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Linking affordable warmth and health. 5 th June 2014 John Kolm-Murray Seasonal Health and Affordable Warmth Co-ordinator London Borough of Islington. The Islington picture. 14 th most deprived local authority area in England Significant inequality and low social capital

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linking affordable warmth and health

Linking affordable warmth and health

5th June 2014

John Kolm-Murray

Seasonal Health and Affordable Warmth Co-ordinator

London Borough of Islington

the islington picture
The Islington picture
  • 14th most deprived local authority area in England
  • Significant inequality and low social capital
  • High levels of long-term illness, particularly respiratory and cardiovascular illness
  • 50-60 excess winter deaths each year and around 7 excess winter emergency hospital admissions per death
  • Over 20% fuel poverty (GLA definition)
  • Mostly ‘hard to treat’ stock – high-rise flats, solid walled houses etc.
delivering seasonal health and affordable warmth work locally
Delivering seasonal health and affordable warmth work locally
  • Strong emphasis on year-round work
  • Prevention as well as reaction
  • Working with local teams/organisations to raise cold weather issues
  • Winter outreach work with third sector partners
  • Dissemination of cold weather alerts through existing channels & partners
  • Not just fuel poverty
warm healthy homes programme
Warm Healthy Homes Programme
  • Over 19,000 homes improved since 2010
  • Energy Advice Service and popular Energy Doctor in the Home service
  • Well Winter Campaigns every year since 2011
  • Seasonal Health Interventions Network (SHINE) – multidisciplinary approach to reducing excess winter mortality, morbidity & fuel poverty
  • Boiler Replacement Programme – F and G rated boilers in private sector and small RSL homes being replaced
  • Bunhill decentralised energy plant
  • Solid wall insulation programmes
shine the story so far
SHINE: The story so far
  • Over 6,400 referrals to date (2,830 in 2013/14 alone)
  • Almost 29,000 seasonal health interventions to date
  • Over £600,000 saved on energy bills annually
  • Successful in targeting right groups – all clients referred older, disabled, long-term ill or are low income families with children
    • 52% aged over 65
    • 56% are people with disabilities
    • 34% have respiratory or cardiovascular illness
    • 15% have children under 5
  • Targets in Islington Corporate Plan
  • Model adopted by Hackney, Lewisham, Wandsworth and Norwich
  • Strong political backing locally
shine interventions
SHINE Interventions
  • Initial energy advice
  • Home energy visitor service
  • Energy efficiency grants
  • Energy and water bill discounts
  • Telecare
  • Fire safety check
  • Home security check
  • Handyperson Service
  • Private sector housing support
  • Benefit check
  • Debt advice
  • Disabled Facilities Grant
  • Medication review
  • Flu jab
  • NHS Health Check
  • Message in a Bottle
  • Air pollution alerts
  • Falls assessment
  • Older people’s support services
  • Vulnerable utility customer register
  • Support for people with disabilities
  • London Taxicard
  • Befriending services
  • Mental health enablement service
  • Stop Smoking Service
  • Alcohol support
links with health service
Links with health service
  • Included in COPD post-discharge early implementers project
  • Suggested through Islington COPD Local Enhanced Services
  • Referrals received from acute and community teams at local hospitals
  • Increasing participation from paediatric services.
  • Public Health and NHS Reablement funds supported development
  • Limited number of referrals coming from GPs
  • Included in JSNA
well winter campaign 2012 13
Well Winter Campaign 2012/13
  • Social isolation significant factor in EWD & illness
  • Worked with third sector partners
    • Age UK Islington, Pillion Trust (homelessness project), North London Cares, Friendship Phone Network, Groundwork London (Energy Doctor)
  • Outreach work, door-knocking to target hardest to reach
    • 4,600 vulnerable residents reached – both young & old
    • Over 1,000 SHINE referrals received
    • 1,612 clients new to Age UK Islington identified
    • 192 hot meals provided by Age UK during level 3 alerts
    • ~1,000 residents seen by North London Cares outreach work
    • 112 replacement boilers installed
    • 52 vulnerable young people accessed Pillion Trust shelter
    • 43 isolated residents signed up for Friendship Phone Network
key points
Key points
  • Excess seasonal mortality and morbidity the result of a number of factors therefore require multi-disciplinary approach
  • Many health and social care professionals receptive to discussing wider determinants of health
  • Signposting loses vulnerable people
  • Data protection a barrier to precision
  • No magic bullet: dogged persistence needed
looking ahead
Looking ahead
  • Future inclusion in Joint Health & Wellbeing Strategy
  • Clinical Commissioning Group and GPs engagement
    • Joint mailing pilot this autumn
  • Further integration into care pathways
  • Dampness and mould growth campaign
  • Lobbying GLA and London Councils to roll SHINE-like programme across London
  • Draft NICE guidance out 13th June
    • Excess winter deaths and illness; focused on cold homes

John Kolm-Murray

Seasonal Health & Affordable Warmth Co-ordinator

020 7527 3800

Twitter: @shine_network