Why cold homes and energy use are issues for health and care systems - - PowerPoint PPT Presentation

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Why cold homes and energy use are issues for health and care systems and society systemsand society. Dr David Pencheon. NHS England / Public Health England: NHS E l d / P bli H lth E l d Sustainable Development Unit PHE / CSE Bristol 23 rd

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Why cold homes and energy use are issues for health and care systems and society systems…and society.

Dr David Pencheon. NHS E l d / P bli H lth E l d NHS England / Public Health England: Sustainable Development Unit

PHE / CSE Bristol 23rd Sept 2015

Working across the NHS, Public Health and Social Care system

www.sduhealth.org.uk

PHE / CSE Bristol 23 Sept 2015

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S i bl d l Sustainable development

How do we meet the needs and develop / the assets of people/communities now… ith t i i th bilit f …without compromising the ability of

thers, in the future (or elsewhere now)

, ( ) to meet their own needs, and to live a life

f comparable quality and value?
f comparable quality and value?

Working across the NHS, Public Health and Social Care system

www.sduhealth.org.uk

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Health Map 2006 Health Map. 2006 Barton and Grant Based on Dahlgren and Dahlgren and Whitehead 1991

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www sduhealth org uk/sds www.sduhealth.org.uk/sds

Working across the NHS, Public Health and Social Care system

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“Sustainable, ili h l h

Reduce the negatives

resilient, healthy, places and people”

negatives

NHS England and PHE, Jan 2015 ,

Enable the positives

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Action that have win‐wins “co‐benefits”: ‐ for immediate health benefit ‐ for longer term health benefit for longer term health benefit

Direct benefits for human health, wellbeing, resilience, and equity

– Better homes, better transport systems, more physical activity, better diet, less road trauma, improved air quality, less obesity/heart disease/cancer, less preventable ill health/more prevention less inequality improved mental health (see notes) stronger more inequality, improved mental health (see notes), stronger more cohesive, resilient, local communities...

Direct benefits for the health and care system:

More prevention care closer to home more empowered / self care – More prevention, care closer to home, more empowered / self care, better use of drugs, better use of information and IT, fewer unnecessary admissions, less travel, better models of care…

Working across the NHS, Public Health and Social Care system

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Wh t h lth d f i ?

4 Areas 12 Themes A H i d l 1 H i / / f l t

What causes health and fairness?

A. Housing and place.
1. Housing / energy / fuel poverty
2. Planning places with people
3. Natural environment, green spaces,

air quality

4. Transport, access, and active travel
5. Food and water
B. Jobs and Skills.
6. Jobs, local economy / prosperity
7. Education, training, skills
C. Family, friends and
8. Asset based community development, Faith
C. Family, friends and

community

8. Asset based community development, Faith

Groups; Social capital / cohesion / isolation;

9. Inequalities, resilience, adaptation, extreme

weather events weather events D. Services

10. Social/health care – prevention / outcomes
11. Commissioning

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12. Procurement and waste reduction

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The role of eliminating fuel poverty in ensuring good health and wellbeing g g g

Less energy wasted, fewer emissions, less air pollution

Environmental sustainability: Living within

More resilient to More local jobs; more disposable

planetary limits

S t i bl

More resilient to cold weather, fewer deaths, fewer disposable income kept in the local economy;

Social i bili Economic

Sustainable Health and wellbeing

admissions, more social capital, less economy; improved infrastructure and housing

sustainability: Healthy and resilient people and sustainability: Fair and sustainable economic

wellbeing

money wasted

n fuel by those

who can least and housing stock

and communities economic system

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afford it.

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Healthy Returns infographic Healthy Returns infographic

An early example of putting fi figures on: ‐ money saved ‐ environmental harm reduced environmental harm reduced, ‐ health improved….

www.sduhealth.org.uk/ infographic infographic

Working across the NHS, Public Health and Social Care system

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Fuel Poverty & Health Toolkit: Search: UK Health Forum Fuel Poverty Search: UK Health Forum Fuel Poverty Fuel Poverty: Improving health and wellbeing through action on affordable warmth affordable warmth A guide for public health professionals, health and wellbeing boards and local authorities in England. ‐ a tool for directors of public health and their teams, health and wellbeing boards, and colleagues across local authorities who want to start, extend ,

r improve their work on fuel poverty.

Download the full guide Download the full guide Download the executive summary Download the guide for primary care

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Benefits of good housing to health and the health service

NHS Alliance: “Housing for Health”
PHE/IHE: Fuel poverty and cold home‐related health problems
Liverpool: Healthy Homes Programme
Bristol: Preventing Illness by Tackling Cold Homes in Bristol

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Marmot: Fair Society, Healthy Lives

1. “Tackling health inequalities means tackling climate change – locally and globally” g y g y 2. Understanding that economic growth is not the most important measure of our country’s success. 3. Prioritising policies and interventions that reduce both health inequalities and mitigate climate change:

i. sustainable and resilient local communities ii. active transport iii sustainable food production iii. sustainable food production iv. good quality green spaces across the social gradient v. zero‐carbon housing will have health benefits for all”

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g f f

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Public Health Outcomes Framework

http://www.phoutcomes.info/
6 examples of sustainable development indicators

p p

– 1.17 Fuel Poverty – 1.18 – Social isolation – 2.13 ‐ Proportion of physically active and inactive adults – 3.01 ‐ Fraction of mortality attributable to particulate air pollution (see notes) – 3.06 ‐ NHS organisations with a board approved sustainable development management plan sustainable development management plan – 4.15 ‐ Excess Winter Deaths

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Q i f h di Question for the audience

What is the single best indicator to show collective action is working on this issue at a g city level ‐ that would engage charities, local council health and housing teams energy council health and housing teams, energy companies, the Department for Energy and Cli t Ch l l NHS t t PHE d th Climate Change, local NHS trusts, PHE and the academics sector?

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More information: More information:

D id P h David Pencheon Sustainable Development Unit (SDU) for NHS / PHE T: 0113 825 3220 M: 07900 715184 E: david.pencheon@nhs.net W: www.sduhealth.org.uk B: BMJ Blogs / carbon t: @pencheon1, @sduhealth p Victoria House, Capital Park, Fulbourn, Cambridge, CB21 5XB

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