Housing with care and support: Cost-benefit tool for commissioners

This tool has been developed to help commissioners and other local planners consider the relative cost and benefit of different models of housing with care, through the best available data and research evidence.

The tool enables commissioners to compare the costs and benefits of four key forms of housing with care and support for older adults:

This tool is part of the work being delivered by The Commission on the Role of Housing in the Future of Care and Support, which was launched in October 2020 with the aim of developing a vision and roadmap for housing with care and support for older people. The Commission is funded by the Dunhill Medical Trust.

The tool has three components:

The tool helps commissioners assess the extent of any cashable savings and cost avoidance from different housing options when they are compared, such as extra care compared to residential care or residential care compared to Shared Lives.

The tool should be used as one method within a range of approaches to building an evidence-based case for investing in housing with care, and we provide case studies of good practice to accompany this tool.