Extra Care Housing in the United Kingdom: A Systematic Scoping Review.

Extra care housing (ECH) is a model of housing for older people where residents live in self‐contained accommodation with flexible care and support available 24/7. Whilst ECH may help people live independently for longer, its provision also poses challenges. This scoping review aimed to summarise em...

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Publicado en:Health & Social Care in the Community Vol. 2026; pp. 1 - 62
Autores principales: Zhelev, Zhivko, Bell, Siân de, Bethel, Alison, Anderson, Rob, Coon, Jo Thompson, Porter, Marlene
Formato: research systematic review tables/charts Journal Article
Publicado: Wiley-Blackwell 7/31/2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 7/31/2026
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      pub: Wiley-Blackwell
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          Zhelev, Zhivko
          Bell, Siân de
          Bethel, Alison
          Anderson, Rob
          Coon, Jo Thompson
          Porter, Marlene
        affil: Department of Health & Community Sciences, , Exeter HSDR Evidence Synthesis Centre, , University of Exeter, , Exeter, UK, exeter.ac.uk
      sug:
        subj:
          Housing for Older Persons United Kingdom
          Residential Facilities
          Human
          Scoping Review
          CINAHL Database
          Medline
          Male
          Female
          Middle Age
          Aged
          United Kingdom
          Community Living
          Quality of Life
          Cost Benefit Analysis
          Social Participation
          Home Health Care
          Assistive Technology
          Workforce
          Aging in Place
          Transfer, Discharge
          Cultural Diversity
          Caregivers
          Checklists
          Data Analysis Software
          Funding Source
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Extra care housing (ECH) is a model of housing for older people where residents live in self‐contained accommodation with flexible care and support available 24/7. Whilst ECH may help people live independently for longer, its provision also poses challenges. This scoping review aimed to summarise empirical research relating to ECH in the United Kingdom to inform commissioning of further research. Primary research on ECH published after 2010 was included. ASSIA, CINAHL, Medline and four further databases were searched in June 2024, along with relevant websites and citation‐chasing. Two reviewers independently selected studies for inclusion. One reviewer conducted and a second reviewer verified data extraction. Data were tabulated and summarised narratively. Critical appraisal was conducted using the mixed‐methods appraisal tool. Ninety‐eight publications were included in the review. Qualitative studies had fewer methodological limitations than quantitative and mixed‐methods studies. Many studies provided limited information on the characteristics of participants and the included ECH schemes. Studies reported effectiveness, costs, resident or staff experiences or other aspects (e.g., accessibility) of living in ECH. Most studies focused on moving into or living in ECH, with few examining whether and how older people leave ECH. There is a growing body of evidence supporting the provision of ECH as a model of housing for older people. However, given the changing health and social care landscape and increasing care needs of the population, further research is needed to support the future development of ECH. Specific research gaps include guidance on choosing the most appropriate housing option, best practice for supporting people with high care needs and helping them transition from ECH to another care setting, coordination between housing and care providers, managing diverse and evolving communities and including older people from social minority groups. Future studies should follow best practice guidelines and reporting standards.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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