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

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

3. 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)

5. £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

6. 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.

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

8. 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”

9. 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)

10. 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

11. 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…

12. 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

13. 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

14. 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

15. 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)

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