1. Tim Wright, Public Health Portfolio Lead
In for a penny, in for a pound: tackling cold related ill health in County Durham
Tim Wright, Public Health Portfolio Lead

2. Overview Context Background Warm & healthy homes Strenghts/weknesses
What next?

4. Context
Excess winter deaths index of 19, 314 people. Not significantly different to England average
22.7% children in poverty (sig.worse than England)
Disease prevalence by CCG is 20% greater than England for CHD, Stroke/TIA, COPD, LDs’

5. Context (cont’d) Housing stock condition
100 communities off gas network

6. Background History early 2000s’ LAs’/NHS NRF
2008 ‘Rights to Warmth’/Hotspots’ (early adopter of model of NG6).
Durham Dales ICO,
DH Warm & Healthy Homes funding.
NEPHO baseline (2009) and 2 year follow up reports, (2011)
NEA evaluation of Hotspots, 2013
DECC Health booster fund

7. Warm & healthy homes Reduce numbers of excess winter deaths
Reduce hospital emergency admissions
Improve the health and wellbeing of clients living in a cold, damp home
Provide warmer homes, lower fuel bills
Reduce levels of fuel poverty

8. Warm & healthy homes (cont’)
Eligibility criteria
Training/briefing of health/social care staff.
Menu of options
Annual report 2015/16

9. Warm & healthy homes Warm and Health Homes 2015-16 Total
Referrals made by health practitioners, social care staff and partner organisations
193
Numbers of referrals who received energy advice
Number of households who received energy efficiency measures 98
Number of homes insulated funded by Warm Up North 3
Numbers of benefit checks 43
Number of fire safety checks 37
Articles of media coverage generated 9
User satisfaction surveys completed 59
SAP energy assessment
100%

10. Strengths Programme consistency Well targeted Strategically embedded
Advocates who push agenda
Engaged in national pilots eg ICO Dales/ funding bids
Cyclical feedback system
Utilisation of MECC

11. Weaknesses Targeted intervention ? Scale Outputs v outcomes
Small investment
Little CCG recognition/engagement
Not embedded into patient pathways.
Not promoted extensively
Tinkering at the edges

12. What next? More robust links with primary care.
Targeted programme eg South Hetton.
Piggyback onto social prescribing.
? Outcome based commissioning.
Loan based system
Private rented sector
Registered providers
FUSE supported seminar March 2017