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Extra care housing in the UK: a scoping review
Sian de Bell1, Zhivko Zhelev1, Alison Bethel1
1Exeter HSDR Evidence Synthesis Centre, Department of Health & Community Sciences, University of Exeter Medical School, University of Exeter, Exeter, UK.
Health and Social Care Delivery Research
|August 11, 2026
Summary
Extra care housing provides independent living for older adults with flexible support. Research shows it
Area of Science:
- Gerontology
- Housing Studies
- Social Care Research
Background:
- Growing global and UK populations of older adults increase demand for extra care housing.
- Extra care housing offers self-contained accommodation with 24/7 flexible care and support.
- Challenges exist in resourcing and developing extra care housing to meet diverse needs.
Purpose of the Study:
- To conduct a scoping review of UK empirical research and evaluations on extra care housing.
- To identify the volume, focus, study design, quality, and findings of existing research.
- To inform future research for developing effective extra care housing schemes.
Main Methods:
- Scoping review of evidence syntheses and primary research published since 2010.
- Searched multiple databases (e.g., MEDLINE, Web of Science) and relevant websites.
- Included qualitative, quantitative, and mixed-methods studies; critical appraisal conducted.
Main Results:
- Ninety-eight publications were included, with diverse study designs (qualitative, quantitative, mixed-methods).
- Research focused on housing supply, decision-making, quality of life, community experiences, and infrastructure.
- Methodological quality and reporting varied; limited research exists on leaving extra care housing.
Conclusions:
- A growing evidence base supports extra care housing for older people.
- Further research is essential due to evolving health/social care needs.
- High-quality research on effectiveness, cost-effectiveness, and long-term suitability is needed.
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