Preventing Illness by g y Tackling Cold Homes Anees Mank Service - PowerPoint PPT Presentation

Workshop 23 September 2015 Preventing Illness by g y Tackling Cold Homes Anees Mank Service Manager – Housing Services

Wigan Borough Wigan Borough • 317,849 population (Census 2011) • 139,218 households (DECC LIHC 2013) • 12,709 households in fuel poverty 12 709 h h ld i f l t (DECC LIHC 2013) • 9.1% households in fuel poverty 9 1% h h ld i f l t (DECC LIHC 2013) Confident Place, Confident People.

Lowest level of Fuel Poverty in Greater Manchester (DECC LIHC 2013) (DECC LIHC 2013) 11.3% 10.7% 10.1% 11% 9.9% 9.1% 9.8% 14.9% 9.2% 10% Confident Place, Confident People.

Successes Successes • Decent Homes in social housing • High take-up of Warm Front High take up of Warm Front • Warm Homes Healthy People • £1m DECC Fuel Poverty Fund • £3m GM Green Deal Go Early • £3m GM Green Deal Go Early • £6m GM Green Deal Communities • £100k DECC Fuel Poverty and Health Booster Fund Booster Fund Confident Place, Confident People.

Joined up Approach Joined-up Approach • Decent Homes • Energy Efficiency Energy Efficiency • Fuel Poverty • Housing Health and Safety Rating System • Regeneration • Regeneration Confident Place, Confident People.

Green Deal Communities Scheme External Wall Insulation using External Wall Insulation using Brick Effect Render Confident Place, Confident People.

Confident Place, Confident People.

Affordable Warmth Access Referral Mechanism (In) Age UK CAB, HIA Social Children’s Workers o e s Centres Ce t es District Midwives Midwives N Nurses Hospital Hospital Fire Fire Discharge Service Health Health GP’s GP’s Surgeries Visitors Occupational Therapists p Confident Place, Confident People.

Affordable Warmth Access Referral Mechanism (Out) Draught- proofing Health Energy C ec s Checks Switching S tc g Minor Fire Ad Adapt’s t’ Safety S f t Insulation Insulation Fuel Debt Fuel Debt Schemes Advice Income Income Heating Heating Advice Schemes Home Repairs Improvements p Confident Place, Confident People.

CCG Funding for AWARM CCG Funding for AWARM • Bid for and received £200,000 for AWARM to bring 2,000 households out of fuel g , poverty over two years • Business Case contained five key • Business Case contained five key ingredients for success Confident Place, Confident People.

1 Evidence base 1. Evidence base • Academic research • National + local data / reports / strategies National + local data / reports / strategies • Target hotspots / health conditions • Case studies • Monitoring and Evaluation • Monitoring and Evaluation Confident Place, Confident People.

2 Health / Housing language 2. Health / Housing language Health Housing • COPD • Decent Homes • CVD • EPC • Morbidity y • GDAR • Mortality • Green Deal • Primary Care y • HHSRS • QALYs • HMOs • Risk Stratification Risk Stratification • SAP Rating SAP Rating Confident Place, Confident People.

3 Invest to Save 3. Invest to Save • Early Intervention and Prevention E l I t ti d P ti • Reduce Unplanned Hospital Admissions Reduce Unplanned Hospital Admissions • Prevent Delayed Discharge • Cost Saving (at £575 per bed day) • Break Even + Wider Benefits Break Even + Wider Benefits Confident Place, Confident People.

4 Endorsement & Support 4. Endorsement & Support • Director of Public Health • Health and Wellbeing Board Health and Wellbeing Board • Council Senior Management Team • Cabinet Portfolio Holder • Scrutiny Committee • Scrutiny Committee Confident Place, Confident People.

5 Deliverability 5. Deliverability • Speed of implementation is key • Experienced team and networks Experienced team and networks • Established systems and processes • Data sharing agreements / Risk registers • Scale-up existing successful project • Scale-up existing successful project Confident Place, Confident People.

Confident Place, Confident People. Referral module for TPP SystmOne

Identify patients Identify patients • Conditions exacerbated by cold homes: – Asthma – Chronic Obstructive Pulmonary Disease – Coronary Heart Disease Coronary Heart Disease – Depression – Falls at home – Hypertension yp – Stroke – Transient Ischaemic Attack Transient Ischaemic Attack Confident Place, Confident People.

Automatic alert Automatic alert Confident Place, Confident People.

Single click referral Single-click referral Confident Place, Confident People. the AWARM

Training on AWARM Training on AWARM • Working with NEA on Working with NEA on delivering a training module on fuel poverty f for primary care health i h lth professionals based on the UK Health Forum’s “G id “Guide for primary care f i on fuel poverty: tackling cold homes and ill health” • Discussions with RCGP on CPD accreditation of the course in order to the course in order to drive take-up by GPs Confident Place, Confident People.

Evaluation of AWARM Evaluation of AWARM • We hope to be able to access information about health service uptake by the p y individuals referred to AWARM, although this is yet to be tested this is yet to be tested. • Sheffield Hallam University are conducting a formal academic evaluation of AWARM’s f f ’ impact on health and wellbeing in p g conjunction with DECC, NICE and PHE. Confident Place, Confident People.

Fuel Poverty Strategy (p53) Fuel Poverty Strategy (p53) Confident Place, Confident People.

fuel poverty schemes (p186) Catalogue of health-related Confident Place, Confident People.

Further information Further information • Reference library of links to reports on fuel poverty at: aneesmank.blogspot.co.uk p y g p • E-mail: a.mank@wigan.gov.uk E il k@ i k • Twitter: @AneesMank Confident Place, Confident People.

Thank you for your time Questions and Answers ti and attention. and attention f k Th