Beyond Preventing Fire: meeting the changing needs of communities, promoting Health and Wellbeing John Beard 14th Feb 2017

8 November 2016

People in our communities Regional Fire Fatality Study 2008-2013 The report was compiled using 88 fire deaths in the south west. Its research successfully identified common factors present in incidents resulting in death: Fire does discriminate: a further study in Hampshire showed that in the last three years the average fire fatality rate (accidental) amongst those known to adult services in Hampshire is approx thirty times greater than the fire fatality rate amongst the entire population of Hampshire The Fire Services in the South West have recently carried out a joint study which looked at 88 fire deaths. The report successfully identified common factors present in incidents resulting in death. During the study of each fire death, the presence of 7 lifestyle or behavioural factors were identified as key influences: Mental health Poor housing keeping Alcohol Smoking Drugs (prescription or illegal) Limited mobility Living alone In addition to these and one factor that can be linked to several others is age: Fire statistics indicate that FRS have been least successful in reducing fire deaths in the over 50 age category, the same section of our population that is set to increase dramatically. Deaths and injuries from fire will rise in proportion to the increases in numbers of older people. National Older Person’s Strategy – CFOA. Almost twice as many people over the age of 50 now die in dwelling fires in the UK each year compared to those under 50 Fire Statistics, UK 2010. National UK fire statistics (2005, CLG) identified that persons aged over 80 are almost three times more likely to die in a dwelling fire than people of ‘all ages’ Hampshire carried out a further study following 27 fire deaths and calculated that in the last three years the average fire fatality rate (accidental) amongst those known to adult services in Hampshire is approx 30 times greater than the fire fatality rate amongst the entire population of Hampshire. This is mirrored in our own fire deaths.....

Sustainability and Transformation Plan Need to place greater emphasis on prevention of illness, support more self care, provide more joined up care and support in the community and look at some of our hospital services are organised to ensure safety and quality What we want to achieve: Less dependence on health and social care services More active communities – with strong networks of community support Access to consistently high quality, safe, physical and mental health services when needed We cannot possibly do this on our own. We have the resources to achieve this but do not know where to find people. Our partners do. Together with our partners our vision, which was once an aspiration, has suddenly becomes achievable.

Our Challenges Growing population with more complex needs in all age groups Increasing demand for services and rising public expectations Encouraging greater personal responsibility – appropriate use of services and greater control of our own health, and that of our family Rising cost of drugs and new medical technology Recruitment and retaining enough staff with the right skills and expertise Pressure on finances Current registered pop in glos 632,500. projected to rise by 42,000 to give a population of 674,500 by 2030 Current no of people over 65 ith long term health conditions 47,500, projected to rise to 77,000 by 2030 The increase in the 75-84 age group by 2012 = 20%

What does this mean...... £226m Total gap over the next 4 years unless we change the way we deliver services and support

Journey of the fire service

The Prevention Journey – Beyond Fire Success in reducing demand – unintended consequences, and new opportunities...through collaboration We cannot possibly do this on our own. We have the resources to achieve this but do not know where to find people. Our partners do. Together with our partners our vision, which was once an aspiration, has suddenly becomes achievable.

Fire as a Health and Social Care Asset in Gloucestershire Gloucestershire Fire & Rescue Service Telecare Responders Community Fire Safety Group - Safeguarding Mental Health Awareness – Specific investment of staff on Dementia Awareness Medical Responders for SWAST

Future Developments Falls pick up service Hospital discharge visits Eye tests as part of safe and well visits Concerns for safety Blood donation clinics on station Drug and Alcohol outreach workers based on stations Cardiac rehabilitation sessions

Telecare responder pilot The response service stopped the need for: The initial pilot covering the period mid-June to mid-Sept in the North Cotswolds enabled 28 people to return home or remain in their own homes. The alternative for these people would have been either a short or long term placement in a care home. X 12 = £2,964 annual value estimate = £11,856 Permanent residential home placement £208,000 X2 = £1,000 annual value estimate = £4,000 Permanent nursing home X 5 = £2500, annual value estimate= £10,000 £136,500 The initial pilot covering the period mid-June to mid-Sept in the North Cotswolds enabled 28 people to return home or remain in their own homes. The alternative for these people would have been either a short or long term placement in a care home. A conservative assumption for these would be £360,100 (full year effect). 5 people placed in a nursing home permanently – net cost per annum c£27,300 each = £136,500 10 people placed in a residential home permanently – net cost per annum c£20,800 each = £208,000 13 people placed in respite / short term placement for up to four weeks while alternative arrangements in place - net cost £15,600 Respite/ short term placement X 10 hospital stays = £25,000; annual value estimate = £100,000 £15,600

This has now been applied across the County’s six localities creating an annual social return on investment is excess of £2.92m per annum

PHE joint working