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Tackling Fuel Poverty Identified as a key priority in JSNA 2008

Tackling Fuel Poverty Identified as a key priority in JSNA 2008. ‘Likely to have the greatest impact in the long term in reducing health inequalities’ DH, 2003. Causes. The main cause of fuel poverty in the UK is a combination of: low incomes high energy prices

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Tackling Fuel Poverty Identified as a key priority in JSNA 2008

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  1. Tackling Fuel PovertyIdentified as a key priority in JSNA 2008 ‘Likely to have the greatest impact in the long term in reducing health inequalities’ DH, 2003

  2. Causes • The main cause of fuel poverty in the UK is a combination of: • low incomes • high energy prices • poor energy efficiency in homes

  3. Fuel Poverty Health Headlines • 1 in 5 Walsall residents live in fuel poverty which will increase in this current financial climate. • Walsall has experienced a 13% increase in deaths during winter months (02-07) • 80% of excess winter deaths are related to cold temperatures • 20% difference in excess winter deaths between the coldest and the warmest home.

  4. Fuel Poverty Health Effects • Exacerbation of asthma / COPD • Increased rates of heart attack / stroke • Increased accidents • Worsening symptoms of arthritis • Mental health/wellbeing

  5. Excess Winter Deaths index

  6. Purpose • To reduce health inequalities in patients with long term conditions • Supports the delivery of: • LAA • Vital Signs and WCC outcomes - Life Expectancy, CVD and COPD mortality • Health Inequalities Strategy

  7. Actions • To get insulation into the coldest homes • Use primary care data to identify those in greatest need: the elderly at risk of falls, children with long term conditions • To increase awareness and uptake of measures to improve health in fuel poverty households • Work in partnership with housing providers to improve access to those most at risk • Links to Food Coop, signposting benefits advice etc

  8. Target groups • Elderly people at risk of falls and/ or with long term conditions. • Children with chronic respiratory disease. Engagement • GPs and Practice staff consulted in set up of practice referral pilot, Breathe LIT, Falls Team • The public across the borough through ongoing fuel poverty work.

  9. Evidence for approach • NICE 2005: Housing interventions involving energy efficiency measures positively affect health outcomes. • Warm Front Better Health: Health Impact Evaluation 08: ‘Insulation and central heating in eligible cost households were very effective in relation to morbidity and well being and CV mortality’.

  10. Health Outcomes Expected From the NICE appraisal we can expect: • 5% Reduction in the number of excess winter deaths • 10% Reduction in the number of GP appointments and hospital admissions for serious cold or damp related illness. • 10% Reduction in re-admissions for LTC

  11. Programme Costs • £100 per household benefiting from housing improvements • Match funding WHG, Walsall Council investing £1,001,400 to provide energy efficiency measures which reduce fuel poverty. Projected savings to NHS • Tackling excess cold in homes - £4,333,200 • Tackling damp in homes – £53,900

  12. Sustainability • Proposal to PCT 2009/10 investment round • Enable Walsall to participate in WM SHA tackling excess winter deaths and fuel poverty programme 09/10

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