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Delivering Warm and Healthy Homes: Case Study of Warm Homes Oldham

This case study explores the Warm Homes Oldham initiative, which aims to lift households out of fuel poverty by providing a wide range of support. The study examines the impact of the program, its funding sources, and the benefits it brings to the community.

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Delivering Warm and Healthy Homes: Case Study of Warm Homes Oldham

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  1. Delivering warm and healthy homes Case Study: Warm Homes Oldham Nigel Banks Sustainability Director Keepmoat

  2. Contents • Why Warm Homes Oldham was set up • NHS Business Case for investment • What the service offers • Measured impacts so far… • The Moral Case for investment Q&A

  3. 1. Why Warm Homes Oldham was set up

  4. The Oldham Context • 14,000 Oldham homes are in fuel poverty (16%) using the 10% definition (Source: DECC, 2011) • 11% of all EWDs in Oldham can be attributed to cold homes • For every EWD, it is estimated that there are on average 8 hospital admissions for related illnesses like respiratory conditions and COPD (Chronic Obstructive Pulmonary Disease) • It is estimated that there may be 6000 Oldham residents who suffer from mental health problems attributed to or exacerbated by living in fuel poor homes. • 10%-11% of falls and injuries in Oldham may be attributed to fuel poor housing

  5. Energy bills are unaffordable Plus DHW & Elec: £63/month £100/ month

  6. Aim of Warm Homes Oldham The service aims to help households out of fuel poverty by offering them a wide range of support.

  7. Ambitions ‘Community Budget’ pilot: 1,000 people out of Fuel Poverty • First of its kind nationally • Involves local partners coming together to fund a preventative service, they will then share the savings (through reduced health and social care demand) • Detailed analysis of health and social care demands impacts • Results of the project will be reported back to Government who are looking at this as a flagship scheme.

  8. How is it funded? • Payment by results mechanism • NHS Oldham CCG and Oldham Council provide funding for every house that will be lifted out of fuel poverty • Energy Company Obligation (ECO) funding • Initially focused on HHCRO (Affordable Warmth) and target areas most at risk of fuel poverty (from data mapping) • Promoting to all homes across Oldham in second phase

  9. 2. NHS Business Case for investment

  10. Oldham: Cost Benefit Analysis • There is a positive benefit cost ratio of 1.5:1 due to the savings anticipated through reducing demand on the health and social care sectors • Total costs in 2013/14 were estimated at £200k and total benefits at £300k • From a healthcare perspective, the following measures could be considered: • Hospital admissions attributed to cold and damp homes • Mental health cases attributed to cold and damp homes • Cases of falls and injuries attributed to cold and damp homes

  11. Oldham: Cost Benefit Analysis Hospital Admissions Falls & Injuries

  12. Oldham: Cost Benefit Analysis Mental Health Residents in fuel poverty

  13. Oldham: Cost Benefit Analysis *Please note the unit intervention costs are extracted from the cost database developed by New Economy Manchester (supporting the Troubled Families programme). Thus, if each vulnerable resident of Oldham is lifted out of fuel poverty, the total estimated healthcare cost saving would be of the tune of £245 X 25018 = ~£6.1 million per annum which may be unrealistic in the near term. If instead a modest 2000 Oldham residents (10% of the fuel poor) are lifted out of fuel poverty, it still presents the opportunity of saving £245 X 2000 = £490K of healthcare costs. Given our target of 1000 residents a year, we are looking at an estimated £245K healthcare savings a year.

  14. 3. What the Service Offers

  15. What Warm Homes Oldham offers

  16. 4. Measured impacts of the service

  17. Key performance indicators • 2,318 people brought out of fuel poverty (in first 2 years) • Third party funds: £1.9m ECO funding, £228k GDC funding • 696 boilers, 151 external wall insulation, 162 cavity/loft installs • £133,857 extra benefits secured through CAB benefits checks • £72,328 worth of trust fund grants secured for homes who are not on benefits with poor heating systems • £1,114 average household savings from all interventions (Yr2)

  18. Local Pilot Analysis Hospital Activity

  19. GP Appointments and Drugs Prescribed • From a sample of 5 individuals involved in the scheme, total GP appointments went down by -8% while the cost of drugs prescribed increased by 14%.

  20. Wellbeing • General Health Questionnaire 12 (GHQ-12)

  21. Life Satisfaction • Mean up from 6.3 to 6.9 (out of 10)

  22. 5. The Moral Case for investment

  23. Practical examples

  24. Practical examples

  25. Q&A

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