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Workshop 13 May 2015 Securing Health Service Funding to Address Cold Homes Anees Mank

Workshop 13 May 2015 Securing Health Service Funding to Address Cold Homes Anees Mank Service Manager – Housing Services. Wigan Borough. 317,849 population (Census 2011) 134,887 households (DECC LIHC 2012) 12,739 households in fuel poverty (DECC LIHC 2012)

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Workshop 13 May 2015 Securing Health Service Funding to Address Cold Homes Anees Mank

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  1. Workshop 13 May 2015 Securing Health Service Funding to Address Cold Homes Anees Mank Service Manager – Housing Services

  2. Wigan Borough • 317,849 population(Census 2011) • 134,887 households(DECC LIHC 2012) • 12,739 households in fuel poverty(DECC LIHC 2012) • 9.4% households in fuel poverty(DECC LIHC 2012) • A reduction of 1.9% from previous year • Lowest level in Greater Manchester

  3. Successes • Decent Homes programme in social housing • High take-up of Warm Front in private housing • Warm Homes Healthy People • £1m DECC Fuel Poverty Fund • £3m GM Green Deal Go Early • £6m GM Green Deal Communities

  4. Affordable Warmth Access Referral Mechanism (In) Age UK CAB, HIA Social Workers Children’s Centres Midwives District Nurses Hospital Discharge Fire Service GP’s Surgeries Health Visitors Occupational Therapists

  5. Affordable Warmth Access Referral Mechanism (Out) Draught-proofing Health Checks Energy Switching Minor Adapt’s Fire Safety Insulation Schemes Fuel Debt Advice Income Advice Heating Schemes Home Repairs Improvements

  6. Funding for AWARM • £15,000 from Wigan Council Public Health • 125 households brought out of fuel poverty • Needed to upscale to 1,000 households • Target individuals with health conditions • Reduce Excess Winter Deaths, hospital admissions and delayed discharge • Unable to identify individuals directly due to data protection

  7. Targeting AWARM • Wigan Council’s Joint Intelligence Unit overlaid: • Aged 65+ at risk of being admitted to hospital during winter due to circulatory or respiratory illness • Aged 65+ in receipt of Council Tax Reduction • Index of Multiple Deprivation Rank • Privately rented terraced houses • Produced geographical hotspots to identify GP practices to target • Identify patients suffering from a health condition caused or exacerbated by cold conditions

  8. Targeting GP Practices

  9. Anticipated NHS savings • Modelled by Dr Paul Turner, Consultant in Public Health. • Based on 200 excess winter emergency admissions for the 65+ age group in the Wigan borough during winter 2011-12. • Resulted in 1,800 additional acute hospital occupied bed days costing around £1,000,000 (at £575 per bed day).

  10. Business Case for AWARM • Invest to Save Business Case based on: • The effectiveness of identifying those at risk of a hospital admission due to fuel poverty • The effectiveness of the fuel poverty intervention preventing a hospital admission

  11. Bid for AWARM • Endorsed by Wigan Council’s: • Director of Public Health • Senior Management Team • Health and Wellbeing Board • Health and Social Care Scrutiny Committee • Presented to Wigan Council and CCG Joint Commissioning Group • Focused on Early Intervention and Prevention • Awarded £200,000 over two years to bring 2,000 households out of fuel poverty

  12. Implementation of AWARM • AWARM officer based in large GP practice • Signed data sharing agreements • Access to GP patient health risk registers • Possible trial of the RCGP’s single click referral module for SystmOne • Set-up referral system for: • Extended Integrated Neighbourhood Teams • Healthy Living Pharmacists, Dentists and Opticians

  13. Fuel Poverty and Health Booster Fund • £100,000 DECC grant to cover the shortfall in ECO funding for heating and insulation measures. • This will help 120 households in fuel poverty, containing an individual who is suffering from a health condition caused or exacerbated by cold conditions.

  14. Training on AWARM • Working with NEA on producing and delivering a training module on fuel poverty for primary care health professionals based on the UK Health Forum’s “Guide for primary care on fuel poverty: tackling cold homes and ill health” • Discussions with RCGP on CPD accreditation of the course in order to drive take-up by GPs

  15. Evaluation of AWARM • We hope to be able to access information about health service uptake by the individuals referred to AWARM, although this is yet to be tested. • We are commissioning a formal academic evaluation of AWARM’s impact on health and well-being in conjunction with NICE and PHE

  16. Fuel Poverty Strategy

  17. NICE Guideline [NG6]

  18. Further information • Reference library of links to reports on fuel poverty at: aneesmank.blogspot.co.uk • E-mail: a.mank@wigan.gov.uk • Twitter: @AneesMank

  19. Thank you for your timeand attention.Questions and Answers

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