英国老年护理策略 PPT课件

,Housing & Health: Age Care Strategy in the United KingdomNanjing Workshop住宅&健康：英国老年护理策略 南京研讨会,Roger Battersby Managing Partner 22 June 2014罗杰 巴特斯比 执行总裁 2014年6月22,PRP: OfficesPRP各地办公室,Shanghai 上海Rm 4107, Building 1, 1 Hongqiao Road,Xuhui District, Shanghai 上海市徐汇区虹桥路1号港汇广场一座4107室Tel: +86 21 6447 7175ch.prpprparchitects.co.ukMoscow 莫斯科，Bersenevskiy Pereulok2号，1号楼，411办公室Office 411, Building 1, 2 Bersenevskiy Pereulok MoscowRussia 119072Tel: +7 (495) 775 35 27ru.prpprparchitects.co.uk,London 伦敦，史密斯菲尔德区，林赛街10号10 Lindsey Street, London EC1A 9HPTel: +44 (0)20 7653 1200 Fax: +44 (0)20 7653 1201lon.prpprparchitects.co.ukSurrey 萨里，泰晤士迪顿，Summer路，Ferry WorksFerry Works, Summer Road, Thames Ditton, Surrey KT7 0QJ Tel: +44 (0)20 8339 3600 Fax: +44 (0)20 8339 3636prpprparchitects.co.ukManchester 曼切斯特，圣彼得广场11号，Century HouseCentury House, 11 St Peters Square, Manchester M2 3DNTel: +44 (0)161 242 8950 Fax: +44 (0)161 242 8955man.prpprparchitects.co.uk,PRP Specialist HousingPRP 特殊住宅设计,Specialist Housing特殊住宅特殊住宅设计,Over 50 architects with specialist knowledge 拥有超过50人的专业团队40 years experience in designing housing for older people 40年的老年住宅设计经验Over 10 Retirement Villages 超过10个退休居住小区的设计经验Over 80 Residential Care/Nursing Homes 超过80个护理保健院的设计经验Over 100 Extra Care/Assisted Living developments 超过100个额外护理/辅助生活住宅的设计经验,Specialist Housing特殊住宅,Independent Living独立生活住宅,Day Centres日间中心,Extra Care额外护理,Dementia Care老年痴呆症护理,Retirement Villages退休居住小区,Learning Disabilities学习障碍,Health Centres卫生所,Care Home护理院,Oaktrees A,Loxley,Glebelands,Interior Design室内设计,Remodelling & Renovation改造与翻新,Landscape景观设计,Planning & Environmental规划与环境评估,Design Guidance设计指南,Thorough understanding of client and end user needs深入理解客户和用户的需求Extensive knowledge of current legislation and relevant policy熟悉当前法律法规和相关政策Experience of all types of procurement谙熟各种采购所需Authors of authoritative guidance documents撰写权威的设计指南,Background 背景Breakdown of Tradition Family Structures 传统家庭结构瓦解1960s & 70s Residential Care Homes and Sheltered Housing 60、70年代的住宅护理院和福利性住宅Very Institutional 24 Hour Care24小时机构式护理Many moved for the wrong reasons: Loneliness很多是基于错误的理由：孤独Expensive and Dependency Inducing昂贵和具有依赖性,Current Policy 当前政策Recognizes the wishes of the Majority to Stay Put in their own homes in the community发现多数人希望在自己家中养老的愿望Care and Support Services: Care & Repair护理和辅助服务：护理和维修Lifetime Homes & Lifetime Neighbourhoods终生住宅和邻里Institutional Care to Housing Models and Lifestyle Options机构式护理New Specialist Housing Provision新特殊住宅规范Inclusion, Integration, Innovation.,Housing and Care for Older People in the United Kingdom 英国老年人住宅和护理,The Housing & Care Spectrum住宅类型和护理级别,United Kingdom Housing Market for Older People英国老年住宅市场,Private Developers私人开发商,(not for profit)Public SectorLocal AuthoritiesHousing AssociationVoluntary SectorCharities（非盈利）公共领域 政府 住宅协会 慈善机构,Middle Market中端市场,Private Sale出售,Staying putHome Care Services(Means Tested)居家护理服务（经济调查）,Leasehold SaleShared OwnershipAffordable Rental租赁销售 共享产权 廉租,Staying Put in our own homes in the with Home Care services by Local Authorities or other care providers.待在自己家并由当地政府或其他保健服务者提供家庭护理,New Housing designed to inclusive (Lifetime Homes) design standards.全新住房设计符合（终身住宅）设计标准,Policy Background政策背景,New Homes to be Lifetime Standard新住宅需符合终身住宅标准 Lifetime Neighbourhood Sustainable Communities终身邻里可持续发展社区Staying Put: Not a Panacea留在原地：不是万能药Existing Stock: Inflexible储备：非弹性Social Isolation社交孤立Dementia Care/Increasing Dependency老年痴呆症护理/日益依赖Home Maintenance Costs/Challenges家庭维护成本/挑战Under-occupation of Family Homes家庭住宅占领,Space & Accessibility Standards for New Homes新住宅的空间和可达性标准,Lifetime Homes Standards终身住宅标准16 features that enable housing to be adapted to suit our changing needs as we get older.16项特色使住宅更加适应随着年龄增长而不断变化的需求,Residential Care Homes and Nursing Homes & Dementia Care养老院及护理院和老年痴呆症护理,Residential Care/Nursing Home Bedroom养老/护理院卧室,Standard En-Suite Bedroom标准套房卧室,Fully-Assisted Bedroom Suite全辅助套房卧室,Generic Care Home Cluster养老院集群,Tandridge Heights, Oxted,Integrated by Design Existing Residential Community集成设计 已建成的住宅社区,Extra Care/Assisted Living St Bedes, Bromham Road, Bedford额外护理/辅助生活住宅 贝德福德，Bromhan Road，圣比托,Housing Design Awards Project Winner HAPPI Category 2011住宅设计奖项目冠军 HAPPI奖 2011,Extra Care/Assisted Living St Bedes, Bromham Road, Bedford额外护理/辅助生活住宅 贝德福德，Bromhan Road，圣比托,Extra Care/Assisted Living St Bedes, Bromham Road, Bedford额外护理/辅助生活住宅 贝德福德，Bromhan Road，圣比托,Extra Care/Assisted Living St Bedes, Bromham Road, Bedford额外护理/辅助生活住宅 贝德福德，Bromhan Road，圣比托,Retirement Communities:退休社区：,Senior Housing Communities - Current Models 当前模式,GATED独立性,RETIREMENT VILLAGES退休居住小区,INTEGRATED一体化,Often no Care element通常无护理机构Independent Dwellings独立生活区Security安保Service Charge服务费,No Nursing Home没有护理院24 hour care to independent housing为独立生活区提供24小时护理Extensive Communal Facilities多样公共设施Independent Dwellings独立生活区Extra Care额外护理,RETIREMENTVILLAGES退休居住小区,EXTRA CAREVILLAGES额外护理居住小区,CONTINUING CARE VILLAGES持续护理居住小区,INTEGRATED CARE DEVELOPMENTS一体化护理,Nursing Home护理院Extensive Communal Facilities多样公共设施Independent Dwellings独立生活公寓Extra (close) Care额外（密切）护理,Nursing Home护理院Extra Care额外护理Intermediate Care及时护理Day Care日间护理Outreach服务外延Limited Communal Facilities 有限的公共设施Health Interface健康接口,Key Issues关键问题,Tenure居住权Care Philosophy护理理念Housing Provision住房供给Communal Facilities公共设施Relationship to the Wider Community连接更大的社区Location & Density选址于密度Site Constraints基地限制,Creating a Balanced Community创造一个平衡的社区,Mixed Tenure 混合产权Rental 租赁Needs Assessments 需求评估,无护理需求 护理需求低 护理需求高,Extra Care Retirement Village Lovat Fields额外护理退休居住小区罗佛特场，密尔金斯,Independent LivingMore Dependent LivingVillage CentreParking / Entrance Court,Lovat Fields, Milton Keynes 罗佛特场，密尔金斯 258 dwellings in a mix of 1, 2 & 3 bed flats 258户，有1/2/3居室 25% sale, 35% shared ownership, 40% affordable rental 25%私人产权，35%共享产权，40%廉租 Small DoH funding contribution 卫生部小额投资 Extensive Village Centre facilities including Healthy Living Centre, Pub and Main Street 小区中心设施包括健康生活中心、酒吧和商业大街 Strong emphasis on creating a social 注重社交 community within the development 社区发展,Continuing Care Retirement Community St Georges Park持续护理退休居住小区：圣乔治公园,Independent LivingMore Dependent LivingVillage CentreParking / Entrance Court,St Georges Park 圣乔治公园 270 dwellings designed in clusters 270户，成簇团状 Private sale extra care housing cross-subsidising 180 care beds on site 私卖额外护理住宅，交叉补贴，180个床位 Village Centre for exclusive use of residents 小区中心只对住户开发 Scheme developed around existing historic building 参照周边历史建筑物设计,St Georges Park 圣乔治公园Best Independent Living Scheme, Caring Business & Pinders Healthcare Awards 20082008年Pinders Healthcare评选最佳独立生活住宅方案奖,Extra Care Retirement Village Denham Garden Village额外护理居住小区戴纳姆花园小区,Denham Garden Village 戴纳姆花园小区What House? Awards 2006, Best Retirement Development2006年 What House评选最佳退休住宅奖,Independent LivingMore Dependent LivingVillage CentreParking / Entrance Court,Denham Garden Village 戴纳姆花园小区 20 Acre site with 327 dwellings 20英亩，327住户 Mix of Flats, Cottages & Bungalows 混合公寓、别墅和平层别墅 Extra care housing model with flexible care delivery 灵活性额外护理居住小区 Mix of tenure with private sale cross - subsidising rental 混合业权，包括私卖和交叉补贴租赁Village Centre open to public including fitness suite with external membership小区中心对外开放，包括健身房（外部会员） Local GP practice now based on site 社区有家庭医生,Demographics 人口统计1 Trillion Equity in Property 1万亿股权Impact on Mainstream Housing 对主流住宅的影响Generation Change: Aspirations 代际变动Personalised Budgets 个性化预算The Dilnott CommissionDilnott委员会Public Sector Funding Cuts公共领域削资Private Sector led: Mixed Tenure私人领域：混合产权Market Opportunity: Independent Living市场机遇：独立住宅,Changing Scene变化,Inclusion.包括Housing designed for all ages & abilities 全龄住宅设计Space and Accessibility Standards空间及无障碍标准Sustainable and Age-Friendly Communities可持续及关爱老人社区Integration. 整合Located at the Heart of Residential Communities位于住宅社区中心Sharing facilities with the Wider Community 与周边社区共享设施Keeping contact with Family & Friends与家庭和朋友保持联系By Design in terms of appearance外观设计,Innovation.创新Innovative ways of funding & equity release筹资和股权的创新Innovative forms of tenure产权形式创新Innovation in smart technology 智能技术创新,Housing and Care for Older People in the UK Evolving Strategy英国老年住宅和护理发展政策,Urban Regeneration: Community Integrated都市改造：社区集成,Independent Living: Attractive Housing Alternatives独立住宅：吸引人的住宅选择,Staying in Control 控制Choice & Variety 选择和多样性Design Quality: Attractive Homes 设计质量：吸引人的住宅Lifestyle Alternative 生活方式选择 Location & Connectivity选址和连接性Affordable经济适用Care Continuity护理延续,Warwick Road: Independent/Assisted Living华威路：独立/辅助生活住宅,Lifetime Neighbourhood,Independence & Control,Community Interface,Lifestyle Alternative,Attractive Homes,Homebase, Kensington肯辛顿和切尔西，华威路,89 extra care units for private sale 89套辅助生活公寓（私人产权）,Warwick Road, Kensington & Chelsea肯辛顿和切尔西，华威路,Homebase, Kensington,Basement,Ground Floor,Intergenerational Housing多代住宅,Intergenerational Housing. New Cumnor & Lidcote多代住宅.New Cumnor & Lidcote,Intergenerational Housing. New Cumnor & Lidcote多代住宅.New Cumnor & Lidcote,Intergenerational Housing.Stockwell Park多代住宅.史托克维尔公园,Lidcote and New Cumnor, Stockwell,Some Current PRP Independent Living Projects目前PRP负责的独立生活住宅项目,Extra Care in Urban Regeneration - Kidbrooke, Greenwich城市更新中的额外护理住宅格林威治，基德布鲁克,Berkeley Urban Renaissance伯克利集团开发300 Extra Care Flats300套额外护理公寓Community Resource社区资源共享Affordable Housing经济Section 106 Agreement106号补偿条款Releasing Family Homes家庭式住宅,Kidbrooke Extra Care, Greenwich格林威治，基德布鲁克额外护理住宅,170 Extra Care & Senior Living Apartments,HALTON COURT, KIDBROOKE基德布鲁克，霍顿庭,170 Extra Care & Senior Living Apartments,HALTON COURT, KIDBROOKE基德布鲁克，霍顿庭,HALTON COURT, KIDBROOKE基德布鲁克，霍顿庭,New Communities: Extra Care in a New Community 新型社区： 新型社区里的额外护理,107 Extra Care Apartments,LAND WEST OF HORSHAM霍舍姆西区,Client : Saxon Weald with Berkeley Homes 客户：Saxon Weald with Berkeley Homes 107 units of Extra Care107套额外护理公寓Mixed Tenure 混合产权Located on the edge of Horsham Town Centre 位于霍舍姆镇中心Within a masterplan of 1044 new homes delivered over a number of phases总体规划包括分多期完成的1044套新住宅Full range of communal facilities designed to suit the location and the residents needs.根据地域特征和居民需求设计的全套公共设施,Extra Care Site,107 Extra Care Apartments,LAND WEST OF HORSHAM霍舍姆西区,United Kingdom Government Structure forHousing & Care for Older People 英国老年住宅护理结构,The Relevant Agencies 相关机构,Older People老年人,CENTRAL GOVERNMENT中央政府,LOCAL GOVERNMENT地方政府,Health Care卫生护理,Adult Services成人服务,Housing住宅,Planning规划,Domicilary Care居家护理,HousingBenefit住宅津贴,Health (NHS)国民保健制度,A Question of Affordability 支付能力问题,Hospital 3,000pw医院 每周3，000镑Private Nursing 1,000pw私人护理 每周1,000镑Residential Care (Public sector) 350- 500pw家庭护理（公共领域） 每周300-500镑Assisted Living 150- 200pw辅助居住 每周150-200镑Home Care 15ph 家庭护理 每小时15镑,Home Care居家护理,RESIDENTIALCOMMUNITY住宅社区,Home Care居家护理,Acute Hospitals医院急诊,Holistic Approach: Housing + Management + Adult Services整体方案：住宅+管理+成人服务,Health健康,Adult Services成人服务,Housing住宅,Community HUB社区中心,GP Surgery,Continuing Care Community HUB Stafford持续护理社区中心 斯塔福郡,Hinchingbrooke Hospital, CambridgeHinchingbrooke医院，剑桥,Regeneration of Hospitals for Integrated Care针对集成护理的医院改造,General Hospital综合医院,SubwayConnection地铁,GeriatricHospital老年医院,Independent Living独立生活小区,Independent Living独立生活小区,Nursing Home护理院,Neighbourhood Care Hub: St Gallen, Switzerland社区护理中心：瑞士，圣加伦,Community HUB, Camden社区中心，坎登,Site Area = 2.9ha / 7.2 acresExisting footprint = 10,086sqmProposed footprint = 10,876sqm,Resource & Day Centre资源&日间照料中心,First & Upper Floor Plans Independent Living2层及以上楼层平面 独立居住,Charlie Ratchford Community HUB, Camden Charlie Ratchford社区中心，坎登,Demographics: 180m over 65s 人口统计：18,000,000 人超过65岁Stigma of Institutional Care 机构式护理特征Philosophical Transition from Institutional to Lifestyle Housing Models 从机构式到住宅式的观念转变Lack of clarity in terms of Policy, Standards, Housing Typologies, Tenure and Regulation政策、标准、住宅类型、产权和规范等缺乏透明度Affordability: Currently only a small proportion of seniors can afford lifestyle retirement options 购买力：当前只有一小部分老年有能力承担退休生活居住小区,Relationship to the Wider Community Gated or Integrated into new residential developments and existing communities连接更大的社区封闭型或融入型Senior Housing Development Housing Management Care Delivery 老年住宅开发住宅管理护理服务Skills & Training need for Housing Management and Care Delive