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 h h ld i f l t

• 12,709 households in fuel poverty

(DECC LIHC 2013)

9 1% h h ld i f l t

• 9.1% households in fuel poverty

(DECC LIHC 2013)

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Lowest level of Fuel Poverty in Greater Manchester

(DECC LIHC 2013) 11.3% (DECC LIHC 2013) 11% 10.1% 10.7% 14.9% 9.9% 9.8% 9.1% 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

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Booster Fund

Joined up Approach Joined-up Approach

• Decent Homes
• Energy Efficiency

Energy Efficiency

• Fuel Poverty
• Housing Health and Safety Rating System
• Regeneration
• Regeneration

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Green Deal Communities Scheme External Wall Insulation using External Wall Insulation using Brick Effect Render

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Affordable Warmth Access Referral Mechanism (In)

Social Workers Children’s Centres Age UK CAB, HIA District N Midwives

• e s

Ce t es Nurses Midwives Hospital Fire Health Hospital Discharge GP’s Fire Service Health Visitors Occupational Therapists GP’s Surgeries Confident Place, Confident People. p

Affordable Warmth Access Referral Mechanism (Out)

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

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

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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

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2 Health / Housing language

• 2. Health / Housing language

Health

• COPD

Housing

• Decent Homes
• CVD
• Morbidity
• EPC
• GDAR

y

• Mortality
• Primary Care
• Green Deal
• HHSRS

y

• QALYs
• Risk Stratification
• HMOs
• SAP Rating

Risk Stratification SAP Rating

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3 Invest to Save

• 3. Invest to Save

E l I t ti d P ti

• Early Intervention and Prevention
• 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

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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

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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

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Referral module for TPP SystmOne

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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

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– Transient Ischaemic Attack

Automatic alert Automatic alert

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Single click referral Single-click referral

the AWARM

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Training on AWARM Training on AWARM

Working with NEA on

• Working with NEA on

delivering a training module on fuel poverty f i h lth for primary care health professionals based on the UK Health Forum’s “G id f i “Guide for primary care

• n fuel poverty: tackling

cold homes and ill health”

• Discussions with RCGP
• n CPD accreditation of

the course in order to the course in order to drive take-up by GPs

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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

f f ’ a formal academic evaluation of AWARM’s impact on health and wellbeing in p g conjunction with DECC, NICE and PHE.

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Fuel Poverty Strategy (p53) Fuel Poverty Strategy (p53)

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Catalogue of health-related fuel poverty schemes (p186)

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Further information Further information

• Reference library of links to reports on fuel

poverty at: aneesmank.blogspot.co.uk p y g p E il k@ i k

• E-mail: a.mank@wigan.gov.uk
• Twitter: @AneesMank

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