Service planning and delivery outcomes of home adaptations for ageing in the UK

Zhou, W., Oyegoke, A.S. and Sun, M. ORCID: 0000-0002-7463-0246, 2019. Service planning and delivery outcomes of home adaptations for ageing in the UK. Journal of Housing and the Built Environment, 34 (2), pp. 365-383. ISSN 1566-4910

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In response to the impact of demographic change on the healthcare system, ‘ageing in place’ was introduced as a national policy to support elderly people living independently in their homes. Housing adaptation is essential for successful independent living and has been given increased political priority. However, adaptation policies and practice vary regionally, reflecting statutory limits, policy choices and local planning. This study investigated the current status of adaptation provision in different regions in the UK and assessed the effectiveness of local service planning and management. A mixed-methods sequential explanatory research strategy was employed. In the first quantitative phase, a questionnaire survey was carried out involving all 378 local authorities in England, Scotland and Wales. This was followed by a second qualitative phase involving individual interviews with five professionals and two clients and a focus group meeting with six key stakeholders. The study found that the current number of adaptations was relatively small compared with potential demands in most local areas, as was funding for adaptations. On the operational side, the adaptation process was fragmented, involving different service groups in many local authorities. There were disconnections between these groups, which often caused inefficiencies and poor effectiveness. Moving forward, local authorities need to have a clear vision of the overall need for adaptations and allocate sufficient resources. Practical guidelines are also needed for better integrated working and performance management.

Item Type: Journal article
Publication Title: Journal of Housing and the Built Environment
Creators: Zhou, W., Oyegoke, A.S. and Sun, M.
Publisher: Springer Netherlands
Date: June 2019
Volume: 34
Number: 2
ISSN: 1566-4910
9580Publisher Item Identifier
Rights: © The Author(s) 2017. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
Divisions: Schools > School of Architecture, Design and the Built Environment
Record created by: Jill Tomkinson
Date Added: 07 Aug 2018 08:27
Last Modified: 20 May 2019 09:05

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