Linking affordable warmth and health

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Linking affordable warmth and health 5 th June 2014 John Kolm-Murray Seasonal Health and Affordable Warmth Co-ordinator London Borough of Islington

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Linking affordable warmth and health. 5 th June 2014 John Kolm-Murray Seasonal Health and Affordable Warmth Co-ordinator London Borough of Islington. The Islington picture. 14 th most deprived local authority area in England Significant inequality and low social capital - PowerPoint PPT Presentation

Transcript of Linking affordable warmth and health

Page 1: Linking affordable warmth and health

Linking affordable warmth and health

5th June 2014

John Kolm-Murray

Seasonal Health and Affordable Warmth Co-ordinator

London Borough of Islington

Page 2: Linking affordable warmth and health

The Islington picture

• 14th most deprived local authority area in England

• Significant inequality and low social capital

• High levels of long-term illness, particularly respiratory and cardiovascular illness

• 50-60 excess winter deaths each year and around 7 excess winter emergency hospital admissions per death

• Over 20% fuel poverty (GLA definition)

• Mostly ‘hard to treat’ stock – high-rise flats, solid walled houses etc.

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Delivering seasonal health and affordable warmth work locally

• Strong emphasis on year-round work

• Prevention as well as reaction

• Working with local teams/organisations to raise cold weather issues

• Winter outreach work with third sector partners

• Dissemination of cold weather alerts through existing channels & partners

• Not just fuel poverty

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Warm Healthy Homes Programme

• Over 19,000 homes improved since 2010

• Energy Advice Service and popular Energy Doctor in the Home service

• Well Winter Campaigns every year since 2011

• Seasonal Health Interventions Network (SHINE) – multidisciplinary approach to reducing excess winter mortality, morbidity & fuel poverty

• Boiler Replacement Programme – F and G rated boilers in private sector and small RSL homes being replaced

• Bunhill decentralised energy plant

• Solid wall insulation programmes

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SHINE: The story so far

• Over 6,400 referrals to date (2,830 in 2013/14 alone)

• Almost 29,000 seasonal health interventions to date

• Over £600,000 saved on energy bills annually

• Successful in targeting right groups – all clients referred older, disabled, long-term ill or are low income families with children

– 52% aged over 65– 56% are people with disabilities– 34% have respiratory or cardiovascular illness – 15% have children under 5

• Targets in Islington Corporate Plan

• Model adopted by Hackney, Lewisham, Wandsworth and Norwich

• Strong political backing locally

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SHINE Interventions

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Growth of SHINE

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Links with health service

• Included in COPD post-discharge early implementers project

• Suggested through Islington COPD Local Enhanced Services

• Referrals received from acute and community teams at local hospitals

• Increasing participation from paediatric services.

• Public Health and NHS Reablement funds supported development

• Limited number of referrals coming from GPs

• Included in JSNA

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Joint Strategic Needs Assessment

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Well Winter Campaign 2012/13

• Social isolation significant factor in EWD & illness

• Worked with third sector partners – Age UK Islington, Pillion Trust (homelessness project),

North London Cares, Friendship Phone Network, Groundwork London (Energy Doctor)

• Outreach work, door-knocking to target hardest to reach– 4,600 vulnerable residents reached – both young & old– Over 1,000 SHINE referrals received– 1,612 clients new to Age UK Islington identified – 192 hot meals provided by Age UK during level 3 alerts– ~1,000 residents seen by North London Cares outreach

work– 112 replacement boilers installed– 52 vulnerable young people accessed Pillion Trust

shelter– 43 isolated residents signed up for Friendship Phone

Network

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Key points

• Excess seasonal mortality and morbidity the result of a number of factors therefore require multi-disciplinary approach

• Many health and social care professionals receptive to discussing wider determinants of health

• Signposting loses vulnerable people

• Data protection a barrier to precision

• No magic bullet: dogged persistence needed

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Looking ahead

• Future inclusion in Joint Health & Wellbeing Strategy

• Clinical Commissioning Group and GPs engagement– Joint mailing pilot this autumn

• Further integration into care pathways

• Dampness and mould growth campaign

• Lobbying GLA and London Councils to roll SHINE-like programme across London

• Draft NICE guidance out 13th June– Excess winter deaths and illness; focused on cold homes

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Contact

John Kolm-Murray

Seasonal Health & Affordable Warmth Co-ordinator

020 7527 3800

[email protected]

Twitter: @shine_network