ExtraCare Project

A Research project between ARCHA and the ExtraCare Charitable Trust


The ExtraCare Charitable Trust was established in 1988. The Charity supports 4,400 older people in 17 Housing Schemes and 14 Villages across the Midlands and the North of England.  The Trust aims to enable older people the opportunity to enjoy a healthy, active and independent lifestyle in a community setting.

ExtraCare Image
A Typical ExtraCare Site

Overall Objective

Does the ExtraCare approach give positive outcomes for healthy ageing which result in measurable care cost savings?

Summary of study

Investment in the maintenance of wellbeing and independence has never been so critical, but in these financially straitened times, there are real concerns that prevention measures will come to be seen as a low priority. It is, therefore, vital to be able to demonstrate their cost effectiveness. 

In the three year longitudinal study, a cohort of volunteer new residents were assessed prior to moving into their new ExtraCare accommodation in 14 locations (a mixture of schemes and villages), and then assessed on the same measures at 6, 12 and 18 months after entry. A comparable group of volunteers matched for age and gender from ARCHA’s volunteer panel were also assessed on the same measures by Aston staff at the same intervals. These was a mixture of independent dwelling and standard sheltered accommodation residents, matched as far as possible to the regional areas in which the selected ExtraCare communities are based, to control for regional differences. 

The main focus of the study was to measure health, illness, well-being, activity and personal perceptions. We used statistical modelling to identify the most important factors in predicting outcome measures of cost (e.g. in amount or change in care costs) and positive or negative change in well-being. Through qualitative research, also sought to gain detailed insight into the complex interactions between physical health, psychological health and physical and social environment. In particular, we examined the precise ways in which the ExtraCare’s approach to identifying needs and delivering inputs and interventions compares with control group settings.

Please contact Dr Carol Holland (c.holland1@aston.ac.uk) for more information.

To access the report, click here:  ExtraCare research final report 2015