Targeting Vulnerable People Evan Morris Cheshire Fire & Rescue Service Ken Clemens Age Concern Cheshire

Free phone Number to register for an HSA – anyone can use

The Result 70% increase in DERV £100,000

DIRECT ENGAGEMENT

TARGET SPECIFIC WARDS Over 60,000 Completed HSA Biggest footfall of any agency into peoples homes

TARGET SPECIFIC PEOPLE Fire death rate across all ages was 8 per million of the population A third of all fire deaths are among people aged 65 and over years of age account for 13 fire deaths per million population Over deaths per million population Fire Statistics UK, 2004

Vulnerable Person LIVES ALONE

SHARING INFORMATION Cheshire Halton & Warrington Information Sharing Consortium EXETER derived from NHS information Local Authority Community Services Department use for accessing + 65s Over 65 & registered with a GP Business Case to CHWIC & Caldicott Guardian Agreement reached to share information Data Protection

Caldicott Guardian 1997 Dame Fiona Caldicott Caldicott Report Recommendations regulating use and transfer of patient- identifiable information Appointed to NHS organisations & Councils with Social Services responsibilities Key to accessing information

Exeter Data 121,576 individuals Living in 83,275 premises 34,440 over 80 4,400 living in Residential Care Over 4,000 living in sheltered accommodation

Delivery of HSA against Exeter Data Fire fighters - Target Wards amended to include + 65 Outstanding by Community Safety Advocates Community Safety Advocates target specific areas Satellite Navigation used to improve efficiency Data Protection key

Progress to date Had a HSA within 3 years 47,504 Not had a HSA within 3 years 65,802 We will visit these in the next two years Warrington 2000 vulnerable people (1200) 1500 Home Oxygen Users (850) Over 8000 contact assessments

Age Concern ‘Supporting You’ service Over 12,000 referrals by CFRS Over £4.5million in Benefits for over 65’s FRS target in LAA Contact Assessments

Requests for support - In 2008/09 – 8020 contact assessments were completed by CFRS, Age Concern received 2454 requests for support in the following areas

Former Secretary of State Hazel Blears (2008) “This is an excellent example of the Fire and Rescue Service spotting an issue and doing something about it. You are thoroughly respected and trusted in the communities that you serve and as a result of your drive and determination and the commitment of key partners, vulnerable elderly people in Cheshire can now benefit from many more services”

Supporting You – case study (May 2009) Mrs J was referred to Supporting You following a Home Safety Assessment from Cheshire Fire and Rescue Service. They were concerned about her lack of heating. The Home Assessor visited Mrs J, who has arthritis and a heart condition, and was living alone in a property which was very isolated and always cold. The Home Assessor completed a claim form for Attendance Allowance which was awarded at the higher rate. This meant that Mrs J was now entitled to a government Warm Front Grant of £2700 which paid for the installation of central heating.

Supporting You – case study (May 2009) She was also referred to Age Concern Cheshire’s Falls Prevention project who fitted grab rails in her bathroom so she feels safer accessing her bath and because of the Attendance Allowance she is able to get out and about more in taxis. Mrs J is very grateful for the help she received from the Fire Service and Age Concern Cheshire and feels both her physical and mental health have improved following intervention.

FRS National Data Sharing toolkit Department of Health Department for Communities and Local Government Information Commissioner Caldecott Guardians

Where Next? Further refinement of targeting – IMD & VLI Surgical approach – very high risk groups Post Fatal Strategy Re-inspection policy Quality and Audit

Thank you for listening