1. Part of the BRE Trust Making the Most of Data Chris Johnes - Principal Consultant BRE Housing and Health

2. About BRE All profits from the BRE Group are used by the BRE Trust to fund new research and education programmes that will help to meet its goal of ‘building a better world together’ In 2011/12 BRE Trust expenditure on research was £3.17 million, compared with £2.93 million the previous year. These funds support the three key elements of the Trust's activities: research, publications and five university centres of excellence

3. Content –Finding opportunities –Data –Useful sources –Building a case –Talking the right language –Collaboration –Monitoring and progress reporting

4. Finding opportunities –Where are we now? –Identify synergy – what can you offer? –Shared agenda Housing Health Social Inclusion Economy / Employment Environment Anti Social Behaviour Planning Housing Management Regeneration Neighbourhoods

5. Data –Council’s sit on a huge amount of data, the trick is to use it effectively –Inspection data (HHSRS hazards) Can this be mapped? –Latest stock modelling / survey –JSNA –Interpret the data and make the case…….

6. Useful information sources –Joint Strategic Needs Assessment – health inequalities, fuel poverty –Housing stock condition (model or survey) – no. hazards, tenure breakdown, location of poor housing –Health Profile - http://www.apho.org.uk/resource/view.aspx?RID=116449 http://www.apho.org.uk/resource/view.aspx?RID=116449 –IMD – 7 domains including living environment domain –Public Health Outcome Framework –CCG priorities –Fuel poverty rates - DECC

7. Starting the conversation NHS England – ‘Commissioning for Value’

8. CCG priorities

9. http://fingertips.phe.org.uk/profile/general-practice

10. Index of Multiple Deprivation (IMD) 2010 Living Environment Domain –Measures the quality of individuals’ immediate surroundings both within and outside the home. –Two sub-domains: the ‘indoors’ living environment, which measures the quality of housing, and the ‘outdoors’ living environment which contains two measures relating to air quality and road traffic accidents. –Sub-domain: The indoors living environment –Social and private housing in poor condition (modelled from 2005 EHS data) –Houses without central heating (2001 census). –Produced at Lower layer Super Output Area(LSOA) level (approx 1500 people) –http://data.gov.uk/dataset/index-of-multiple-deprivationhttp://data.gov.uk/dataset/index-of-multiple-deprivation

11. Example from Bristol City Council: Indoors Sub domain 2010

12. 2011 Census –Source - http://www.alex-singleton.com/Open-Atlas/

13. 2011 Census –Source - http://www.alex-singleton.com/Open-Atlas/

14. Other sources of information –Fuel Poverty Rates –Life expectancy (ONS) –IMD – Health deprivation and disability domains –Stock condition survey / model –Hospital Episode Statistics

15. Building a Case / drivers –How can removing HHSRS hazards help address local identified need? –Potential health impact of housing improvements -Excess winter deaths -Hip fracture in 65s and over -Accident reductions –Social determinants of health –Add value – physical environment plus individual needs –Who will support? –Targeted intervention? –Integrated Care

16. Talking their language Outcome frameworks 1.Adult Social Care 2.Public Health 3.NHS England Public Health Outcomes Improving the wider determinants of health Health Improvement Health Protection Healthcare, Public Health and preventing premature mortality Children in poverty Self-reported wellbeing Air pollution Mortality from preventable causes Pupil absence Falls and injuries in over 65’s Mortality from all CVD Sickness absence rate Hospital admissions caused by unintentional injuries in children and young people aged 0-14 and 15-24 years Mortality from respiratory disease Percentage of the population affected by noise Emergency readmissions Fuel poverty Hip fractures in over 65’s Social isolationExcess winter deaths

17. Using Housing –All familiar with health effects of cold, however: –House inspection vehicle of engagement – potentially to access other services –Opportunity to access those under the radar of mainstream services (how many visited people in unacceptable housing not known to other services?)

18. Collaboration –Map existing services – who visit homes –Identify local partners –Share cost –Add value –Realigning existing resources

19. Monitoring progress and reporting –Number of inspections –Number of cat 1 hazards –Amount of private sector leverage –Frequent reports for partners –Providing feedback from referrals –Customer satisfaction? –If you don’t record it, how can you report it? –Maintaining partner interest

20. NICE draft guidance on Excess Winter Deaths Recommendations –Strategic planning –Identifying people whose health is at risk from cold homes –Assessing how heating and insulation needs to be improved to raise properties to an acceptable SAP – minimum band D, ideally band B –Provide a local health and housing referral service –Take into account the needs of groups who are vulnerable to the cold –Others visiting vulnerable people should assess their heating needs –Train professionals and voluntary workers to help people whose homes may be too cold for their health and wellbeing –Ensure vulnerable hospital patients are not discharged to a cold home –Use existing powers to identify housing (particularly in the private rented sector) that may expose vulnerable residents to the cold –Anticipated publication date - March 2015

21. Summary –You can do it! –The data sources are out there –Work out what point you need to make ad then find the data to support that –The door is opening –NICE consultation –DECC involvement with health and housing

23. Thank You for Listening watsoni@bre.co.uk johnesc@bre.co.uk