1. ihia.org.uk Liverpool HIA Capacity Building Project Sophie Grinnell BEng (Hons) MSc HIA Research Fellow Liverpool Primary Care Trust Liverpool City Council IMPACT University of Liverpool Sophie.grinnell@liverpool.ac.uk HIA Conference – Granada 2011

2. Capacity Building for HIA in Liverpool 1 Health Action Zone-funded tripartite project Targeted activity to em-bed HIA principles and practices into organisational culture. Vision - ‘Health in All Policies’

3. Capacity Building for HIA in Liverpool 2 Aims – Develop HIA culture – Integrate HIA into policy planning Objectives – Build HIA capacity/capability – Undertake HIAs – Support HIAs – Monitor and evaluate

4. ihia.org.uk Homing for Health Sophie Grinnell Tony Boyle Sophie.grinnell@liverpool.ac.uk Sophie.grinnell@liverpool.ac.uk HIA Conference – Granada 2011

5. Healthy Homes Programme (HHP) Prevention of death & illness due to poor housing conditions and accidents. Target worst 5,500 private rented homes in Liverpool over 3 years. Partnership working (fire, health, voluntary sector). Funded by Health service, Council manage the project

6. Facts Liverpool has one of highest rates of excess winter deaths (250). Most – poor housing conditions, key contributor Injuries – 522 hip fractures (2007) electrocutions fire Impact on well-being (depression, social exclsuion)

7. How does the programme work HHSRS – enforcement the removal of hazardous conditions (adversely affect health & safety of occupants). Face to face with residents – Single Assessment Process to establish a range of housing and health related needs. Direct referral of needs to a range of statutory, public and community partner agencies and subsequent checks to ensure follow up contact is made.

8. Why & How did we do a HIA? Screening:– Rapid HIA. Aim of HIA:- Determine the likely health impacts of the Programme. Workshop:- 35 attendees. Set evidence based recommendations.

9. Data Life expectancy:- males 73.4/females 78.8 Low birth weight higher than national average 22% obese 27% engage in binge drinking 27% houses no central heating (8% nationally) Smoking 35%-28% (still highest rates nationally)

10. Impacts identified (workshop) Increased rent - eviction Poor health affected by drug abuse Food poisoning from poor sanitation Lack of joined up thinking People think it’s the norm to be in poor health Depression as a result of social isolation Overcrowding outbreak of disease Many people unable to pay for fuel Access to social + reacreational activities is often undervalued as a precursor to good health

11. Recommendations Partnership working models/delivery to be enhanced between Liverpool City Council and Liverpool Primary Care Trust. Policy/programme/project alignment and mapping. Healthy Homes Programme to develop/use a virtual model of programme elements for delivery, using best practice.

12. Recommendations Commission satisfaction survey – housing, health and well-being for the duration of the programme (Yrs 1, 2 and 3). Further analysis of impacts on mental health from the programme is required. Policies/strategies such as the Housing, Health improvement, Advocacy and older people strategy to be informed by health improvement evidence.

13. Next Steps The Programme seen Nationally as best practice – 20/20 Decade health & well-being. Evaluate the impact/up-take of the recommendations. Continuation of the Programme? www.liverpool.gov.uk/council/strategies- plans-and-policies/housing/healthy-homes- programme www.liverpool.gov.uk/council/strategies- plans-and-policies/housing/healthy-homes- programme