Jon Bird Programme Manager Healthy Homes Dorset A View From…Dorset Jon Bird Programme Manager Healthy Homes Dorset

Healthy Homes Dorset OFGEM Voluntary Redress Guidance Contents Healthy Homes Dorset OFGEM Voluntary Redress Guidance

housing stock brings multiple health and environmental gains”. Background “Improving the energy efficiency of the housing stock brings multiple health and environmental gains”. (Professor Sir Michael Marmot)

£640,000 Home improvement measures Resources Activities Outputs Outcomes PHD staff time Produce research protocol Research protocol SHORT TERM: Target group have healthier room temps Evaluation shows effect of programme Select target intervention groups Homes of vulnerable residents improved Academic support Medium Term: Improvements in self-reported health and well being Recognition as national leader in health-based housing intervention Commission delivery agents Project manager 0.5FTE Reductions in GP consultation rates Reductions in emergency admissions for respiratory conditions Reductions in excess winter mortality Improve home insulation and heating in target group homes Contribution to JSNA and other relevant strategies £640,000 Home improvement measures Impact Reduce cold weather-related morbidity and mortality in Dorset Evaluate outcomes and impact Improved evidence base

Phase 1: MOSAIC data groups: Solo Retiree, Seasoned Survivor, Bungalow Heaven Mailshots SAIL forms Adapted short SF-36 self reported health assessments Phase 2: Referrals from Health and Social Care providers, DFRS etc.

Funding Original budget Funding bids: Fuel Supplier match funding rates : 0-75% Energy Company Obligation funding conditions

Phase 1Delivery: Results to December 2015: 106 homes improved: Of which: 77 homes with a resident over 70 63 homes with residents living alone 62 Health questionnaires returned, 16 intending to. 27 self-declared in “ill health”

55 people before and after questionnaires:   83% say noticed a temperature difference 32% say noticed a difference heating bill (56% say no change).   47% say less worried about heating bills 45% say not more or less worried 25% say general health has improved since the installation (69% say no change) 34% say they visit the GP less (49% say no change)

Phase 1 Delivery: Safe And Independent Living Forms: 161 forms returned 475 services requested including: 50 help keeping garden tidy 42 Benefit Entitlement Check 40 Energy Advice 40 DFRS Home Safety Check 37 Home maintenance and repairs 30 Adaptations to maintain independence 26 Lunch clubs, meals on wheels etc. 5 Help with unplanned weight loss

Why this quality standard is needed Preventing excess winter deaths and morbidity NICE quality standard Draft for consultation Why this quality standard is needed Cold weather has a direct effect on the incidence of heart attack, stroke, respiratory disease, flu, falls and injuries and hypothermia. Indirect effects include mental health problems such as depression…

people more at risk from the effects of the cold:  people with cardiovascular conditions  people with respiratory conditions (in particular, chronic obstructive pulmonary disease and childhood asthma)  people with mental health conditions  people with disabilities  older people (65 and older)  young children (under 5s)  pregnant women  people on a low income  people who move in and out of homelessness people with addictions. people who have attended hospital due to a fall Recent immigrants and asylum seekers

Phase 2 development: Referrals from Health and Social Care providers Eligibility: As NICE Draft Quality Standard: “people more at risk” list Focus: Residents with pre-existing respiratory and circulatory conditions Referrers: Dorset DAIRS DWFRS Malnutrition training

2. OFGEM voluntary redress guidance: Voluntary redress vs. fines So what? Good and not-so-good: Example: NEA Redressing the Balance/Health and Innovation Programme: (Sour grapes?) EST deja-vu? OFGEM guidance OFGEM consultation

NEA Redressing the Balance/Health and Innovation Programme (£26.2mn) 1.Technical Innovation Fund - (TIF) To promote new solutions to fuel poverty utilising energy saving measures not traditionally in scope of current schemes (£5mn) 2.Warm and Healthy Homes Fund - (WHHF) To establish new models of working with colleagues in health and social care sector (£3.25mn) 3.Warm Zones Fund - (WZF) Cost effective delivery of energy efficiency and carbon reduction measures and related advice to vulnerable householders (£13mn)

A View From…Dorset Jon Bird Programme Manager Healthy Homes Dorset j.bird@dorsetcc.gov.uk 01305 221895