1. Health and wellbeing in a changing climate Jemma Knowles Climate SouthWest Project Officer Jim Hodgson Climate Change Advisor, Climate Ready Support Service

2. Overview Jemma Changing climate: impacts on a local level Local support available Jim The Climate Ready support service New toolkit for health and wellbeing boards

3. What we have seen so far Building resilience to extreme weather and a changing climate 2014: flooding and...? 2000: flooding 2001: flooding 2003: heat wave 2005: flooding 2006: drought heat wave 2008: flooding snow & ice 2007: flooding 2009: flooding snow & ice 2010: flooding snow & ice 2012: drought flooding 2013: heat wave flooding storm 2000: flooding 2001: flooding 2005: flooding 2006: drought heat wave 2008: flooding snow & ice 2007: flooding 2009: flooding snow & ice 2010: flooding snow & ice 2012: drought flooding 2013: heat wave flooding storm

4. What we can expect by 2050s Building resilience to extreme weather and a changing climate Overall increase in temperature 2.7°C Increased winter precipitation 17% Decreased summer precipitation 20% Rising sea levels 26-29cm More frequent & intense extreme weather

5. Impacts for health Building resilience to extreme weather and a changing climate Challenges Increased heat related deaths Increased deaths & admissions associated with ground level ozone Increase in death & injury from flooding & storms Increase in flood-related mental health issues Increased ground level UV Opportunities Increased physical recreation, reduction in obesity & CHD Decrease in cold-related deaths Fewer cold related admissions Healthier lifestyles

6. Service delivery: impacts & response Building resilience to extreme weather and a changing climate Risk toExamples of adaptive response Estate/building & supporting infrastructure (transport) Vehicles/equipment Natural ventilation Cool spots Green infrastructure, SuDS Medications keep at right temperature Rise in fuel, energy, water, food costs Water supply Supply chain, transport Resource efficiency Identification of alternatives Workforce – accessibility, wellbeing Vector disease migration Patient comfort Staff access considerations Training and guidance on response to extreme weather events Transport planning Adaptation inclusion in emergency and contingency plans Social impacts Vulnerable communities Information, targeted warning systems Change in behaviours

7. Climate UK network Building resilience to extreme weather and a changing climate

8. Climate SouthWest Building resilience to extreme weather and a changing climate www.climatesouthwest.org info@climatesouthwest.org @ClimateSW

9. Climate Ready Support Service 3 year programme launched in 2012 Part of Government's wider adaptation programme Aim: to help ‘key sectors increase their resilience to climate risks’ by incorporating climate risk management into routine business decision- making: Primarily working in partnership and through others Builds on our corporate objective to integrate adaptation into everything we do

10. Climate Ready Support Service Two key components: Free, independent online advice and support via: www.environment-agency.gov.uk/climateready Tailored support and partnership working to help key sectors adapt: Business & services Infrastructure Natural environment Built environment Local government Health & wellbeing Agriculture & forestry

11. Climate Ready and the NAP ThemeRelevant NAP objectives for LAs Local Government Raise the profile of adaptation with LA’s and promote action Support local government to build a business case for action Local government policy framework supports climate resilience Support sector led activities to address local climate challenges Healthy and resilient communities Promote climate resilience to organisations in the health sector Encourage resilience within the health system and its operations Reduce health impacts related to climate change e.g. heatwaves Improve the resilience of groups vulnerable to climate impacts Built Environment Developing skills to understand and manage climate risks Providing decision tools to help developers promote adaptation Ensuring new development is resilient to future flood risk Increasing the resilience of homes and buildings to climate risks

12. National Adaptation Delivery Group

14. Adaptation in the new health & social care system Intervention / ActionBenefit Climate ready JSNA & JHWS Promotion of extreme weather preparedness Future proofing Better health outcomes Social Vulnerability Meeting the NAP objectives Climate ready commissioning plansNHS Commissioning Board Business continuity management framework Commissioning board emergency preparedness framework EPRR core standards Board approved SDMPPublic Health Outcomes Framework 3.6 All of aboveAdaptation Reporting Power Multi-agency planning a preparation for response (including through LRFs) Combating fuel povertyBuildings better prepared for heatwaves

15. Adaptation Toolkit – coming soon Responding to specific needs of those in the health and social care system Profiling adaptation as part of core business informed by stakeholders (10 councils) How to assess risk to changing climate How to enable action How to test JSNA Case studies