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Keeping vulnerable people warm

15/07/2011 00:00:00

tadea helps to reduce weather related illness using the award winning hotspots scheme.

The Challenge

A significant number of older people in Britain occupy houses that have poor heating and insulation, and the link between ill health and housing is strong for this group.  This is particularly important because many older people spend such a lot of time at home. 
 
Respiratory diseases are often caused and/or made worse by damp and cold conditions at home. Across Britain there are many more deaths in winter than summer months, and older people make up the vast majority of that excess. 
 
Housing conditions, household income, ambient temperatures across winter months, inefficient heating and insulation and fuel prices are all key factors that drive the high level of excess winter deaths in Britain. 
 
The challenge faced by tadea, the NHS and other agencies was to identify those at risk and then how best to improve their living conditions so mitigating action against the key factors could be implemented. This would mean close working across agencies to provide a ‘joined-up’ approach that quickly helped those who needed assistance.
 

The tadea Solution

As part of the County Durham and Darlington Foundation Trust (CDDFT), the Health and Wellbeing Division was committed to working with Public Health Commissioners, GPs and wider community stakeholders to address and tackle poor health and health inequalities. 
 
Funding was provided to appoint a key Project Worker, on behalf of Healthy Homes Partnership, to work on health and wellbeing solutions within Energy Saving Trust advice centre at tadea.
 
Working closely with County Durham and Darlington Foundation Trust and a local GP in the Dales area, tadea have helped with two key initiatives: Hotspots and Energy on Prescription.

Hotspots
 
The Hotspots initiative has two key aspects. 
 
Direct awareness training provided by tadea to raise awareness of the implications of cold weather and cold temperatures on people’s health. This is targeted at public service professionals who routinely meet and enter the homes of the public.  The training highlights the increased risks that cold weather has on older people’s health. 
 
If a member of the public is identified as needing support, the Hotspots referral process is started using a simple and easy to understand form.  This triggers a fast response by a dedicated team of energy specialists, from within the Energy Saving Trust based in tadea.  This often results in immediate remedial work that rapidly improves the living conditions for the individual.  The speed of this initiative is what drives its success.
 
Energy on Prescription
 
As part of a National Integrated Care Pilot, the Healthy Homes Partnership was adopted as a key vehicle to develop new ways of responding to Excess Winter Deaths. 
 
Led by Durham Dales PBC Cluster, the pilot scheme was designed, developed and delivered in a deprived community in County Durham.  This scheme was known as Energy on Prescription
 
By working in partnership with a local GP, this radical approach to resolving fuel poverty involved identifying the most vulnerable patients from within an area that was considered to have high levels of multiple deprivation. 

Targeted individuals had their fuel bills paid for them, through the GP Practice, during the winter months.  In return, the GP Practice was able to monitor the physical and emotional health of the patients and record any variation in historical admission rates to hospital.  This initiative was well received by the public and provided persuasive data that indicated a cost benefit advantage.

Benefits of working with tadea

The Hotspots initiative has been highly successful and has led the Healthy Homes Partnership to share its ideas with wider members of local government, via a national master-class conference. But perhaps more importantly, vulnerable people have been identified and have had real improvements made to their homes with the associated benefit of improving their health and well-being.
 
The Energy on Prescription initiative was nominated as part of a national health innovation award and now provides a focal point from which the Healthy Homes Partnership can develop further and future strategic priorities. Initial feedback data suggests that those receiving help have a better quality of life, with less worry and warmer homes. Indications are that hospital referrals and admissions are reduced too.
 
Dr Chin from a Willington-based GP practice said “the scheme has been very beneficial for patients. It has provided real benefits to those who needed them most.”
 
Phil Gover, Senior Health Improvement Manager of the County Durham and Darlington Foundation Trust, adds that ‘the Healthy Homes Partnership will continue to work directly with the Energy Saving Trust advice centre and other partner agencies in order to develop new innovative ways of working that help reduce key health inequalities.”
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