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Health and housing PHE’s perspective

Health and housing PHE’s perspective. Gill Leng Housing & health lead, PHE. Housing LIN NW 3 November 2015. Our vision. The right home environment is essential to health and wellbeing, throughout life A home in which to ‘start, live & age well’ Key features of home (permanent & temporary):

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Health and housing PHE’s perspective

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  1. Health and housingPHE’s perspective Gill Leng Housing & health lead, PHE Housing LIN NW 3 November 2015

  2. Our vision • The right home environment is essential to health and wellbeing, throughout life • A home in which to ‘start, live & age well’ • Key features of home (permanent & temporary): • Warm & affordable to heat • Free from hazards, safe from harm • Enables movement around the home and is accessible • Promotes a sense of security and stability • Support available if needed

  3. The challenge? Health impact • Poor housing affects 3.6m children, 9.2m working age adults, 2m pensioners • 19% of adults in poor housing have poor mental health • 28% of young people in cold home have 4 or more negative mental health symptoms, compared to 4% in warm homes • Average council works with 1,470 people facing multiple needs p.a. • C. 40% have poor mental health • Average age of death of single homeless person 47 years • NHS costs p.a. • At least £1.4bn poor housing: cold homes & falls related to the home • >£85.6m single homelessness – A & E attendance & admission • >£26m delayed transfer of care – lack of housing • £ as a result of mental health?

  4. Cost to the NHS? • The cost of poor housing is estimated to at least £1.4bn p.a. (first year treatment costs only) • New BRE calculation – over 55s • 2m households in poor housing • 1.3m homes with Cat 1 hazard • £624m p.a. cost to NHS • £442m excess cold, £131m falls • Between 4 – 7% accessible Sources: Nichol S, Roys M, Garret H (2015) The cost of poor housing to the NHS, BRE; and Garret H, Burriss S (2015) Homes and ageing briefing, BRE

  5. PHE’s role in local public health • Remit to • Develop capability in the local public health system • Inform decision making, based on evidence • Enable a shared understanding of • Relationship between home and health locally • The national framework & the local response • What these mean for policies & plans to improve health & wellbeing – challenges and opportunities • The effectiveness of housing interventions, for whom and when • How working together professionals can plan & deliver for better health

  6. PHE commissioning support • Homeless health needs audit & annual report – Homeless Link • Health and homes resource –CIEH • Standards in evidence –HACT • Rapid evidence review: homeless prevention – Homeless Link • IBAs in housing settings – Middlesex University Analyse Review • Home adaptations & integration – Care & Repair England • Workshops & briefings to support commissioning eg, Homeless Link & NHS; Housing LIN • Healthy eating & social landlords – 5 landlords • Workforce development – SITRA • Inclusion health E-learning resources– Pathway Do Plan

  7. Analyse: Homes & health evidence resource Website: www.cieh-housing-and-health-resource.co.uk

  8. Analyse: Homeless health needs audit • www.homeless.org.uk/our-work/resources/homeless-health-needs-audit/health-needs-audit-toolkit

  9. Plan: Home adaptations & integration • www.careandrepair-england.org.uk

  10. Plan: Cold weather plan • Websites: • https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/468160/CWP_2015.pdf

  11. Do: Wider public health workforce Website: www.sitra.org/policy-good-practice/housing-for-health/housing-and-public-health/

  12. Do: Housing and health exchange • http://www.housinglin.org.uk/Topics/browse/HealthandHousing/Health-Exchange/

  13. Review: Standards on evidence • http://www.hact.org.uk/standards-evidence-housing

  14. The future? • Where can we have an impact? • Children and families: essential to improve life chances • Working age: connecting homes, health & a job, securing future older population’s health • Ageing well: enabling care closer to a healthy home • Pressure points across life course eg, hospital • What do we need to do? • Support systems leadership • Continue work on intelligence and evidence • Develop workforce & others (home a consideration for all) • Enable partnerships & market, incl. private & & VCS • Raise public awareness to inform decision making

  15. Contact • Gill Leng • Housing & health lead • Tel: 07766 660799 • Email: gill.leng@phe.gov.uk • Twitter @gill_leng

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