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

2. 8 November 2016

3. People in our communities
Regional Fire Fatality Study
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.....

4. 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.

5. 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 age group by 2012 = 20%

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

7. Journey of the fire service

9. 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.

10. 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

12. 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

14. 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

15. 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

16. PHE joint working