes and increase healthy Gamesley, St Peters, Ashton St life expectancy. Reduce smoking in pregnancy, increase Michaels and Hyde Newton. Children born in the poorest areas of pre-birth health visiting visits to parents the UK weigh, on average, 200 grams to be from the most deprived backgrounds less at birth than those born in the to ensure they are fully prepared for birth. richest areas. Children from low income families are more likely to die at birth or in infancy than children born into richer families. They are more likely to suffer chronic illness during childhood or to have a disability. 2. < 18 Conceptions The under 18 conception rate for Poverty and deprivation are strongly Enhanced sexual health education in

Tameside in 2015 was 25.1 per 1,000 associated with teenage conceptions schools where rates of teenage 15 to 17 year olds a 1% decrease from and hence teenage pregnancy is still a conceptions are highest. 2014 and now similar to the England significant public health priority. Women under the age of 19 years who are average of 20.8 There are a number of associated admitted to maternity units or who attend issues with teenage parents for both sexual health clinics should receive the parents and the child that include, extensive information and advice on the poor emotional health, poor physical full range of contraceptive methods health, poverty, low educational available to them. attainment and unemployment. All health and social care professional working with vulnerable young people should be trained to provide standard contraceptive advice or able to sign post to services

3. Smoking at Time of Smoking in pregnancy in 2016/17 is Smoking during pregnancy is related Identify pregnant women who smoke at Delivery (SATOD) still on the decrease. However, to many effects on health and the earliest opportunity. Tameside is still significantly higher reproduction, in addition to the than the England average with 15.4% general health effects of tobacco. A Ensure clear advice to smoking pregnant of women smoking throughout their number of studies have shown that women is clear about the danger of pregnancy. (10.7% for England and tobacco use is a significant factor in continuing smoking. 12.5% Greater Manchester average). miscarriages among pregnant smokers, and that it contributes to a Use Nicotine Replacement Therapy (NRT) number of other threats to the health or other pharmacological support. of the foetus, such as premature birth, Work with the whole family re stop complications in birth, still birth, low smoking through relevant birth weight, asthma and other interventions. respiratory conditions and sudden infant death. Infant feeding profile Tameside

4. Breast Feeding New mums initiating breast feeding in Evidence is clear on the benefits to NICE guidance to improve breast feeding Tameside (2014/15) was 59.6%. This health of breast feeding for both rates recommends commissioners to: is lower than both the Greater mother and infant. In the short term Manchester and England averages babies who are not breast fed are Adopt a multi-faceted approach or a (65.9% and 74.3% respectively) and more likely to have infections such as coordinated programme of interventions has not increased over the last 5 gastroenteritis, respiratory and ear across different settings years. infections and are at particular risk of Activities to raise awareness of the At 6 to 8 weeks breast feeding hospitalisation. The infant feeding benefits of, and how to overcome the decreases further with 32.2% of profile for Tameside supports this as barriers to, breastfeeding babies still being breast fed (a 27.4% emergency hospital admissions for Training for health professionals reduction/drop-off). For Greater gastroenteritis and respiratory Breastfeeding peer-support programmes Manchester 6-8 week breast feeding infections is significantly higher than Joint working between health was 39% and for England 43.2%. the England average. In the long term, professionals and peer supporters evidence shows that non-breast fed Education and information for pregnant babies are more likely to be women on how to breastfeed, followed by overweight or obese-this can then proactive support during the postnatal lead to type 2 Diabetes, higher blood period pressure and cholesterol. Work with local partners to ensure mothers can feed their babies in public areas.

5 Child Development The proportion of children aged 2 to Children aged 2 to 2.5 years should be The ASQ-3 should now be an integral part at 2 to 21/2 yrs. 21/2 yrs. offered ASQ-3 as part of the offered ASQ-3 as part of the healthy of the healthy child programme and health healthy child programmes (2015/16) child programme. This measure is visiting services locally. was 70.6% (Tameside), 93.9% (GM) important to help monitor child All children should be assessed and health and 81.3 % (England). This is a new development in order to observe and visitors should encourage parents to outcome measure and therefore these track changes in outcomes over time. complete the assessment and offer results are for an aggregate of 3 This measure will also help assess the support to parents who need help to

quarters of annual data (Q4 missing) effectiveness and impact of services complete the assessment. for 0-2 year olds. The ASQ-3 health The results of ASQ-3 assessment should be and development review is an used to improve outcomes for children. important way to see how children Locally services to improve child have developed at this stage of development should be available to childhood and is a good indicator of support parents and children to improve potential outcomes later on in the areas within ASQ-3 ( communication, childhood such as school readiness. fine & gross motor skills, personal/social skills and problem solving)

6 School Readiness School readiness: The percentage of why school readiness is important There is not one enabler to improve school children achieving a good level of readiness at age 5 years but many. development at the end of reception 94% of children who achieve a good 3 main enablers to improve outcomes at results for 2015/16. Show that for the level of development at age 5 go on to age 5 for children include 5th year running Tameside results for achieve the expected level of  A good early years home learning all children are improving year on achievement at key stage 1 and 5 environment year. 2015/16 results show that 63% times more likely to achieve the  Access to good quality pre-schools highest level1. Children who start off of children were school ready, for GM  Access to effective primary schools and England the results were 65.7% in the bottom 20% of development at and 69.3% respectively. Although 5 years are 6 times more likely to be What parents DO is more important than Tameside is still significantly below in the bottom 20% at key stage 1. who parents are the England average, the gap between Tameside and England as closed by measuring what matters_ Marmot 36% in 4 years.

1 https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/180884/DFE-00274-2011.pdf

Starting and Developing Well

CHILDREN and YOUNG PEOPLE

Children and young people are rightly a target for population health programmes and services. The fact of their youth means there is time to prevent damaging behaviours and attitudes developing and time to help them establish good patterns of managing their health and wellbeing for the rest of their lives.

The following are key issues for children and young people in Tameside and Glossop

Outcome Challenge Implications Recommendations 1. Over weight and The proportion of 4 to 5 year olds in Childhood obesity, and excess weight, There are many interventions to help Obesity in children Tameside that are overweight or are significant health issues for promote healthy outcomes for children and young people obese in 2015/16 was 9.7% ( 9.7% individual children, their families and that are both individual and population (GM) & 9.3% (Eng.)) public health. It can have serious based. The following link takes you to For year 6 children (10-11 yrs.) the implications for the physical and Childhood obesity: applying All Our Health

proportion more than doubles to mental health of a child, which can It gives facts and figures on childhood 20.2% (21.1% (GM) & 19.8% (Eng.)) then follow on into adulthood.2 The obesity and principles and interventions Although Tameside is higher than numbers of children, who continue to that support individuals, professionals, England for both year groups, the have an unhealthy, and potentially communities and populations to remain a difference is not significant. dangerous, weight, is a national public healthy weight. Trend for reception children health concern. childhood-obesity-applying-all-our-health

Trend for year 6 children

2. Children in Care The number and proportion of Children in care are 4 times more Recommendations for commissioning and

2 https://www.gov.uk/government/publications/childhood-obesity-applying-all-our-health/childhood-obesity-applying-all-our-health

children who are looked after in likely than their peers to have a delivering services for looked after Tameside in 2017 is 515 or 105 per mental health difficulty. children should enable organisations, 10,000. This is significantly higher Children in care do less well in school professionals and carers to work together than both the North West and England than their peers. to deliver high quality care, stable averages of 86/10,000 and 62/10,000 Care leavers are less likely to be in placements and nurturing relationships respectively. The rate of looked after Employment, Education or Training for looked-after children and young children in Tameside is an increase on than their peers. people. previous years and an 18% increase A disproportionate number of since 2016.3 children and young people in care are The National Institute for Health and Care The following link takes you to more from black and minority ethnic Excellence (NICE) has produced a set of information/statistics on vulnerable backgrounds and have particular principles, guidance and children and young people in needs. recommendations to achieve better Tameside. Approximately 1 in 10 children in care outcomes for looked after children fingertips.phe.org.uk/child-health- have to move more than 3 times. https://www.nice.org.uk/guidance/ph28/ vulnerable children and young people 1 in 4 homeless people have been in chapter/1-Recommendations care at some point Children who are looked after are 4 times more likely to have mental health problems I in 5 females in care become teenage parents (<18 years) www.nao.org.uk-Children-and-young- people-in-care-and-leaving-care.A.pdf

3. Emergency Hospital The rate of emergency hospital Children account for the largest To avoid asthma symptoms children admissions for admissions for asthma is significantly proportion of hospital admissions for should avoid tobacco smoke; however Asthma (<10 yrs.) worse than the England average at asthma with higher admissions smoking prevalence is significantly higher 483.4/100,000 0-9 year olds. But less usually occurring over the than the England average and so makes it

3 https://www.gov.uk/government/publications/local-authority-interactive-tool-lait

than the GM average of autumn/winter periods. difficult for children to avoid. Therefore 505.5/100,000 A stay in the hospital can be difficult intervention to reduce population (England=280.1/100,000) for any child at any age. Illness and smoking prevalence needs to increase at hospital stays are both stressful. They pace. disrupt a child's life and can interfere Air pollution is another major factor for with normal development. While managing symptoms in children with children are in hospital, they may asthma. Therefore measures to reduce air suffer from emotional distress pollution in the borough are key in because they are away from their reducing hospital admissions. family and friends. It also impacts on Good treatment and care that involves the their education due to missed days use of prescribed inhalers and regular

away from school. A hospital stay for reviews of symptoms in primary care can

children also impacts on the prevent unnecessary hospital admissions.

parent/carer as it means time away Care plans need to be in place for all

from work or other family members, children with diagnosed asthma to this therefore as wider implications support both the child and parent/carer. on the economy and population Care plans should be available to school wellbeing. nurses so school nurses are able to identify all children in their care with asthma.

4. Smoking at 15 The proportion of current and regular Smoking at 15 years is an indication Children who live with smokers are up to years 15 year old smokers in Tameside is of the future prevalence of adult 3 times more likely to become smokers significantly worse than the England smokers. themselves. 4 Therefore it is important to continue to reduce the adult smoking average. Smoking is still the biggest cause of population. Current smokers at 15 yrs. 11.8% premature death and morbidity. With Research suggests that knowledge and (8.2% Eng.) 80% of all lung cancers, 14% of all education about smoking is a necessary Regular smokers at 15 yrs. 8.9% cardiovascular conditions, 80% of component of anti-smoking campaigns, but by itself does not affect smoking rates.

4 http://ash.org.uk/category/information-and-resources/fact-sheets/

(5.5% Eng.) chronic respiratory conditions such Price can deter children from smoking as as COPD and 25% of all cancers being can ease of access to tobacco products. attributed to smoking. National policy and law are one of the ways to reduce children smoking. Since It is estimated that among children 2007 the legal age for purchasing tobacco who try smoking around a third are products was raised from 16-18 years, likely to become regular smokers. with the intention for making it more Smoking initiations is associated with difficult for young people to buy a wide range of factors including cigarettes. parental and sibling smoking, ease of A ban on the sale of cigarettes from obtaining tobacco products, peer vending machines in 2011 and a ban on displaying tobacco products will also help pressure and peer group smoking and to deter young people from purchasing socio-economic status. tobacco products. However, legislation alone is not sufficient, both enforcement and local community policies will improve compliance by retailers. 5 GCSE Achievement GCSE attainment in Tameside is A good level of education gives young Access to good quality educational including English similar to the England average and people the opportunity to earn more establishments and educational teaching is and maths better than the GM average. 57.7% and be in more fulfilling careers/jobs. key. So ensuring all Tameside schools are (Tameside), 56.1% (GM), 57.8% Ensuring children and young people Ofsted rated ‘Good’ or above is important. (Eng.) are literate and numerate will also Reducing the gap between all pupil For children in care inequalities exist enable them to navigate their way attainment and those children in care is in achieving 5 good GCSEs with only through adulthood better, also important to improving overall 22% of children in care in Tameside In the competitive job market, standards. achieving this. However Tameside fair academic and vocational Improved access to high quality early better than both GM and England for qualifications are increasingly years provision for looked after children is children in care with 14.8% (GM) and important. essential in ensuring children in care start 13.8% (Eng.), so the gap between all Those without qualifications are at their formal education on a level platform children and children in care is much higher risk of unemployment and low with non-looked after children. narrower. incomes. More generally, success in Ensuring children are ready for school at https://fingertips.phe.org.uk/school acquiring formal qualifications age 5 will ensure no children are

age pupil outcomes strengthens children’s self-esteem and disadvantages or left behind and ensuring enhances development of identity.5 all children with special educational needs receive the support needed to enable them to learn will also impact on overall educational outcomes for children. 6 Emergency Hospital Tameside has significant levels of self- There are many different ways people When someone presents with self-harm admissions for self- harm compared to the England can intentionally harm themselves, they should be risk assessed for physical harm (10-24 yrs.) average, with 609.8/100,000 (n=234) such as: •cutting or burning their skin, risk, emotional and mental state. punching or hitting themselves, being admitted for self-harm in The quality of care for those who self- poisoning themselves with tablets or 2015/16. (Eng. average toxic chemicals, misusing alcohol or harm depends on the quality of joint 430.5/100,000). Tameside has the 2nd drugs, deliberately starving working between the A&E and hospital highest level of self-harm in Greater themselves or binge eating or trust and mental health services. Manchester and has been increasing excessively exercising. It is important to understand the causes of year on year for the last 5 years There are many reasons for self- distress and therefore improving access to harming such as social problems, talking therapies and other psychotherapy emotional problems, trauma or services and improving referral pathways psychological problems. is important. High levels of self-harm in the As self-harm is related to the general population are an indication of the mental health of the populations, level of population mental well-being. improvements to overall population mental wellbeing is important. Self-harm increases the risk of suicide Schools need to identify and highlight and therefore needs to be treated triggers to self-harm such as cyber bulling, seriously. body image and self-esteem. Self-harm is usually an expression of Building resilient people and communities personal distress. enables people and communities to deal with the challenges of daily life.

5 Machines, S in Exclusion, employment and opportunity, Case Paper No 4, Atkinson. A and Hills J, (eds), 1998, page 61. ↩

Living and Working Well

Great strides have been made in improving health and wellbeing in recent years. As an area we are living longer than ever before. However in spite of this progress we still lag behind other areas of the country and Greater Manchester. Too many people are dying too young. In Tameside and Glossop we want people to live longer in good health and able to have fulfilling lives at work and at home.

The following are key issues for Tameside and Glossop residents in relation to living and working well

Outcome Challenge Implications Recommendations 1. People aged 16-64 Across Tameside there was 70.5% Evidence shows that there are We can influence people’s employment years in employment employment rate which is similar to economic, social and moral reasons opportunities in many ways. (%) the rest of GM (70.6%) bit less than that work is a good way to improve Through adopting ‘good’ employment the England average. (74.4%) the wellbeing of individuals.6 practices with our own organisations. The Tameside rate of employment in Worklessness is harmful to physical Using the ‘Social Value Act’ to maximise 2016/17 was a slight decrease on and mental health. Work is the most equitable employment opportunities. 2015/16, but an increase over adequate means of obtaining Social Value Act previous years. economic resources and meets Focusing on young people classed as NEET Increasing employment and psychosocial needs in communities. and those least likely bale to access the job supporting people into work are key Work is central to individual identity, market. elements of the UK governments social roles and social status, with Improve the health of direct employees. Public Health and welfare reform employment and socio-economic Champion and improve the take up of agendas. status being the main drivers of social ‘supported employment’ and job retention gradients in physical and mental schemes for people with learning health and mortality. disabilities and mental health issues. Champion employment issues within

6 https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/214326/hwwb-is-work-good-for-you.pdf

Health & Wellbeing Boards. Support and challenge local businesses through business in the community and other schemes. Help more people be ‘Fit for Work’

2. Adult smokers Smoking prevalence in adults across The cost of smoking related Helping smokers to quit is one strand of Tameside is significantly worse than admissions to hospital for Tameside the government’s tobacco control plan for the England averages. and Glossop is approximately England. The other elements are: Adult smoking prevalence in 2016 £6.7million/year.  making tobacco less affordable was 22.1% (Tameside); 18.4% Smoking equates to around 6,828  preventing the promotion of tobacco (GM); 15.5% (Eng.) years of life lost through early death  effective regulation of tobacco products For adults from routine manual and illness.  improving awareness of the harm workers smoking prevalence is Smoking causes 80% of all lung  reducing exposure to second hand higher at 35.6% (Tameside); 27.5% cancers and respiratory diseases and smoke (GM); 26.5% (Eng.) is responsible for around 25% of all Smoking in pregnancy was 15.4% cancers. These actions need to take account of the (Tameside), 12.5% (GM), 10.7% Smoking and the harm it causes aren’t wider issues people face in their lives. (Eng.) evenly distributed. People in more Many factors, from lack of opportunity to Smoking attributable mortality in deprived areas are more likely to social isolation, can increase the risks of Tameside is also significantly higher smoke and are less likely to quit. unhealthy behaviours in particular than the England average at Smoking is increasingly concentrated smoking. 399.9/100,000 versus 272.100,000 in more disadvantaged groups and is Most smokers want to stop but quitting is (Eng.) This equates to approximately the main contributor to health hard. Many people make several attempts 460 deaths a year relating to inequalities in England. Men and before they succeed. It’s even harder when smoking. women from the most deprived people are dealing with stress in their groups have more than double the

death rate from lung cancer compared lives. with those from the least deprived. To improve the chances of quitting, all Smoking is twice as common in people smokers need: with longstanding mental health  effective services and therapies problems.  supportive social networks  smokefree environments

3. Emergency (%) Emergency hospital admissions for An analysis of 67 risk factors and risk Responding to the needs of harmful and Admissions relating alcohol related conditions are a factor clusters for death and disability alcohol dependent drinkers. to alcohol major burden for the health and found that alcohol is the third leading Not all people estimated to have some (rate/100,000) social care economy. With over risk factor for death and disability level of alcohol dependence will need 6,000 admissions occurring in after smoking and obesity. specialist alcohol treatment. 2015/16; (2,892/100,000); Some will benefit from a brief intervention 2,737/100,00 (GM) and consisting of a short alcohol health risk 2,179/100,000 (Eng.) check in a range of health and social care Between 2014 and 2016 there were settings. 97 (66.3/100,000) admissions for Assessing need, planning and alcohol related conditions in young commissioning alcohol treatment systems people under 18 years: This is Local councils and health and wellbeing significantly higher than the England boards are involved in planning: average (37.4/100,000) and the GM  social care average (52.9/100,000)  housing strategy Hospital admissions for alcohol Alcohol misuse, binge and chronic  public health related conditions impact on life drinking are associated with a wide  clinical treatment services chances and alcohol harm range of problems including personal  environmental health

contributes to around 120 deaths impairment of physical and mental  licensing and trading standards each year in Tameside and health and problems at a community This puts them at the heart of the approximately 1,442 years of life level such as anti-social behaviour. partnership needed to tackle this complex lost. issue. Alcohol treatment for harmful and Admission episodes for alcohol related conditions 5,000 dependent drinkers is an essential element 4,500 4,000 in the broader range of alcohol policies 3,500 and interventions that a council will need 3,000 2,500 to plan and deliver. This is under the 2,000

rate perrate 100,000 1,500 conditions of their public health grant. 1,000 500 Health and wellbeing boards are in the 0 best position to consider:  how specialist alcohol services within

Males Females hospitals integrate with the treatment

system  potential joint funding arrangements across health and public health quality-governance-guidance-for- local-authority-commissioners-of- alcohol-and-drug-services.pdf 4. Self-reported The Annual Population Survey Well-being is a key issue for the Happiness is intertwined with the wellbeing – Low (APS); asks a number of questions Government. People with higher well- wellbeing of our local community. Being Happiness score relating to wellbeing. being have lower rates of illness, connected in a community helps people 1. Overall, how satisfied are you with recover more quickly and for longer, feel like they belong and this has a big your life nowadays? and generally have better physical impact on their happiness, that of their 2. Overall, how happy did you feel and mental health. family, and the community as a whole. yesterday? Happiness and good wellbeing Strong neighbourhoods and social 3. Overall, how anxious did you feel contribute to overall life expectancy networks can have a significant impact on yesterday? and in particular health life people’s quality of life and well-being as 4. Overall, to what extent do you feel expectancy. they provide something which is vital for

the things you do in your life are Research evidence demonstrates that everyone - a sense of belonging. worthwhile? there are other benefits to being There is a clear relationship between the The Low happiness score gives an happy: levels of wellbeing and inequality. overall indication of how people are  positive affect and well-being Wellbeing and happiness, tend to be lower feeling about their life. For Tameside lead to sociability in areas with higher inequality of income in 2015/16, 10.7% of people had low  better health, and wealth. Therefore, ensuring people happiness; this is higher than the  success have access to the same opportunities to England average of 8.8%.  self-regulation and, education, employment, income, housing,  Helping behaviour transport, green spaces and resilient communities etc. will help to improve There is significant scientific evidence happiness in Tameside. showing the positive benefits that come when we connect with people locally. These can include reducing the risk of depression, lowering the risk of heart disease and increasing how long we live7,8

7 Social capital: A review of the literature, Office for National Statistics (ONS) (2001) 8 Maisel, N.C. & Gable, S.L. (2009) For richer…in good times…and in health: positive processes in relationships. In S.J. Lopez & C.R. Snyder (Eds.) Oxford Handbook of Positive Psychology. NY: Oxford University Press.

5 Suicide Nationally suicide rates have Suicide is a significant cause of death While factors contributing to suicide vary; remained fairly static over the last in young adults, and is seen as an the most vulnerable in society, such as the 10 to 15 years; where as in indicator of underlying rates of mental young, the elderly, those with mental Tameside, suicide rates have ill-health. health issues and the socially isolated are fluctuated somewhat and for the The suicide prevention outcomes at the greatest risk. most time remain significantly strategy for England has the overall  We need to strengthen our focus on higher than the England averages. aim of reducing the suicide rate in the men The rise in suicide and the general population in England.  We need to raise awareness of significance for Tameside is in the Suicide prevention strategy for support for people who are male population, where current male England 2017 update struggling-in particular to those who suicide rates are 34% higher than Suicide is preventable, yet suicide in are most vulnerable to the risk of the England average Tameside has increased since 2007. suicide. On average in England 13 people take  We need to ensure transport staff and their own life every day. In Tameside those working in hotspot areas have someone takes their own life every 3 appropriate suicide prevention weeks. training. Suicide is a significant public health  We need to tailor approaches to concern with widespread effect on improve mental health and wellbeing communities. Suicide impacts the in specific groups and make most on vulnerable communities and communities more resilient. places a larger burden on low to  Increase access to taking therapies in middle income populations. 9 areas where high risk populations live.  We need to reduce access to means of suicide 6 < 75 mortality rate Under 75 mortality from Despite the great strides that have Avoiding early deaths in our population is from preventable preventable causes is considerably been made in improving the health of challenging. However the main areas of causes higher in Tameside than the national the nation in recent decades, far too focus should be to

9 http://apps.who.int/iris/bitstream/10665/75166/1/9789241503570_eng.pdf

78 average. 259.4/100,000 versus many people are dying too young from  Reduce inequalities across all areas, 182.8/100,00. This equates to diseases that are largely preventable. in particular health inequalities approximately 113 more death each “Living Well for Longer” is an ambition  Tackle the wider determinants of year than the rest of England. for Tameside by decreasing early health death and increasing healthy life  Boost the local economy so that expectancy. everyone as access to good quality Early preventable deaths can be employment and decent incomes avoided through Prevention of illness,  Adopt a population wide approach to earlier diagnosis, and high quality tackling premature mortality treatment and care.  Prevent, detect early and mange Higher early preventable death rates effectively infectious and chronic are mostly seen in more deprived conditions more effectively neighbourhoods. This creates wide https://www.nice.org.uk/guidance/ta inequality gaps for people who live in ckling-the-causes-of-premature- More males than females die early more geographically challenges areas mortality from preventable causes. (41% of Tameside. more) Most causes of preventable death are www.nice.org.uk/Introduction#healt from Cancer, CVD, respiratory disease, h-inequalities-impact-on-people-and- liver disease and suicide. These communities conditions are all related to poverty, education, life style and mental www.gov.uk/government/living- wellbeing. well-for-longer-a-call-to-action-to- reduce-avoidable-premature- mortality

Ageing and Dying Well

Ageing is a natural process and although advancing age is associated with physical and cognitive decline, wellbeing among older people is consistently found to be higher in later life than among young and middle aged adults. The population in Tameside and Glossop is ageing and the older age group is our fastest growing population. Ageing well is thus important, particularly in relation to health and social care costs. The absence of physical disease and disability are common criteria for successful ageing especially for health professionals but for older people themselves, contentment with life, independent living, being socially connected and ability to pursue interests are equally important.

The following are key issues for Tameside and Glossop in relation to ageing well.

Outcome Challenge Implications Recommendations 1. The ageing In 2016 there were 38,951 people The combination of extending life Ensuring we keep out population well and population aged 65 years and over (17% of the expectancy and the ageing of those illness and disability free for as long as whole population) 6,500 more over born just after the 2nd world war, possible is key to ensuring age does not 65s that 10 years ago (2006). means that the population aged over put a burden on people and communities. Of this population 54% are female 65 years is growing at a much faster When long term conditions and disability and 46% male and this gap widens rate than those under 65. do become an issue, integrated at each five year interval increase. Men and women from the highest multidisciplinary health and care teams Healthy life expectancy is currently socio-economic class on average are the most beneficial to individuals and 56.4 years for males and 58.8 years expect to live 7 years longer than the most cost effective way to manage for females. This means that a high those from the lowest socio-economic people and long term conditions. proportion of our over 65 year class and more of those years will be Implementation of programmes that population will be living with a long disability free. So health inequalities support ‘Healthy Ageing’, such as ‘Men in term condition or disability. Around will persist. Sheds’, physical activity programmes 20% of older people in Tameside Older people could be the driver of aimed at older people, community cafes live on a low income. economic growth and social wellbeing and neighbourhood schemes. or place a significant burden on the Development of a society/communities

younger population. The number of that are age friendly such as age friendly older people living on their own is transport, housing, outdoor spaces, also set to rise, which increases the community support and activities. risk of people experiencing loneliness and isolation. The impact of the ageing population will be felt the most by health and social care services, as the cost of health and social care are significantly greater for older people. The number

of older people with care needs is expected to rise by more than 60% in the next 20 years. 10

2. Dementia There are an increasing number of Dementia is an umbrella term used to Dementia affects both men and women, people over 65 years with a describe a range of progressive with women more likely to develop diagnosis of dementia. Currently neurological disorders, that is, Alzheimer’s and men more likely to 1,843 (4.8%) of the over 65 conditions affecting the brain. There develop vascular dementia. We can’t rule population (2016/17). This has been are many different types of dementia, out the risk of developing dementia increasing year on year for the past of which Alzheimer’s disease is the entirely, but we can develop a healthy 10 years most common. Some people may have lifestyle which reduces some of that risk. a combination of types of dementia. Especially vascular dementia risk. Regardless of which type is diagnosed, Ageing is the biggest risk factor to each person will experience their Dementia so ensuring people are ageing dementia in their own unique way.11 well (active ageing) is important in Symptoms of dementia include preventing Dementia. Having a healthy memory problems, communication younger life can reduce the risk of issues and cognitive ability dementia so choosing healthier lifestyles

10 https://www.kingsfund.org.uk/projects/time-think-differently/trends-demography 11 https://www.dementiauk.org/understanding-dementia/about-dementia/

deterioration. such as not smoking, being physically active and eating well are key. Dementia in England is under diagnosed and this is important in reducing emergency hospital admissions, so diagnosing Dementia at the earliest opportunity is key to improving dementia care and outcomes.

Emergency hospital admissions for dementia have also increased and in 2015/16 there were 2,017 https://www.alzheimers.org.uk/info/ emergency admissions compared to 20025/policy_and_influencing/251/d 1,709 in 2014/15. ementia_uk/2 Dementia profile

3. Hip fractures in Hip fractures for Tameside residents Fractures are an important cause of Hip fractures contribute to significant people aged 65 over 65 years pose a real risk to disability in the elderly. Due to loss in productive years among the

years and over health. Tameside have the 2nd decreased bone mass among this age elderly. Changing modifiable risk factors highest emergency admission rate group, fractures are more common such as smoking and physical inactivity for hip fractures in Greater and tend to have a profound effect on may help in reducing DALYs lost after Manchester and significantly higher ability to perform activities of daily hip fracture. Programs and measures than the England average. living. which prevent the incidence of hip 708/100,000 compared to Falls and fall-related injuries are a fractures among this age group may also 589/100,00 (Eng.) major challenge to health and care help improve quality of life. The rate of hip fractures has been systems and to the older people who Preventing falls in older people is key to increasing year on year up until suffer them. Around one in three preventing hip fractures and reducing 2015/16 where we have seen a people over 65 and one in two people emergency hospital admissions. sharp decline. over 80 fall at least once each year. NICE guidelines covers assessment of fall Falls account for around 40 per cent of risk and interventions to prevent falls in all ambulance call-outs to the homes people aged 65 and over. It aims to of people over 65 and are a leading reduce the risk and incidence of falls and cause of older people’s use of hospital the associated distress, pain, injury, loss beds. Each year there are around of confidence, loss of independence and twice as many fractures resulting mortality. from falls as there are strokes in the https://pathways.nice.org.uk/pathways over 65s.12 /preventing-falls-in-older-people In addition to broken bones, falls may Older people who die because of a lead to prolonged lies on the floor, hip fracture is also a concern. with resulting complications, and they Between 2014 and 2016 there were are a common precipitant for people 57 deaths relating to hip fractures in moving into long-term care, or people over 65 years in Tameside. needing more help at home. Hip fractures are associated with significant morbidity, mortality, loss of independence, and financial

12 https://www.kingsfund.org.uk/blog/2013/09/what-are-real-costs-falls-and-fractures

burden. In usual care, the reported 1- year mortality after sustaining a hip fracture has been estimated to be 14% to 58%. 4. Health related The health related quality of life is a Older people are the biggest and Ageing well prevention programmes are quality of life for score of average health status in costliest users of health and social evidenced based programmes that older people adults aged 65 years and over. care services and those with complex support people to age healthy and well The health related Quality of Life needs, long term conditions, and thus prevent social isolation, falls, score provides a greater focus on functional issues, sensory or cognitive improve physical health, and mental preventing ill health, preserving impairment are the highest cost and health. independence and promoting well- volume group of service users. Physical activity is key to falls prevention, being in older people. This is key to However, although advancing age is improving bone health and mental health keeping systems functioning and in associated with physical and cognitive in older people. ensuring that the needs of this large decline; wellbeing is constantly found NHS England has published a new population group are addressed. to be higher in older people than Practical Guide to Practical Guide to Average health scores are measured among young or middle aged adults. Healthy Ageing with Age UK, to help using EQ-5D scale from the GP The influence of social relationships people improve their health and general Patient survey. https://www.gp- on the risk of death is strong in older fitness, particularly those aged 70 or over patient.co.uk/SurveysAndReports people and is comparable with other with ‘mild frailty’. The evidence-based It asks questions on mobility, self- established mortality risks such as guide covers key areas that have been care, usual activities, smoking and alcohol.13 identified as the main risk factors for older pain/discomfort, anxiety and Survival over an average of more than people living at home, but if they are depression. 9 years was associated with greater proactively managed, they can help people Tameside residents aged 65 years enjoyment of life. When older people stay well for longer and improve their and over had a combined average are asked e=what successful ageing is, quality of life. score of 0.696 which is lower than they usually say things like making our health system fit for ageing the England average of 0.733. ‘contentment with life’, ‘being socially connected’ and ‘able to pursue their

13 https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/277584/Ageing_Well.pdf

interests’.14

5 Deaths in Usual Deaths in usual place of residence Providing care at the end of life often Good palliative and end of life care should place of residence refer to deaths at home or in a care involves the interaction of many focus on the perspective of the dying home if that was where the person different care agencies. person and the people closest to them and permanently lived. Although many people may have a should be at the heart of our commitment Statistics for 2015 show that different ideas of what constitutes a to everyone at the end of life. Tameside as a lower number of ‘Good Death’, for many being treated Efforts should focus on improving care co- people at different age bands dying as an individual, with dignity and ordination, sharing data and information in their usual place of residence and respect, being without pain or and building exemplar care pathways and a higher proportion of people dying symptoms, being in familiar innovative hospice led interventions. in hospital. surroundings and around close family The ‘Choice’ review was a product of and friends are the main needs. extensive public consultation and Some people do get to make a choice engagement that set out elements of end but many don’t. Some people of life care that people most cared about. experience great care but too many https://www.gov.uk/government/publica people experience unnecessary pain tions/choice-in-end-of-life-care-

14 Friedman (2012). Wellbeing, ageing and immunity in Sergerstom (Ed. The Oxford handbook of Psychoneuroimmunology. Oxford University Press. New York

and discomfort, are left alone or in government-response public view. Some people do not get treated with dignity and respect and many people do not die where they wish to.15 The National Care of the Dying Audit for Hospitals (NCDAH), England, found significant variations in care across hospitals in England. The audit showed that major improvements need to be made to ensure better care for dying people, and better support for their families, carers, friends and those important to them.

End of life profile for Tameside 6 Flu vaccination Flu vaccination coverage for people Seasonal flu occurs every year, usually The national flu immunisation coverage for people aged 65 years and over in Tameside in the winter. It’s a highly infectious programme is a key part of winter aged 65 years plus and Glossop was 74.5% (2016/17). disease caused by a number of flu planning. The flu programme is there to This is below the national target of viruses. The most likely viruses that offer protection to those who are most at 75% and is a continual concerning will cause flu each year are identified risk from the consequences of the flu decline that has been occurring over in advance and vaccines are then virus. the last 5 years. produced to closely match them. To increase uptake of flu vaccination Some people are more susceptible to across all eligible groups including those the effects of seasonal flu. For them it aged 65 years and over. It is important to can increase the risk of developing  Make access to the flu

15 https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/136431/End_of_life_strategy.pdf

more serious illnesses such as vaccination as accessible as bronchitis and pneumonia, or can possible make existing conditions worse. In the  Implement clear and timely worst cases, seasonal flu can result in communications especially those a stay in hospital, or even death. involved in managing flu so that Complications of flu mostly affect understand their roles and people in high-risk groups, such as the responsibilities. elderly, pregnant women and those  General flu awareness through who have a long-term medical flu campaigns and condition or weakened immune communication plans so the Across Tameside & Glossop there is system. messages get through to the also wide variation in coverage at GP population. For example the Practice level. National Flu marketing There were more than a thousand campaign. emergency admissions for influenza,  Support to general practice to bronchitis and pneumonia in encourage take up of flu 2016/17 for people aged 65 years vaccination and to practices that and over. need support in improving take up rates.

Links to other useful Information:

Cardiovascular disease profiles: https://fingertips.phe.org.uk/profile/cardiovascular/ Cancer Service profiles: https://fingertips.phe.org.uk/profile/cancerservices/ Health Protection Profiles: https://fingertips.phe.org.uk/profile/health-protection/ Diabetes Profile: https://fingertips.phe.org.uk/profile/diabetes-ft/ Health Assets Profile: https://fingertips.phe.org.uk/profile/comm-assets/ Wider Determinants Profile: https://fingertips.phe.org.uk/profile/wider-determinants/ https://www.lifeintamesideandglossop.org/wp-content/uploads/2018/02/The-local-view-of-Health-and-Wellbeing-in-Tameside-201718.pdf

Appendix C - Tameside Borough’s Homelessness Review

The Homeless

When thinking about homelessness many think about the most visible form of homelessness which is of people who are sleeping rough on the streets. However Homelessness can include people who are:  Staying with friends or family  Staying in a hostel or bed and breakfast accommodation  Squatting  At risk of violence or abuse in their home  Living in poor conditions that affect their health  Living apart from their family because they don’t have a place to live together

There is no single reason why someone can end up without a home. Personal circumstances and wider economic and social factors play a part in giving rise to this situation.

In Tameside the reasons for homelessness may be structural reasons or personal reasons. Examples of structural reasons include the:

• Reduction in supply of affordable housing • Welfare benefit changes • Reduction in the security of housing tenure

Personal reasons include: • Relationship breakdown • Leaving an institution • Substance misuse

The P1E statutory data collected from the year 2015/16 to 2017/18 ((up to 19/3/18) has shown that, of the households accepted as statutory homeless, the top 3 reasons for becoming homeless are:

Top 3 Reasons for Becoming 2015-2016 2016-2017 2017-2018 (up to 19/3/18) Homeless 1 Other relatives no longer able to Other relatives no longer able to Other relatives no longer able to accommodate accommodate accommodate 2 Relationship breakdown-violent Parents no longer able to Parents no longer able to accommodate accommodate 3 Parents no longer able to Relationship breakdown-violent Relationship breakdown-violent accommodate/Required to leave National Asylum Support Service (NASS) accommodation

As part of the homelessness review, extensive consultation was undertaken with a wide range of organisations in Tameside who work with homeless people and with people with lived experience of homelessness. The findings revealed a wide range of causes of homelessness in Tameside. Please see below comments which were gathered as part of the consultation undertaken. These comments relate to all forms of homelessness, not just to those who are deemed to be statutory homeless.

Causes of Comments Homelessness in Tameside National Policy  Welfare Reform

Finance  The main causes we have on homelessness within Tameside are that tenants are getting section 21 eviction notices. There are a lot of people with rent arrears  A lot more people not coping financially  Unemployment  Debt  People getting used to a certain standard of living that they cannot sustain  People are expected to be able to do maths, yet one third of people in the UK have a maths level of age 11 or under. One of the main things we help people with is budgeting. For example, the care system does not help people to be ready for life.

Causes of Comments Homelessness in Tameside  Young People earning Low Wages and Ineligible for benefits may be at risk of homelessness.  A representative from the Anthony Seddon Fund gave the example of a young man who is employed as a teaching assistant, earning a low salary and is not entitled to benefits.

Properties/  Long housing waiting lists Accommodation  National housing shortage, particularly social housing  Lack of housing options  Not enough properties  ‘Affordable’ housing is not affordable  People cannot afford to get in housing if not in work  Bedroom tax stops people from moving into available  Lack of accommodation for large families – there is an increase in families of 9/10 with children that are finding it hard as they have a big family.  Loss of supported housing Breakdown in  Breakdown of family relationships Family Relations  Parents cannot accommodate and there is a breakdown between them  There tends to be multiple causes behind homelessness but the main issues happen because people do not have a support system they can turn to for help.  Family breakdown is a key trigger to homelessness.  Relationship break up is a very common issue. Men are more likely to leave the home or be asked to leave the home particularly if there have been domestic violence issues. This has happened even in the case of the male being the victim.

Substance  Lifestyle ‘choices’ such as drugs, alcohol Misuse  A consultee stated that an alcoholic would rather spend his money on alcohol. If people are given food, sleeping bags (etc.), this means that they are more likely to spend money on alcohol because their needs are being met on the street. They are more likely to stay homeless because of drugs, alcohol and an inability to budget.

Health  Mental health issues/problems  Mental health is another one of the issues, however, as stated previously, problems are exacerbated if these individuals do not have a support system around them. Combination of  Each individual will have a different combination of factors that have led to their homelessness, sometimes inter-related,

Causes of Comments Homelessness in Tameside Factors mental health problems, drugs, finances etc. Change in  Factors such as benefits changes, rent arrears, universal credit changes, reduction in security of tenure contribute to Circumstances homelessness  Changes to benefits such as stopping or reducing benefits is a key trigger to homelessness.  There are a number of ways which can lead to the stopping or reducing of benefits. For example:

Ill Health can lead to the accrual of rent arrears triggering homelessness. A consultee gave the following example, of an individual having a mental illness and being admitted to hospital and as a result their benefits were stopped/reduced and this led to the accrual of massive debt. The consultee stated that the Council’s system is not set up to deal with the problems which those with mental health issues may face. The consultee stated that those with bi-polar condition may not have money sense and that rent should be paid direct to the landlord, rather than being put into the individual’s personal bank account.

Negative  Relationships with ‘friends’. The team work with men who have friends who wreck their flats or cause a nuisance, and this Relationships then affects their tenancy agreement. Often, they are too scared to say no to people so they end up losing their home.

Disability  It was noted that some people may be dyslexic and this can cause problems. There are also some tenants who may never be able to live independently. Housing providers need to tailor their services to the particular individual

People with an  Leaving custody and finding it hard to find accommodation Offending History Domestic  People fleeing from domestic violence Violence Operational  Processing and Response Times Issues  A significant increase in the number of housing benefit applications received by the Benefits Service and Housing Benefit causing delays in processing claims  Contacting Services  Need links and contact person with DWP and Housing Benefit service  Inflexibility of DWP’s and JCPs Procedures

Causes of Comments Homelessness in Tameside  Sanctions

Services For Homeless People in Tameside Preventing Homelessness Services and Activities Provided in the Borough (Commissioned and Non Commissioned Services)

Name of Service Type of Target Description Opening Times Location Services Group

Jigsaw (formerly Support and Victims of Bridges: We are a specialist service offering support Monday Cavendish 249, New Charter refuge for domestic and refuge provision for victims of domestic abuse 08:30-17:00 Cavendish Street Homes Limited) victims of abuse and and substance misuse. Bridges is a project managed Tuesday Ashton-Under-Lyne, Bridges domestic substance by New Charter Homes and offers an integrated 08:30-17:00 OL6 7AT misuse. community based approach to dealing with instances Wednesday of domestic abuse in whatever form it takes. This 08:30-17:00 includes a Sanctuary Scheme that can offer Thursday assistance to help people remain in their own home 08:30-16:30 through the installation of extra security measures if Friday a risk of further abuse has been identified. If you are 8.30 – 16.00 in need of a refuge place or need to speak to someone you can phone: 0161 331 2552. Telephone Alternatively if you are fleeing violence you can 0161-331-2552 make a homelessness application on Tameside Housing Advice's website.

Change Grow Live Dependency General My Recovery Tameside is a free and confidential Monday 111-113 Old St, - My Recovery support drug and alcohol service for adults (including 09:00-17:00 Ashton-Under-Lyne, Tameside offenders), young people, families, carers and Tuesday – OL6 7RL affected others in Tameside. 09.00-17.00 Wednesday We provide early intervention and prevention 09:00-20:00 support, recovery and medical interventions and Thursday aftercare. 09:00-17:00 Friday Services available: Dependency support. Suitable for 09.00-17.00 all ages, no exclusions. Telephone number 0161-214-0770

Foundation UK - Accommodation General We provide accommodation-based support to people Monday Foundation UK Tameside based support across Tameside experiencing complex problems 08:30-17:00 Tameside, and who are at risk of social exclusion. The team Tuesday Rear of Flat 3 offers comprehensive and intensive housing 08:30-17:00 Ambleside assistance to 44 clients over 8 sites including self- Wednesday Stalybridge, contained accommodation, shared facilities and 08:30-17:00 SK15 1EB Housing First. Thursday 08:30-17:00 Friday 08:30-17:00

Telephone number 0161-922-6000

Greystones Health service Suitable for: The Impact project is adjacent to the Greystones Monday 215 Mossley Road, Housing Group advice, Benefit 18+ and supported housing unit. 12:30-15:00 Ashton Under Lyne, The Impact Project advice either rough Tuesday OL6 6LX sleeping or The project provides a day support service where 12:30-15:00 are at a people who are sleeping rough are provided help Wednesday severe risk of with benefits, form filling and advice on accessing 12:30-15:00 doing so. appropriate health care. Thursday 12:30-15:00 Services available: Health service, advice and Friday benefits advice. Suitable for those aged 18+ and 12:30-15:00 either rough sleeping or are at severe risk of doing so. Telephone Number 0161-330- 1557

Just Life Advice General Housing advice during key-work and drop-ins. Monday 1479-1489 Ashton Services available: General support, Housing 11:00-13:00 Old Road, support Friday Manchester, 11:00-13:00 M11 1HH Suitable for people living in unsupported temporary accommodation. Telephone Number 0161-285-5888

Military Veterans' Veterans Military We provide mental health support to ex-service Monday Pennine Care NHS Service support veterans personnel for conditions including depression, 09:00-17:00 Foundation Trust, alcohol and substance misuse, anger problems and Tuesday Trust Headquarters post-traumatic stress disorder. Some people who 09:00-17:00 225 Old Street have served in the armed forces say that they can Wednesday Ashton-under-Lyne experience emotional difficulties and find it hard to 09:00-17:00 Lancashire, ask for help. This may be because of difficult Thursday OL6 7SR experiences or simply adjusting to civilian life. 09:00-17:00 Pennine Care previously delivered the service Friday across the North West as part of a pilot and has so 09:00-17:00 far helped over 1,000 veterans with a range of mental health problems. To get support call on 0300 Telephone Number 323 0707 or you can fill out the simple online referral 0161-205-9287 form from our website Mind - Tameside, Mental Health Over 16`s Free counselling service is available to all residents Monday Ashton-Under-Lyne Oldham and of Tameside and Glossop aged 16 and over. A 10:00-16:00 Office, Glossop separate service is available for Oldham residents. Tuesday 116-118 Katherine Suitable for over 16 years old and also youth in 10:00-16:00 Street Mind. Wednesday Ashton-u-Lyne, 10:00-16:00 OL6 7AS Thursday 10:00-16:00 Friday 10:00-15:00

Telephone Number 0161-330-9223

Shelter General Anyone who Advice and information for anyone with housing, Monday Ground Floor, support, is homeless, debt, and welfare benefit advice and support needs. 09:00-17:30 Victoria House 5 Housing in housing Specialist advice for people who have a private Tuesday Samuel Ogden Street support, Benefit need or a landlord or are trying to find accommodation in the 09:00-17:30 Manchester, advice housing private rented sector. Legal advice for people with Wednesday M1 7AX related complex housing issues. Housing-related support to 09:00-17:30 problem people returning to Manchester from prison. Thursday

Specialist debt, welfare benefits and housing advice. 09:00-17:30 Friday Services available: General support, Housing 09:00-17:30 support, Benefit advice

Tameside Armed Advice Armed forces Activities are held to encourage local communities to Sunday 14 Ridge croft, Services support the Armed Forces community in their areas, 00:00-00:00 Ashton under Lyne, Community (TASC) nurture public understanding and awareness OL7 9TG amongst the public of issues affecting the Armed Forces community. To recognise and remember the sacrifices faced by the Armed Forces Community, encourage activities which help to integrate the Armed Forces Community into local life, encourage the Armed Forces Community to help and support the wider community, whether through participation in events and joint projects, or other forms of engagement. Tameside Citizens Advice General The main advice provision can be located at the Monday Clarence Arcade, Advice Bureau council offices in Ashton whilst other advice 09:30-12:30 Stamford Street West surgeries are available in other areas of the borough Tuesday Ashton-under-Lyne, and these can be found at 09:30-12:30 OL6 7PT - View on https://www.citizensadvice.org.uk/about-us/how-we- Wednesday Map provide-advice/advice/search-for-your-local-citizens- 09:30-12:30 advice/local-citizens-advice- Thursday details/?serialnumber=100476 9:30-12:30 Friday Services available: General support, Housing 09:30-12:30 support, Support for older people, Support for younger people, Health service advice, Employment Telephone Number advice, Benefit advice 0161-342-5005

Tameside Housing Advice General Tameside Housing Advice can provide you with help Monday 119-125 Old Street, Advice and advice on all aspects of housing, and help 09:00-15:00 Ashton under Lyne, resolve your housing problems. If you are in housing Tuesday OL6 7RL - View on difficulty or worried about your housing situation, the 09:00-15:00 Map most important thing is to get advice as soon as Wednesday possible. If you think you are, or about to become 09:00-15:00 homeless, contact us on 0161 331 2700. If you are Thursday in financial difficulties and having problems paying 09:00-15:00 your rent or your mortgage payments a referral can Friday be made to the council’s Debt Advice team who are 09:00-15:00 co-located at the Housing Advice office. Outside of these hours, if you have a homeless emergency and Telephone Number you are homeless tonight contact: 0161 331 2888 0161-331-2700

Tameside Welfare Benefit advice General Tameside Welfare Rights Service is a service Monday Clarence Arcade, Rights Service delivered by the council offering impartial advice for 09:30-12:00 Stamford Street Tameside residents on a range benefit and tax credit Wednesday Ashton-under-Lyne, entitlements. 09:30-12:00 OL6 7PT

The role of the service is to provide you with information to enable you to exercise your own rights, although in some circumstances we can offer representation at appeal hearings. Telephone Number 0161-342-3494 We have specialist Debt Advisors who can be accessed by a referral from Tameside Housing Advice. Applications for a service can be made via an online form (http://public.tameside.gov.uk/forms/f359welrights69. asp).

We also provide specialist benefits advice for Tameside residents on the Benefits Freephone Advice Line on 0800 074 9985 (Monday and

Wednesday 9.30am – 12.30pm)

See our website for further information.

Tameside Advice General We are a council run scheme that can help you set Monday Tameside Housing Resettlement up a new home by providing a furniture package and 09:00-15:00 Advice, 119-125 Old Scheme we can also pay rent in advance to a private landlord Tuesday Street if that is proving an obstacle to you getting resettled. 09:00-15:00 Ashton-under-Lyne, Wednesday OL6 7RL - View on If you are in a financial crisis and need money for 09:00-15:00 Map essential living items such as food, clothing or for Thursday gas and electric this scheme will not provide this. 09:00-15:00 Applications for help from the scheme need to be Friday made online via the Tameside Council's 09:00-15:00 Resettlement's scheme website. The Tameside Resettlement Scheme helps people. Telephone Number 0161-342-3465

Unlocking Potential Support Service General Unlocking Potential are a floating support service Monday Adullam Tameside, and we enable people to find and maintain 09:00-17:00 Unlocking Potential accommodation or move on from supported Tuesday Richmond Suite accommodation and develop independent living 09:00-17:00 Portland House skills. We will work with you to set small achievable Wednesday Ashton under Lyne, goals through our innovative coaching method. We 09:00-17:00 OL6 7BS offer engaging learning activities where you can Thursday meet new people and participate in volunteering and 09:00-17:00 employment related opportunities enabling you to Friday unlock your potential. 09:00-17:00

You can either self-refer to our service or be referred by another agency who knows you. A referral form Telephone Number can be found on Tameside Council's website. 0161-339-5450

Services available: General support, Housing support, Employment advice New Life Church New Life Church New Life Centre Thursday New Life Centre, St The Carpenter's We offer a drop in service, providing clothing and 16.00-18.00 James St, Ashton Arms (Charlestown toiletries. Telephone Number under Lyne. OL6 6SF United Reform Homeless 0161-339-1924 Church) and poorly Services available: Clothes, Toiletries Opening Times Charlestown United housed or Tuesday Reform Church, people Suitable for: All guests but priority is given to mainly 10:00-14:00 Alexandra Road homeless, poorly housed or lonely people. Ashton-under-Lyne, OL6 8LH

Tameside East Food Banks General Our foodbank works using a voucher referral system. Friday Dukinfield, St. John's Foodbank If you call or email our foodbank we can talk through 12.00-14.00 Church Centre your situation and put you in touch with a relevant On the RHS of church local agency. They will discuss your situation and Saturday building supply you with a foodbank voucher where 10.00-12.00 Vicarage Drive off

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appropriate. Agencies we work with include: Citizens Oxford Road Advice, housing support officers, children's centres, Dukinfield health visitors, social services and some local Telephone Number Tameside, charities. 0161-338-8199 SK16 5HZ

Services available: Food Banks Droylsden and Food Banks General Food Bank: Our foodbank works using a voucher Friday St Mary's Church, District Foodbank referral system. If you call or email our foodbank we 12.00-14.00 Church Street can talk through your situation and put you in touch Droylsden with a relevant local agency. They will discuss your Manchester, situation and supply you with a foodbank voucher M43 7BR where appropriate. Agencies we work with include: Citizens Advice, housing support officers, children's Telephone Number centres, health visitors, social services and some 0161-370-1569 local charities. Tameside South Food Banks General Our foodbank works using a voucher referral system. Monday St Mary's Church and Longdendale If you call or email our foodbank we can talk through 11:00-12:00 Hollingworth, Foodbank your situation and put you in touch with a relevant Market Street local agency. They will discuss your situation and Hollingworth supply you with a foodbank voucher where SK14 8NE appropriate. Agencies we work with include: Citizens Telephone Number Advice, housing support officers, children's centres, 07709098068 health visitors, social services and some local charities. New Hope Education We work on: literacy (reading and writing), numeracy Monday New Hope Ashton, (basic maths), cooking, art, and I.T. (basic computer 10:00-14:00 230 Stamford Street skills). Tuesday Central 10:00-14:00 Ashton-under-Lyne, The group is run with a friendly atmosphere, and we Wednesday OL6 7LJ have found that this warm and informal setting is the 10:00-14:00 secret ingredient which makes New Hope tick. Thursday 10:00-14:00 There are no fees. A meal is provided at midday, with a small contribution asked for refreshments.

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Services available: Education

Adullam Homes General Unlocking Potential enable people to develop Monday Adullam Tameside Housing independent living skills. We will work with you to set 09:00-17:00 Unlocking Potential, Association Limited small achievable goals through our innovative Tuesday Richmond Suite coaching method. We offer engaging learning 09:00-17:00 Portland House activities where you can meet new people. Wednesday Ashton under Lyne, You can either self-refer to our service or be referred 09:00-17:00 OL6 7BS by another agency who knows you. A referral form Thursday can be found on Tameside Council's website. 09:00-17:00 Telephone: 0161 339 5450 Friday 09:00-17:00 Services available: Training and workshops Telephone Number 0161-720-9804 UK Men's Sheds Men aged The events are free for men aged 55+. 40 members, Monday The Shed Tameside, Association 55+ many activities. Contact: Michael Barlow. Email: 09:00-15:00 Dukinfield, [email protected] or Telephone: Tuesday SK16 5AU 07984-037920 or 0161 368 4974 09:00-15:00 Wednesday Services available: Other Activities 09:00-15:00 Thursday 09:00-15:00

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Talk to Frank Advice General FRANK provides the following services for people Open 24 hours a who seek information and/or advice about drugs: day, 7 days a week

A website, a confidential telephone number, available 24 hours a day, an email, a confidential live chat service, available from 2pm-6pm daily, and Telephone Number service to locate counselling and treatment 0300 123 6600

Services available: Health service advice

Households Presenting As Homeless At Tameside Housing Advice

People who are homeless, or at risk of homelessness can present at Tameside Housing Advice Service to receive advice and support. This service undertakes an assessment to identify whether the household meets the statutory definition of homelessness. The data collected by Tameside Housing Advice Service has shown an increase in the number of households who have presented to their service as homeless.

Homeless Households in Tameside:

Tameside 2010- 2016- % 11 17 increase Households presenting as homeless 517 564 9.5 Households accepted as homeless 89 218 146 Households in temporary 223 560 151 accommodation

In the year 2017 to 2018 (up to 19 March 2018) the length of time from being accepted as homeless to discharge of duty due to the person obtaining/being provided with permanent accommodation was 15 weeks. There is no data available for the years 2015-16 nor 2016-17.

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Tameside Council’s Housing Register

Tameside Council does not have its own housing stock. Around 2000 they transferred their total stock. Jigsaw (formerly known as The New Charter Housing Trust) holds the majority of the housing stock which is around 15,000 properties comprising a mixture of stock.

Tameside Council has a very small housing register which is managed by Jigsaw under a contract. This housing register is targeted to those in extreme need. The Housing Allocations Policy is under review. Those placed in Band One are given one suitable housing offer which is in line with requirements.

Rent Arrears If a resident accrues rent arrears a 12 week plan is undertaken to reduce debt.

Voids Management Priority is given to increasing the turnover of the number of void properties and the number of void properties managed by the Registered Providers’ has reduced.

Tameside Housing Advice

Tameside Council commissions the Tameside Housing Advice Service from Jigsaw. To meet the new requirements of the Homelessness Reduction Act 2017 the staffing structure of this service has been reviewed and new generic job descriptions have been developed. There are 10 full time equivalent Prevention Officers and 3 new full time equivalent support officers. There is one Accommodation/Single Point of Access Officer and one Housing Support Officer working with clients who have been placed in temporary Bed and Breakfast Accommodation.

Supported temporary accommodation

Jigsaw provides 78 units of supported temporary accommodation for homeless households in their own tenancies. These are located at Gibson Terrace, Ashton, Lyne View, Hyde, and Waterton Lane, Mossley as well as dispersed locations throughout the borough. The services provide self-contained accommodation with support from staff on site at Gibson Terrace and visiting support at the other locations.

The accommodation caters for households of all sizes. A unit at Gibson Terrace is reserved for homeless 16 and 17 year olds, and 3 further dispersed units are reserved for homeless 18-25 year old care leavers.

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Lengths of stay are usually much shorter than non-statutory supported housing either because the household is placed on an interim homelessness duty which is later ended, or the household is on a full duty and the Council has a duty to identify and source permanent housing. Larger families may stay longer as it is more difficult to source appropriate housing for them.

The women’s refuge provides space for 17-20 households fleeing domestic abuse. The building is owned by Regenda and managed by Threshold (part of the Jigsaw Group). The building was purpose built as a refuge. It provides staff cover for 24 hours per day. The refuge is part of a wider integrated domestic abuse service that includes key workers, the provision of programmes for adults and children and the Independent Domestic Abuse Advocacy service for the borough.

Tenancy Support Services – homelessness prevention

Adullam Homes provide a tenancy support service for 35 people at any one time. This is targeted at people who have left the Council’s commissioned supported and temporary housing to help them to settle into their new homes and anyone in any form of tenure who is struggling to maintain their home. The service is available to people with a wide range of support needs and for people living anywhere within the borough.

One worker is designated to work with the Spotlight project for prolific offenders and another to work with Tameside Housing Advice with people rehoused into the private rented sector, another worker links with the Integrated Neighbourhood Service.

Adullam Homes also provide an accredited peer mentor training course that provides opportunities for service users to gain new skills and to support other people who are experiencing homelessness. They provide Ready, Steady, Tenancy – a course designed to assist people moving out of temporary and supported housing to prepare for the responsibilities of managing a tenancy.

Jigsaw provides Roots a specialist intensive support service for high risk offenders who are subject to Multi-Agency Public Protection Arrangements. Two workers provide intensive support and oversight of offenders and link directly to the National Probation Service and the Sex Offender Management Unit.

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Rough Sleepers

A grant agreement with Greystones enables the provision of 5 self-contained purpose built units of accommodation, as well as the provision of day time drop in service and a day time outreach service – to locate rough sleepers identified by other agencies and members of the public.

Cold weather provision is delivered within our core supported temporary accommodation, bed and breakfast establishments (for women) as a sit up service by Greystones and on camp beds in Ashton Fire Station. Security is provided at Greystones and the Fire Station by FSN Security. The owner of Greystones provides additional non-commissioned support.

The Greater Manchester Social Investment Bond project for entrenched rough sleepers has provided an opportunity for a new approach to rough sleepers. . Planning is underway to set up the Big Change Tameside with Street Support – as a means of encouraging members of the public to donate to homeless people via a controlled means, rather than give to people begging.

Other forms of support

 Tameside Resettlement Scheme is managed by Tameside Council. The scheme provides basic packages of household furniture to households moving on from temporary accommodation, out of institutions and other unsettled ways of life. It also provides a small number of rent in advance and removals costs.

 Tameside Council’s Debt Advice team is part of the Welfare Rights and Debt Advice service. Two officers are based in Tameside Housing Advice and provide debt advice to persons in rent arrears and represent tenants at court who are at risk of eviction. The cost of one of the officers is paid from Homelessness Prevention funds. It is being reviewed whether to increase the staffing of this team.

 The Sanctuary scheme run by Jigsaw provides security measures that enable people experiencing domestic abuse to remain living in their home, but safe from attack from the perpetrator. The scheme is available to people in all forms of tenure, not just New charter tenants. The Council contributes funds from homelessness prevention funding, the New Charter Housing Trust (part of the Jigsaw Group) supports it from its charitable arm and the scheme recharges other housing associations where measures are installed.

 Threshold Housing First – Tameside was successful in attracting funding from The Ministry of Housing, Communities and Local Government (MHCLG) DCG for a new scheme that will be provided in Tameside, Stockport and Oldham for people with complex needs and domestic abuse. Housing First provides access direct to tenancies with intensive support for as long as it is needed for people in housing need with complex support needs. The approach is based on an international evidence base.

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The Homeless - The Profile of Homeless People Presenting at Tameside Housing Advice in 2017/18

Age of Homelessness 2015-2016 2016-2017 2017-2018 Applicants % of 454 applications received % of 564 applications received % of 448 applications received during that year during that year during that year 16-24 22.02% 21.02% 21.00% 25-34 30.31% 29.31% 28.72% 35-55 40.53% 46.07% 43.82% 56-65 3.86% 2.02% 4.04% 65+ 3.27% 0.5% 2.34%

Gender Of: 2015-2016 2016-2017 2017-2018 (up to 19/3/18) Female Male Female Male Female Male Homelessness Main Applicant 177 277 228 336 201 269 Homelessness Acceptance Main 99 63 135 83 133 98 Applicant

Sexuality of Main Applicant 2015-2016 2016-2017 2017-2018 (up to 19/3/18) Not Provided 83.46% 45.03% 93%% Gay 0.4% 1.2% 0.17% Transgender 0.11% 0.35% - Heterosexual 15.94% 53.36% 6.83%

Main Applicant Disabled 2015-2016 2016-2017 2017-2018 (up to 19/3/18) Not Provided 9.40% 23.32% 36.91% Yes 20.38% 18.79% 18.99% No 70.21% 58.30% 44.10%

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Main Applicant Employed 2015-2016 2016-2017 2017-2018 (up to 19/3/18) Yes 16.75% 14.38% 16.50% No 83.24% 85.62% 83.50%

The table above shows which town the people presenting as Homeless at Tameside Housing Advice originated from. April 2017-March 2018

2017/18 town in which the person presenting originated from: April May June July Aug Sept Oct Nov Dec Jan Feb Mar Total

Ashton 173 272 279 283 241 237 250 241 161 246 191 237 2811 Audenshaw 15 9 10 20 20 19 32 31 19 18 21 12 226 Hyde 57 57 54 58 60 48 59 45 25 65 35 74 637 Denton 33 29 32 45 37 24 29 35 23 37 35 43 402 Dukinfield 21 26 6 24 37 23 28 32 19 24 23 14 277 Droylsden 32 30 26 34 38 50 31 27 16 32 27 38 381 Mossley 4 12 10 14 15 27 14 10 5 16 15 10 152 Stalybridge 42 27 24 29 27 43 38 24 13 42 28 36 373 OOB 17 17 26 16 40 27 37 24 23 26 41 20 314 NFA 59 73 71 77 65 77 96 81 76 83 159 68 985 6561

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Homeless Statistics for the period 1st April 2017 – 31st March 2018

1. Number of Households Prevented from Becoming Homeless

Number of Households Prevented from Becoming Homeless

2016/17 2017/18

243 227 238 219 217 208 192 155

Qtr 1 Qtr 2 Qtr 3 Qtr 4

The above graph indicates the number of homeless preventions completed between 1st April 2017 and 31st March 2018 with a comparison to the number of preventions completed for the same period in 2016-17 The number of homeless preventions completed decreased by 11% during 2017/18 when compared to performance in 2016-17.

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2. Demand

Demand

2016/17 2017/18

1730 1698 1555 1555 1422

980 1058 1003

Qtr 1 Qtr 2 Qtr 3 Qtr 4

The above graph illustrates current level of demand for the service from 1st April 2017 to 31st March 2018 with a comparison to the level of demand in 2016-17. Demand for the service increased by 47% during 2017/18. Telephone contacts are not included in this statistic.

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3. Homeless Decisions & Homeless Acceptances

Homeless Decisions v Homeless Acceptances

230 2017/18 469 Acceptances Decisions 218 2016/17 564

The above graph confirms the number of homeless applications triggered with the number of homeless acceptances during 1st April 2017 – 31st March 2018 with a comparison to the number of homeless applications triggered a number of homeless acceptances during the 2016-17. The number of homeless applications triggered decreased by 17% in 2017-18 when compared to number of homeless applications triggered during 2016-17. However the number of homeless acceptances as a % of the homeless applications during 2017-18 was 49%. The number of homeless acceptances as a % of homeless applications was 39% when compared to the same period during 2016-17.

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4. Reason for Homelessness

The top five reasons for homelessness during 2017-18:

 Other relatives or friends no longer willing or able to accommodate(1st)  Parents no longer willing or able to accommodate(2nd)  Violent breakdown of relationship involving partner/non –violent breakdown of relationship(4th)  Termination of assured shorthold tenancy(5th)  Required to leave accommodation provided by Home Office as asylum support (3rd)*

The above reasons confirm the main reason for homelessness for the period 1st April 2017 – 31st March 2018.

* the figure in brackets indicates the main reason for homelessness during 2016-17

5. Temporary Accommodation

Number of Placements in all temporary Accommodation

2016/17 2017/18

176 172 152 148 152 133 123 128

Qtr 1 Qtr 2 Qtr 3 Qtr 4

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The graph above confirms the number of placements into all types of temporary accommodation used by THA for the period 1st April 2017 – 31st March 2018 with a comparison to the number of placements within the same period during 2016-17. The number of placements within the period increased by 11% when compared to the same period in 2016-17.

The average length of time a household spent in temporary accommodation that were assessed and owed a duty for the period 1st April 2017 to 31st March 2018 was 15.45 weeks. When compared to the average length of time spent in temporary accommodation during the same period in 2016-17 this is a decrease of 2.35 weeks.

6. Single Point of Access

Single Point of Access Referrals v Acceptances

Series1

158 151

60 57

2016/17 2016/17 2017/18 2017/18 Referrals Acceptances Referrals Acceptances

The above information illustrates the number of referrals received for supported housing commissioned by Tameside Metropolitan Council and the number of placements into supported housing during the period 1st April 2017- 31st March 2018 with a comparison to same period during 2016-17.

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7. Hospital Discharge project

Hospital Discharge Project

2016/17 2017/18

64 59 55 57 56 47 41 32

Qtr 1 Qtr 2 Qtr 3 Qtr 4

The above graph indicates the number of referrals to the project within the period during 2017-18. When compared to the number of referrals received in the same period during 2016-17 this was an increase of 13%.

During 2017-18 there was an increase of 29% of referrals from hospitals outside of the Borough when compared to the number of referrals from outside the Borough during 2016-17.

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8. Cold Weather Provision

Period covered 29/11/2017 – 31/03/2018

Number of occasions 37 separate nights triggered

Number of placements 414 made available

Number of non- 64 arrivals/cancellations

Fire Station 167

Greystone 182

Gibson 42

Bed & Breakfast 23

Total 414

Tameside Council make additional provision available during cold weather, in line with national guidelines. The Council, via Tameside Housing Advice arranges for emergency accommodation on a night by night basis for people who have nowhere to stay and who would otherwise sleep rough that night. The emergency accommodation is provided via a sit up service for single males in the lounge of a local supported housing scheme that is provided by Greystones Ltd. The sit up service can accommodate up to six males, so once this is full then hotels and bed and breakfast establishments are used. Females are usually accommodated in local hotels or bed and breakfast establishments. During the winter 2017-2018 THA utilised the community room in a fire station in Borough. This was a valuable resource in addition to the accommodation used at Greystone

The service is provided through a Cold Weather Protocol (CWP) and is only activated when the temperature is forecast by the National Met Office to reach zero degrees and below, usually during the time period 1 December to 31 March.

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The above table indicates the number of occasions additional provision was made available and the number of placements arranged.

Rough Sleeping in Tameside and in Greater Manchester

The government reported the national rough sleeping figures on 25 January. This data was obtained from local authority counts and estimates undertaken in November 2017. This showed a total of 4751 people identified as sleeping rough in England, an annual increase of 15%. In Greater Manchester, the comparable figures were 278 individuals and an annual increase of 41%. The GM and national picture is outlined in the following tables:

Table 1 – Rough Sleeping Data for GM

2010 2011 2012 2013 2014 2015 2016 2017 Change

Bolton 2 1 1 1 4 8 8 17 750% Bury 3 9 3 10 0 9 3 10 233% Manc 7 15 27 24 43 70 78 94 1243% Oldham 1 0 1 2 0 2 3 2 100% Rochdale 5 5 8 6 17 2 12 8 60% Salford 4 11 10 7 14 16 26 49 1100% Stockport 1 0 4 3 7 9 10 10 900% Tameside 9 7 0 2 7 14 19 43 111% Trafford 3 1 2 2 2 1 2 5 67% Wigan 6 11 15 13 7 3 28 30 400% GM 41 60 71 70 101 134 189 278 578%

The proportion of English rough sleepers from GM has nearly trebled since 2010 and the rates of increase in GM consistently and significantly outstrip the increase in England as a whole. In GM overall, 78% of identified rough sleepers are from 4 boroughs -Manchester, Salford, Tameside and Wigan.

Eliminating rough sleeping is a priority for the Greater Manchester mayor and extensive activity has been undertaken to tackle this issue. Access to emergency bed spaces has been increased across Greater Manchester and the response to Cold Weather Provision has been

116 developed to provide a more coordinated approach. During the winter of 2018 there has been an unprecedented number of referrals into accommodation during cold weather. In April 2018, an evaluation is being undertaken of the response to winter/cold weather provision and the learning from this will be used to form recommendations for further improvements.

Table 2 – Rough Sleeping Data for England and GM

2010 2011 2012 2013 2014 2015 2016 2017 Change England Total 1,768 2,181 2,309 2,414 2,744 3,569 4,134 4,751 169% % Annual N/A 23 6 5 14 30 16 15 N/A change GM as % of 2.3% 2.8% 3.1% 2.9% 3.7% 3.8% 4.6% 5.9% N/A England

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Who is Sleeping Rough in Tameside? A profile of rough sleepers in Tameside; numbers, support needs and demographics; Category Detail Numbers/description Street Count Estimate/ Count in 2017 43 2017 Previous count/estimate in 19 2016 Person Specific Gender Male 39 Female 4 – at the street Ethnicity count Age 16 – 25 - 25 – 59 - 30 60+ 0 4 Nationality/Immigration status UK 34 EU 4 Other 1 Entrenched/revolving door Over 40 referred to GM entrenched rough sleepers project Short term/intermittent 5 Misc. couples, pets etc. 2 couples Not known (with reasons why) Age not known of 9 people Primary Support Drugs/Alcohol 7 linked to services Needs of above Mental Heath 10 known to secondary mental health services (as far as is Other Health known) Institutional history (care, 7 (offenders) prison, armed forces) Area Local Connection to your LA 39 Connections of England above UK (other than England) NON- UK 4 Not known Service plans How many have a Single Most have been referred to Entrenched Rough Sleepers Project for above Service Plan/Multi Agency Plan in place

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In addition to the people identified above, how many additional people slept rough or were prevented from sleeping rough in your local area during September to December 2017? Cold weather numbers indicate higher numbers of rough sleepers than those captured in estimate.

The team have collated the data on cold weather placements, referrals to the entrenched rough sleepers' project and all persons identified for the estimate (including those that were not submitted as we could not meet the verification standards per the guidance).

This provides a figure of 131 individuals, including: 2 couples 13 women 59 unknown date of birth 8 aged 21- 25 23 aged 23 – 40 33 aged 40-50 8 aged 50-58 No over 60s

43 referred to GM Entrenched rough sleepers project (SIB)

7 have had applications for assistance under local welfare provision approved – this includes 5 who were supported via the SIB

Any other relevant information on rough sleeping in your area (e.g. particular local challenges, causes or concerns)

Cold weather arrangements in place between 29 November and end of March 2018 414 placements made of 84 individuals.

Lack of supported accommodation – funding was cut in 2016 by 60%

No local assertive outreach

Limited targeted resources

Limited accommodation dedicated to rough sleepers

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Homeless Young People Aged 16-24 Years

The table below shows the number of young people aged 16-24 years who are homeless and have:

A - approached the council for help with issues surrounding homelessness

B - been formally assessed for homelessness by the council

C - have been accepted as being officially homeless by the council

A. approached the council for help B. formally assessed for Age C. been accepted as being Calendar with issues surrounding homelessness by the group officially homeless by the council Year homelessness council

2018 16-24 224 224 146 (65.2%) 2017 16-24 143 143 63 (44.1%) 2016 16-24 147 147 68 (46.2%) 2015 16-24 81 81 25 (30.9%) 2014 16-24 39 39 8 (20.5%) 2013 16-24 51 51 9 (17.6%)

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Appendix D: Links with Key Strategies

Factors linked to The Strategies/Plans homelessness Deprivation, Worklessness, Our People, Our Place is a Greater Manchester Plan written by all 10 councils, the Mayor, the NHS, Low Skills Levels and Child transport, the police and the fire service, with help from businesses, voluntary, community and social Poverty enterprise organisations, and members of the public.

The plan explains our ambitions for the future of our city-region and the 2.8 million of us who live in the towns, cities, communities and neighbourhoods that make up Greater Manchester. It covers health, wellbeing, work and jobs, housing, transport, skills, training and economic growth.

https://www.greatermanchester-ca.gov.uk/ourpeopleourplace Greater Manchester Homelessness Action Network Strategy https://www.greatermanchester-ca.gov.uk/media/1234/homeless-action-network-strategy.pdf

The Greater Manchester (GM) Pledges, the GM 10 Year Preventing Homelessness Strategy and the GM Ending Rough Sleepers Strategy

Corporate Plan for Tameside and Glossop Strategic Commission Tameside Council and NHS Tameside & Glossop CCG have come together to form one organisation – Tameside & Glossop Strategic Commission. We have developed together a new corporate plan that reflects the priorities and guiding principles for our joint work in the area. This is the first corporate plan to pull together the objectives of the Strategic Commission.

‘Our People Our Place Our Plan’ outlines our aims and aspirations for the area, its people and how we commit to work for everyone, every day.

The plan is structured by life course – Starting Well, Living Well and Ageing Well, underpinned by the idea of ensuring that Tameside & Glossop is a Great Place, and has a Vibrant Economy. Within each life course we have identified a set of goals that set out what we want to achieve for people in the area throughout their life.

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Factors linked to The Strategies/Plans homelessness https://www.tameside.gov.uk/corporateplan . This Plan supports the delivery of the Council’s vision The Council as a representative body, exists to maximise the wellbeing of the people of the borough:

 Supporting economic growth and opportunity  Increasing self-sufficiency and resilience of individuals and families  Protect the most vulnerable.

Poverty Strategy Skills Strategy Volunteering Strategy Working Well Strategy Universal Credit-Roll Out Tameside Core Strategy Skills and Employability Strategy Draft Investment Framework Tenancy Strategy

Equality Tameside’s One Equality Scheme which sets out our equality objectives as a Strategic Commission (Council and CCG).

https://www.tameside.gov.uk/TamesideMBC/media/policy/OneEqualityScheme2018-2022.pdf

Health and Wellbeing The Joint Strategic Needs Assessment Housing The Health and Wellbeing Strategy

Adult Mental Health Strategy

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Factors linked to The Strategies/Plans homelessness Disability Strategy

Active Tameside

Parenting Skills Strategy

Empty Homes Strategy

Private Sector Renewal Strategy

Housing Investment Strategy

Allocations Policy

Domestic Abuse Tameside Domestic Abuse Strategy 2016-2019 (https://www.tameside.gov.uk/domesticabuse/DomesticAbuseStrategy2016-19.pdf). Justice Greater Manchester Police and Crime Plan

Young People Child and Adolescent Mental Health (CAMHS) Strategy

“Looked After” Children Tameside’s Local Offer to Care Leavers

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Appendix E –Housing Needs Assessment

Housing Needs Assessment

Response Document

Tameside Council

February 2018

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Table of Contents 1. Introduction ...... 126 2. Areas for policy consideration and further work...... 127 Population growth and new housing provision ...... 127 Key messages ...... 127 Recommended action by the Council ...... 127 3. Diversifying the current housing offer ...... 130 Key messages ...... 130 Recommended action by the Council ...... 130 4. Creating a higher value offer ...... 133 Key Messages ...... 133 Recommended action by the Council ...... 133 5. The private rented sector ...... 135 Key messages ...... 135 Recommended action by the Council ...... 135 6. Delivering new affordable housing ...... 137 Key messages ...... 137 Recommended action by the Council ...... 137 7. Delivering for an ageing population ...... 140 Key messages ...... 140 Recommended action by the Council ...... 140 8. Responding to poor quality housing and potential vulnerability ...... 143 Key messages ...... 143 Recommended action by the Council ...... 143 9. Summary of recommendations ...... 145

This report takes into account the particular instructions and requirements of our client. It is not intended for and should not be relied upon by any third party and no responsibility is undertaken to any third party. arc4 Limited accepts no responsibility or liability for, and makes no representation or warranty with respect to, the accuracy or completeness of any third party information (including data) that is contained in this document.

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1. Introduction

1.1 This report complements the Housing Needs Assessment 2017 evidence base recently prepared for Tameside Council and recommends a series of policy and practical responses that the Council need to implement to address the key strategic findings. 1.2 The report is structured around a number of the key findings within the evidence base and uses the data sources within it. The paper is not designed to develop solutions and options for all of the housing priorities within the Borough but focuses on a smaller number of significant elements within the evidence base that require strategic intervention from the Council. The Housing Needs Assessment did not include the GTAA update. This is being undertaken as part of the Greater Manchester Partnership 1.3 arc4 would be pleased to discuss any of these ideas in further detail.

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2. Areas for policy consideration and further work

Population growth and new housing provision Key messages

2.1 The following demographic drivers will continue to underpin the operation of the Tameside Housing Market Area: 2.2 An increasing population size overall during the forecast period, with a projected 7.4% increase (16,400 additional people) between 2017 and 203916; 2.3 There is a projected increase in the 15-29 years age cohort of (3.5%) and most notably an increase of 96.9% in the 80+ years age cohort; 2.4 The 2017 Household Survey indicates that the following range of household groups currently live in Tameside: singles under 65 (6.2%); couples (under 65 with no children) (23.1%); couples with children under 18 (23.7%); couples with adult children (8.8%); couples 65 or over (10.7%); singles aged 65 or over (8.9%), lone parents with children under 18 (8.4%); lone parents with adult children (5.0%) and other household types including students (5.2%). 2.5 The delivery of new build housing (all tenures) has fluctuated since 2006/07. The highest number completed was in 2007/08 (789) and the lowest was in 2009/10 (253). The average over the ten-year period was 444 completions. This compares with an annual target of 650 dwelling completions.

Recommended action by the Council

2.6 The Council needs to ensure that its delivery is increased and there is a need to diversify the housing offer. 2.7 Whilst there is a need to deliver a range of housing offers in different locations to ‘better balance’ some markets, the Council needs to ensure that housing supply is achieved and should consider its role in delivery in the future to create a revenue stream from development in the future. 2.8 The strategic question is what the Council must do to bring forward housing supply and ensure that the right type of housing is delivered. 2.9 Housing delivery has undergone a fundamental shift since 2007 and there are many new models of funding and delivery that are being implemented elsewhere. The Council will need to learn from these models if it is to be successful in delivering the planned housing and affordable housing numbers with the right housing mix. 2.10 Elsewhere, Local Planning Authorities are working closely with funders, developers and others to create new funding sources and delivery models. Innovative solutions are needed to bring more money into the system - and to reduce costs - and the

16 According to ONS 2014-based sub-national population projections

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Council will have to be prepared to think radically, to form effective partnerships and to maximise the efficiency of funding and development. 2.11 The Council should consider new ways of delivering housing supply, which can include: 2.12 Council led approaches whether directly or through a wholly owned subsidiary or joint venture vehicles which enable the Council to take risk and profit from development. A development company that can deliver new development without the need for a developer (usually 20%) profit can have a significant impact on delivery and in particular on the type of development that can be achieved.

Wakefield MBC and WDH have worked in partnership to establish Bridgehomes Yorkshire. Bridgehomes is a private LLP, completely brand blind from the council or association and acts as a developer in Wakefield.  Wakefield MBC was having significant problems with viability on a number of sites, particularly when developers required a 20% profit level; added to this, the Council was dissatisfied with the quality of property that was being built.  This is the reason Bridgehomes was established. Acting as a developer it buys land from the Council at market rates and develops it out as a developer would. However, the developer does not need to make a profit, only cover its costs which are particularly low because it only employs one person. Other services are provided (without charge) by the Council and WDH. The one employee is from a commercial development background.  Both the Council and WDH jointly contributed £5m to establish the company. If profit is made, it is reinvested into Bridgehomes or is distributed between the Council and WDH through a legal agreement.  The company has delivered one site and will start two more soon. The full 30% affordable housing required by Wakefield MBC is being delivered and the quality of the homes are superior to those being developed elsewhere in the borough. The developer is focusing on delivering the type of units required by the Council rather than those preferred by developers and profit is being reinvested into the company so that other types of development such as specialist older person housing can be delivered with subsidy in the future.

2.13 Other approaches include:  Taking the opportunity as the public-sector contracts (e.g. by rationalised NHS and LA neighbourhood facilities) and as town centre retail uses decline, to re- vision the use of land and assets to create new housing opportunities. This would include dedicated resources to create sites including detailed examination of public sector and social landlord held assets and land to explore radical options for creating new sites. this could be funded through the homes eventually delivered.

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 Accessing less familiar forms of funding where Governments/banks no longer provide it, such as New Homes Bonus, prudential borrowing and the new funding announced in the recent budget which includes a total of £15.3bn of new capital funding, guarantee and loan based funding including £8bn of guaranteed debt funding, £400m for estate regeneration and £1.1bn on unlocking strategic sites.  Engaging with key housing associations to explore how they might grow their market and non-market offer in the light of the Government plans for a new generation of council and housing association homes. Funding for affordable homes will be increased by a further £2 billion to more than £9 billion. The numbers of homes will be determined on type and location of housing, and bids received for funding. With a typical £80,000 subsidy, this £2 billion investment can supply around 25,000 more homes at rents affordable for local people.  Developing a Housing Fund to target development utilising S.106 contributions, sale of assets etc. Tameside should consider developing a ‘Housing development fund’ by consolidating funding from several sources including the £300m GM fund use this to invest strategically to create the mix of housing types, sizes, tenures and affordability required. Funding could include prudential borrowing, new homes bonus and commuted sums.  Maximising self-build opportunities/custom build.

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3. Diversifying the current housing offer Key messages

3.1 In terms of dwelling stock, the 2017 Household Survey reports that, across the Tameside Metropolitan Borough area:  81.5% of properties are houses, 11.8% are flats/maisonettes, 6.0% are bungalows and 0.7% are other property types (e.g. park homes or caravans);  7.3% have one bedroom/bedsit/studio, 32.0% have two bedrooms, 46.4% have three bedrooms and 14.4% have four or more bedrooms;  15.7% of properties were built before 1919, a further 18.4% were built between 1919 and 1944, 23.4% between 1945 and 1964, 20.7% between 1965 and 1984, 14.4% between 1985 and 2004 and 7.4% have been built since 2005; and  72.7% of properties are owner-occupied, 12.3% are private rented (including tied accommodation and student lets) and 15.0% are affordable (including rented from a social landlord and intermediate tenures). 3.2 The current offer is focused around 2 and 3-bed properties with very few smaller and larger properties and although overall the percentage of terraced property is far lower than in the other authorities in the NE HMA for Greater Manchester, some property types are disproportionately represented in some locations and a ‘better balance’ in terms of property type, size and tenure is required. 3.3 This analysis of the 2017 Household Survey findings suggests that on the basis of household aspirations (likes), demand for the delivery of 3 and 4+-bedroom houses is highest. 3.4 Agents confirmed that the greatest demand is for detached and semi-detached houses with 3 or 4-bedrooms and gardens, and across the area demand generally exceeds supply. Overall, there is pressure on all types of larger family housing (3- bedrooms +), and in most areas there is an excess of demand for 4-bed properties (exceeding supply). There is good demand for all property types across the borough, however, some agents, as in other popular areas, perceive there may be a difference between what buyers want and what is available, maybe leading to a situation where properties sell quickly because they are available rather than popular.

Recommended action by the Council

3.5 If the Council funds or delivers housing directly, it is more able to deliver the ‘type of housing’ required in each location. 3.6 Identifying what is required where, is the starting point for Tameside and we are recommending that housing plans are created for the individual and distinct towns that are located across Tameside. 3.7 These housing plans will explain how new housing development will, over time, change the housing make-up in each location, and in doing so, how it will contribute to developing the role and identity of that place. The plans should pay regard both to

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the viability of developing the planned mix of homes and to certain policies within the GM Strategy including:  where appropriate, to develop higher density homes around the tram and train hubs;  to bring a broader range of homes and households to town centres;  to support development of suburban areas as attractive locations to attract a highly skilled workforce17. 3.8 Each ‘housing plan should:  set out both (1) the current and (2) future target mix of type, size, tenure and affordability of homes relative to local incomes, together with any non- traditional residential forms envisaged;  set out the contribution that the future target mix for that place will make to ensuring that no household has to pay more than 30% of their household income on housing costs – taking into account lower quartile earnings data for Tameside (this is a commitment in the Greater Manchester Strategy 2017). It is expected that parts of the borough that are currently least affordable will make a larger contribution to achieving this commitment than those parts that currently have higher levels of affordable homes;  set out the number of new homes of each type, size, tenure and affordability (income) required in order to move from the current to the new position;  provide a description of the types of households that are likely to live in the new homes including their contribution to the economies of Tameside, GM and wider NW;  explain how this mix of new homes, the people who live in them and any other local development and infrastructure will create a better balance for the market. 3.9 The borough needs more smaller homes and the Council should embrace innovation. 3.10 In particular the ‘sharing economy’ is growing, enabled by digital technologies, and more people are considering sharing their space. For example, older people occupying larger homes sometimes take lodgers, both to supplement their income and often for company too. Co-living, where young people live ‘independently together’ having their own private space as well as shared facilities, is becoming more popular: https://www.thecollective.co.uk/coliving/old-oak, as is co-housing which is similar but with a different balance of private and shared space. 3.11 In addition to looking at sharing possibilities we will explore new concepts such as:  Self-build options – in which people commit to a number of hours of ‘sweat- equity’ and work alongside our house-builders to build their homes, learning construction skills along the way;  Community Land Trust – The Council most pro-actively develop sites that are suitable for CLT development

17 GM Strategy 2017 s8.6 and s8.7

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 Co-operative housing; and  Custom-build.-Whilst the Council holds a list, this requires proactive management to market its potential, encourage applicants and provide advice and support to bring homes forward. These homes are likely to for part of a higher value offer.

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4. Creating a higher value offer Key Messages

4.1 Of households moving, most would like to move to a house (83.3%), 9.7% would like to move to a bungalow, 4.6% to a flat and 2.4% to other property types. This compares with 90.4% who expect to move to a house, 0.8% to a bungalow, 7.2% a flat an 1.7% to other property types. A high proportion would like to move to a detached house (40.9%) but only 21.5% expect to. In contrast, higher proportions expect to move to a semi-detached house (44.4%) than would like to (30.4%). 4.2 Future development should focus on delivering to address identified mismatches, to reflect household aspirations and to take account of density and making the best use of land. 4.3 Whilst it is very positive that Tameside offers an affordable housing market, with excellent connectivity to other surrounding locations, 70.8% of moves within Tameside are from households already in Tameside; this makes it a self-contained housing market. 4.4 Attracting and retaining higher incomes earners is likely to require an improved and better choice of housing. 4.5 Although it is difficult to define executive housing, distinctive features include:  High property values linked to desirable locations, with high incomes/equity required to support the purchase; and  High quality construction including exterior and interior fittings. 4.6 The Household Survey can be used to explore the housing options being considered by higher income groups Although the executive housing market is a niche market, reviewing the housing aspirations of high income groups is an appropriate way of investigating the potential demand for executive housing.

Recommended action by the Council

4.7 This potentially requires further work. 4.8 The Council needs to create this offer and needs to define what the higher value offer looks like, its value and location. Often only small numbers are built per development, but could form part of a custom build programme. The 2017 Household Survey identified 83 households planning to move in the next five years who would like to move into a self-build property. The Household Survey identified the characteristics of households considering self-build:-  All were owner occupier households;  All were couples under 65;  All were on incomes of over £950 per week;  Mainly aspired towards 2 bedrooms.

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4.9 Income levels are of a scale to warrant a much higher value offer and this could be in part supported through self/custom build

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5. The private rented sector Key messages

5.1 According to the Household Survey 2017, the private rented sector accommodates around 14.2% (14,916) of households across Tameside. Of these households, 13,389 rent unfurnished properties, 1,041 rent furnished accommodation and 487 rent with their job (tied accommodation). 5.2 Most private rented properties (75.1%) are houses (of which 47.7% are terraced, 23.5% are semi-detached and 3.9% are detached); a further 21.2% are flats/maisonettes, 3.1% are bungalows and 0.6% are other property types. 7.4% of privately rented properties have one bedroom/bedsit, 50.4% have 2 bedrooms, 35.1% have 3 bedrooms and 7.0% have 4 or more bedrooms. 5.3 The evidence presented in the HNA suggests that one of the key main policy areas that require special attention from both a planning policy and social policy perspective, is the challenge of driving up the quality of the private rented sector and increasing the sustainability of tenancies. 5.4 Letting agents told us that the rental market in Tameside has grown considerably over recent years. The volume of properties available for rent has increased through greater interest from investors (especially buy-to-let investors). There is a good supply of all types of rental properties which are in high demand in all of the towns in the Borough. Agents felt that rental demand looks likely to continue to be very strong. However, more recently, there has been a slowing down of investor activity which agents believe has removed some competition for first time buyers, and maybe explain the reporting by agents that first time buyers are more able to purchase properties at up to £250k. 5.5 Zoopla data confirms that median rents have increased during the seven-year period, from £494 per month in 2010 to £524 per month in 2016. Lower quartile rents have also increased, from £446 pcm in 2010 to £477 pcm in 2016. This remains a lower value offer. 5.6 The characteristics of private sector tenants are diverse and in particular the private rented sector in Tameside accommodates singles under 65 (5.2%), lone parents (21.5%), couples (no children) (27.4%) and couples with children (35.4%). 5.7 Agents report some concern, however, at the proposed ban on up-front fees, which it is felt could affect the quality of property coming onto the market, as agents may pass the cost onto the landlord who will either raise rents or reduce the amount spent on property maintenance.

Recommended action by the Council

5.8 Further work and commitment is required to identify:  The gaps in provision and the potential locations for new provision.

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 The appetite for developer and investment interest and how this might link to wider development and investment across the area.  A management model and rental offer that meets the needs/demands of this client group; likely to include longer tenancies and stable and predictable rent levels.  Registered Provider appetite for delivery and management of this sector.  The potential to attract institutional investment and potential GM funding; whilst work has been undertaken we are unclear of the progress made. 5.9 The Council should consider this agenda within a Greater Manchester approach; the private rented sector is recognised at GM level as being a strategic tenure, that needs to be well managed and to grow. Quality is a central theme and there is to be a GM led approach to delivering an ethical letting agency between RPs. 5.10 Tameside must consider and work toward the commitments made in the line with the GM Strategy which says:  We will also work with private landlords and tenants to improve the standards of housing in the private rented sector. Improving the quality of private rented stock can have a major impact on the sustainability of a local area, making it a neighbourhood of choice where people want to live. (s8.11)  A core principle running through all our housing policy is that nobody should live in unsafe housing – owner-occupier, private rented, or social rented – and Greater Manchester partners will work together to ensure all our housing stock is safe. Good quality housing is a key factor in ensuring the health and wellbeing of the population and a new Health and Housing programme will target improvements in poor quality housing which is detrimental to resident health. (s8.11) 5.11 Tameside must continue to:  Meet its legal requirements with respect to licensing Houses in Multiple Occupation and responding to complaints under the Environmental Protection Act;  Maintain an up to date stock condition survey to get a detailed understanding of where the problems are in the Borough and what type of problems they are;  Encourage developers who build new homes for private rent to engage Registered Providers as managing agents in order to provide a professional landlord service to tenants;  Continue to work and expand their landlord forum to solve any problems found or to employ legal powers as appropriate (including new ones in the Housing and Planning Act 2016) to tackle poor landlords who have committed particular housing offences.

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6. Delivering new affordable housing Key messages

6.1 The scale of affordable requirements has been assessed by taking into account the annual need from existing and newly-forming households within each ward and comparing this with the supply of affordable (social/affordable rent and intermediate tenure dwellings). The overall gross need for affordable housing is 1,811 dwellings each year. However, when the likely annual affordable supply is taken into account, the overall net imbalance is 421 affordable dwellings each year. 6.2 In terms of the size of affordable dwellings required, the analysis indicates a need for 35% smaller one and 2-bedroom general needs, 53.4%, 3 or more bedroom general needs and 11.6% older person dwellings. These proportions should be sought on new schemes but this may not always be possible. T is recommended that:  The proportions are delivered across a wider programme of delivery  That the size of units is linked to existing local provision  Where the Council is unable to negotiate these proportions, the Housing Investment Fund is utilised to subside viability as required. Creating the right size of property is essential 6.3 A tenure split of 63.9% social/affordable rented and 36.1% intermediate tenure is suggested. 6.4 It is apparent that demand for affordable housing remains strong. However, the 2017 household survey confirms that 22.4% of homes in Tameside are affordable and that in some local markets this figure is much higher. In Denton South for example, affordable housing makes up 36.1% of all tenures with very small levels of owner occupation (54.1%). In some locations, affordable housing provision is as low as 9.1% (Hyde Werneth).

Recommended action by the Council

6.5 Whilst new affordable need has been identified, the solution should not simply focus on providing more affordable housing in all locations. Instead, we are proposing a more flexible use of affordable housing; not only based on viability but also based on existing provision. There are some locations that do not require more affordable housing to be provided. 6.6 The Housing Needs Assessment has established an annual imbalance of affordable housing. The number of affordable dwellings to be delivered would be subject to economic viability and the local market. However, based on studies elsewhere we would be recommending around 10-15% of new dwellings should be affordable. This will help to offset affordable need and also support tenure diversification across Tameside. We are recommending that the priority is for on-site provision based on current affordable housing definitions. However, where a local market already has provision in terms of numbers/property type and size, the policy will provide for:  Off-site commuted sum;

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 If need can be proven, temporary affordable housing provision;  Alternative products. 6.7 The proposal is designed to maximise the products available for those in housing need and to extend that definition to squeezed middle households whose needs are very real but whom have higher income levels; too high to ever access affordable housing. 6.8 It is recommended that the affordable housing that is negotiated on site is redefined to include a wider definition that includes affordable housing for rent delivered in perpetuity but extends to enable negotiations to deliver alternative products within the requirements. Whilst this will require additional evidence and updated planning documents, the proposed products include:  Traditional affordable rented products;  Shared ownership;  Affordable rented housing units on a time limited basis; say 10 years and then reverting the properties to a higher rental market/sale;  A sub market rent product (95%), higher than affordable rent but lower than market rent levels, potentially focused around higher value markets such as Stalybridge. 6.9 Generally, where new affordable housing need is identified, the Council must take a more innovative approach to ensure that affordable housing is delivered in the future. This should consider:  Maximising opportunities to access increased funding from Homes England.  Allowing affordable housing contributions to be made in the form of funding for households to buy properties in the existing housing market or elsewhere out of the Borough.  The Council could consider the option of delivering affordable rented housing units on a time limited basis; say 10 years and then reverting the properties to a higher rental market/sale. This is likely to enable schemes to improve their financial viability and potentially provide an opportunity for other forms of investment, particularly around the institutional investment.  Developing land packaged sites that link good quality sites with more challenging sites to bring new schemes forward.  Identifying the potential to create new delivery models such as the Community Land Trust model or co-operative and self-build options. 6.10 The Council is trying to deliver new affordable housing and regeneration with limited financial resources and creating a Housing Investment Fund would enable the Council to have increased flexibility to deliver its wider housing agenda. 6.11 The Housing Investment Fund would fund affordable housing, regeneration priorities and to fund access products to homeownership.

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6.12 The Housing Investment Fund would be used as investment funding and financial returns would be required, but with returns lower than commercial rates of return. As the fund grows and the Council expands its expertise, the fund may be used to purchase land and the Council acts as a profit-making developer. The potential sources of funding include:  All future New Homes Bonus;  Funding from Commuted Sums;  Prudential borrowing as agreed by the Council;  The sale of land or assets (buildings) owned by the Council.

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7. Delivering for an ageing population Key messages

7.1 Tameside has a burgeoning older population. The number of people aged 65 and over is projected to increase by 30.2% (19,000 additional people), with the proportion of the total population aged 65 and over increasing from 17.8% of the population in 2017 to 24.5% of the population in 2039. 7.2 The proportion of the total population aged 80 years and over is projected to increase from 4.3% in 2017 to 7.9% in 2039. 7.3 The 2017 Household Survey identifies that the majority of older people (61.3%) want to stay in their own homes with help and support when needed. Renting sheltered accommodation (22.7%) and renting from a housing association (21.6%) were the most popular alternative options. 7.4 A key challenge for the Council is to ensure a greater diversity of support services are made available to older people wanting to stay in their own home and develop funding mechanisms to achieve this. Particularly noted is the need for help with practical tasks and repairs and maintenance. 7.5 Additionally, the range of housing options available to older people needs to be diversified, for instance through the development of open market housing marketed at older people and the development of sheltered housing, Extra Care accommodation and co-housing. 7.6 In terms of adaptations, of those aged 65 years or older, 10.6% said that they will require a stairlift, 6.3% said that they would require adaptions to access their property and 5.2% said that they will need a wheelchair (either now or within the next five years). It is recommended that the Council considers an appropriate policy response to ensure that new developments for older people are designed to standards that provide appropriate levels of accessibility. 7.7 National data suggests that around 3.3% of households contain at least one wheelchair user18. 7.8 Currently, around 5% of dwellings across the Borough were either purpose-built or adapted for someone with a long-term illness, health problem or disability. This would be reasonable to suggest that at least 5% of dwellings should be built to support people with disabilities.

Recommended action by the Council

7.9 There are major implications of an ageing population that the Council needs to consider and plan for. The increase in the numbers of older people and the fact that those people are living longer in itself poses a significant challenge. Alongside this is a clear message from Government about the key role that housing plays in

18 DCLG Guide to Disability Data March 2015

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maintaining people’s independence, health and well-being, placing older persons housing high on the policy agenda. 7.10 Stakeholders identified the need for new older persons accommodation as a high priority including much needed provision of new, specialist accommodation. Whilst this is likely to be the case, older people are living longer, and generally prefer to do so in their own homes before seeking specialist accommodation and the Council should consider a range of possible actions.  Housing options that enable older people to right size and free up equity and larger family housing; potentially offering financial incentives around support to move etc. Agents confirmed that across the borough there is also substantial and continuing demand from older people for properties to ‘downsize’ with preferences being for bungalows rather than flats. This may require additional work to consider a compromised solution; building large numbers of bungalows is unlikely to be a viable option.  The Council could consider partnering with a housing association to develop a product for older people that enables older owners the opportunity to access an ethical equity release product on their existing home. The equity released could be used to invest in a long-term care package or to pay for ongoing maintenance and repairs.  Extending the reach of Home Improvement Agency services to encourage efficiency, innovation and social enterprise in service design and to ensure that the Green Deal works for older people.  Consider the wider social and environmental impacts of growing old, particularly those associated with loneliness and feeling safe, and work across housing, health and social care to develop age inclusive communities.  The potential to support the development of innovative solutions, such as Homeshare. Where older people are under-occupying homes, the Council should offer a ‘vetting’ and management service for older people prepared to offer a room for rent to young people, particularly those affected by the increased age of the single room rate. This has a number of benefits; it offers additional good quality accommodation to the Council without significant capital investment and enables older people to access additional income, security and support whilst remaining in their homes.  However, the increase in ‘older’ old people is very substantial and there will certainly be a requirement for specialised housing provision for some people and the Council will need to explore the feasibility and economic benefits of new housing options models. The Council may wish to consider a more detailed review of the housing needs of people over 75.  Additionally, the range of housing options available to older people needs to be diversified, for instance through the development of open market housing marketed at older people and the development of sheltered housing, extra care accommodation and co-housing. Long term suitable homes and independent living should be included on all new build sites, and also on small sites in all parts of the borough so that people can find a suitable home close to their existing

141 home, friends and neighbours rather than facing the disruption of moving to a whole new neighbourhood.

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8. Responding to poor quality housing and potential vulnerability Key messages

8.1 Although the vast majority of households (87.2%) are satisfied with the condition of their dwellings, 4.1% of households were dissatisfied or very dissatisfied. Levels of dissatisfaction were highest amongst private and affordable renters, those in terraced houses and properties built pre-1919. It is estimated that 22.6% of properties are non-decent based on English housing Survey data, slightly higher than the national average. 8.2 It is likely that those people living in the worst housing conditions are most likely also those on lower incomes and vulnerable. The challenge for the Council is identifying where the worst cases are and tailoring what funding and support could be available. 8.3 For those that are renting privately, in terms of income, 39.5% of privately renting households receive less than £300 gross each week, 36.5% receive between £300 and £500 each week and 24.1% receive at least £500 each week, indicating that the private rented sector tends to accommodate lower income households. 75.7% of Household Reference People (Heads of Household) living in private rented accommodation are employed, 7.1% are wholly retired from work, 5.7% are permanently sick/disabled, 2.7% are unemployed and 7.5% are carers or looking after the home. 8.4 Homelessness statistics for 2015/16 indicate that a total of 2,298 decisions were made on households declaring themselves as homeless across Tameside. Of these households, 607 were classified as homeless and in priority need. Over the seven years 2009/10 to 2015/16, an annual average of 328 decisions has been made across Tameside and an annual average of 87 households have been declared as homeless and in priority need. These figures are likely to increase if trends elsewhere in the country are followed as welfare reform ‘bites’ and younger single people are squeezed further.

Recommended action by the Council

8.5 However, this is an on-going challenge and the Council should consider its strategic response. We recommend finding these households through better use of data: 8.6 Taking an increasingly targeted approach, identifying those households who are most vulnerable and providing them with personalised, asset-based support. This will enable the Council to spend limited resources in the best way possible. 8.7 Tameside Council, should partner with healthcare services to take a proactive, data- driven approach to identifying those who are most vulnerable to living in poor housing conditions and seek to address both their housing and other issues. 8.8 The Council should consider:

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8.9 Undertaking a comprehensive stock condition survey to get an up-to-date analysis of the state of property condition across the borough. 8.10 Incorporate this information, and information about income levels, into the data- systems of health care services to show the spatial patterns where people are at high risk of poor health, living in poor condition homes and are on low incomes. 8.11 The council can then (1) proactively make visits to people living in the area (2) gain a deeper understanding of the specific issues each is facing and (3) work with the individual to find solutions. 8.12 Where the property is in poor condition, the Council should be working with the householder to take action to reduce the negative impact on their health. 8.13 In terms of supporting vulnerable/homeless households, the Council should utilise its housing Investment Fund (Section 6) to purchase larger homes for de-conversion into smaller units which could be offered for vulnerable, homeless households on a temporary basis. The management of these properties would be by Registered Providers. 8.14 The properties could be reconverted in the future to family homes and sold on the open market. There are examples of where similar projects exist, particularly to support single households under 35. The income generated has enabled these schemes to be self-financing and with potential of growth in property values.

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9. Summary of recommendations It is recommended that the Council:

9.1 Ensures ensure that its delivery is increased. It must consider its future role in delivery and the extent to which it wishes to engage in risk-based development. 9.2 Pro-actively works to bring forward sites. This will mean considering assets carefully to create new housing opportunities; this may require a dedicated resource and include a detailed examination of public sector and social landlord held assets, focusing on brownfield opportunities. 9.3 Develops Housing Plans for each of its distinct local housing markets. 9.4 Creates the policy and strategic environment to take advantage of Government funding the Council and agrees the extent to which it will financially support development and in what form. 9.5 Needs to work with and explore the role and potential of housing associations in new delivery 9.6 Develop a Housing Fund to target development utilising S.106 contributions, sale of assets, prudential borrowing, new homes bonus and commuted sums. 9.7 Needs to define a high value offer and maximise self-build opportunities/custom build by marketing the opportunity as well as creating suitable sites for a higher value offer to be developed. 9.8 Recognises and manages the growth of the market rented sector, prepares a prospectus to attract investors and ensures a management model and rental offer that meets the needs/demands of this client group is implement. The Council should consider this agenda within a Greater Manchester approach. 9.9 Continues to meet its legal requirements with respect to licensing Houses in Multiple Occupation and responding to complaints under the Environmental Protection Act; maintains an up to date stock condition survey to get a detailed understanding of where the problems are in the Borough and what type of problems they are; continue to work and expand their landlord forum to solve any problems found or to employ legal powers as appropriate (including new ones in the Housing and Planning Act 2016) to tackle poor landlords who have committed particular housing offences. 9.10 Delivers future affordable housing based on viability and the local market. Where a local market already has provision in terms of numbers/property type and size, the policy should provide for:  Off-site commuted sum;  If need can be proven, temporary affordable housing provision;  Alternative products. 9.11 Negotiates affordable housing that includes a wider definition than affordable housing for rent delivered in perpetuity but extends to enable negotiations to deliver:

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 Traditional affordable rented products;  Shared ownership;  Affordable rented housing units on a time limited basis; say 10 years and then reverting the properties to a higher rental market/sale;  A sub market rent product (95%), higher than affordable rent but lower than market rent levels, potentially focused around higher value markets such as Stalybridge. 9.12 Develops a strategy for older people, identifying the resources and support and role the Council is going to play in supporting the provision of accommodation for older people. 9.13 In supporting vulnerable people the Council needs to take an increasingly targeted approach, identifying those households who are most vulnerable and providing them with personalised, asset-based support. This will enable the Council to spend limited resources in the best way possible. 9.14 Tameside Council, should partner with healthcare services to take a proactive, data- driven approach to identifying those who are most vulnerable to living in poor housing conditions and seek to address both their housing and other issues.

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Appendix 1- Homelessness Review

Armed forces accommodation The 2011 Census identified that 522 residents in Tameside Metropolitan Borough are employed in the Armed Forces. Of these, 66.7% live in owner occupation and 33.3% live in a property rented from a Housing Association. The highest proportion of armed forces employees lived in Longdendale (3.1%). Older people A major strategic challenge is to ensure a range of appropriate housing provision, adaptation and support for the area’s older population. PPG paragraph 21 states that ‘the need to provide housing for older people is critical given the projected increase in the number of households aged 65 and over accounts for over half of new households’. The number of people across Tameside Metropolitan Borough area aged 65 or over is projected to increase from 39,600 in 2017 to 58,600 by 2039 (a 48.0% increase) according to the ONS 2014-based population projections. The 2017 Household Survey identifies that the majority of older people (61.3%) want to stay in their own homes with help and support when needed. Renting sheltered accommodation (22.7%) and renting from a housing association (21.6%) were the most popular alternative options. Of all older person households (HRP aged 65+), 10.8% would like to move in the next 5 years; 6.2% would like to move but are unable to; and 83.0% do not want to move. Of households who are unable to move, reasons stated included 57.6% could not afford to, 26.4% a lack of suitable properties in the area wanted and 24.8% a lack of suitable properties of the type wanted. Information from Housing Learning and Information Network (LIN) estimates that over the period 2014 to 2035, there is expected to be a 157% increase in the requirement for older persons’ specialist provision. However, when the current (2014) supply of accommodation is compared with change in demand to 2035, data would suggest a need to increase the current level of provision for older people, particularly the provision of Extra Care 24/7 support and sheltered housing. The Household Survey asked respondents whether they need assistance or adaptations to their home, either now or in the next five years. In respect of the 65+ cohort, the assistance considered most important included help with practical tasks (26.1%) and help with repair and

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148 maintenance of the home (17.3%). Adaptations considered most important included adaptations to bathrooms (16.8%) and better heating (13.2%). This evidence suggests a need to continue to diversify the range of older persons’ housing provision. Additionally, providing a wider range of older persons’ accommodation has the potential to free-up larger family accommodation.

Households with specific needs In terms of clients with specific needs accommodated in social rented housing across Tameside, evidence shows that older people with support needs (an average of 231 per year) and homeless families with support needs (118 average per year) are the main groups provided for. Black, Asian and Minority Ethnic households The 2011 Census reports that 91.5% of residents are White British. A further 3.4% are Asian/Asian British, 1.5% are White Central/Eastern European and 1.4% are other White groups. The most ethnically diverse ward in Tameside is St Peters, where 22.4% of Household Reference People have an ethnicity other than White British. 47.6% are owner occupiers, 27.3% rent privately and 25.0% live in affordable housing (social rented or intermediate tenures) (compared with 63.4%, 14.5% and 22.2% respectively across all households). 23.3% BAME households were in some form of housing need (compared with 9.1% of all households), with key needs factors being overcrowding. The 2011 Census identified no one with Gypsy and Traveller ethnicity. The CLG Traveller Caravan Count (July 2017) identified a total of 3 caravans in Tameside. All 3 were private caravans with temporary planning permission.

The evidence presented in this draft HNA 2017 suggests that there are three main policy areas that require special attention from both a planning policy and social policy perspective:  The challenge of enabling the quantity and mix of housing that needs to be delivered;  The challenge of ensuring that the housing and support needs of older people are met going forward; and  The challenge of driving up the quality of the private rented sector and increasing the sustainability of tenancies.

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Appendix 4-Glossary

Glossary

1.1 Definitions relating to affordable housing are set out in the NPPF (March 2012):  Affordable Housing: Social Rented, Affordable Rented and Intermediate housing, provided to eligible households whose needs are not met by the market. Eligibility is determined with regard to local incomes and local house prices. Affordable housing should include provisions to remain at an affordable price for future eligible households or for the subsidy to be recycled for alternative affordable housing provision.  Social Rented housing is owned by local authorities and private Registered Providers (as defined in Section 80 of the Housing and Regeneration Act 2008), for which guideline target rents are determined through the national rent regime. It may also be owned by other persons and provided under equivalent rental arrangements to the above, as agreed with the local authority or with the Homes and Communities Agency.  Affordable Rented housing is let by local authorities or private Registered Providers of social housing to households who are eligible for Social Rented housing. Affordable rent is subject to rent controls that require a rent of no more than 80% of the local market rent (including service charges, where applicable).  Intermediate housing is homes for sale and rent provided at a cost above Social rent, but below market levels subject to the criteria in the Affordable housing definition above. These can include shared equity (shared ownership and equity loans), other low- cost homes for sale and Intermediate rent, but not Affordable Rented housing.  Homes that do not meet the above definition of affordable housing, such as “low cost market” housing, may not be considered as affordable housing for planning. 1.2 These definitions of affordable housing are correct at the time of publication of this report (mid-2017), although revisions to the NPPF are anticipated. Additionally, councils are required to provide Starter Homes under the provisions of the Housing and Planning Act 201619. The NPPF (2012) outlined the key characteristics of Starter Homes20 and the Housing and Planning Act 2016 officially introduced Starter Homes into legislation, defined in Section 2 of the Act as:  new dwellings available for purchase by ‘qualifying first-time buyers’ only; these are defined as people who don’t already own a home and who are aged 23-40; and  to be sold at a discount of at least 20% of their market value, and always for less than the price cap (currently set to £450,000 in Greater London; £250,000 outside London).

19 The Government consulted on proposals to change the NPPF (December 2015) including the definitions of affordable housing 20 National Planning Policy Framework, paragraph 002, Reference ID 55-002-20150318

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