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Warm Homes for Health:
Building Fuel Poverty and Health partnerships
16/7/2013
The Cornwall and Isles of Scilly
Winter Wellness project
Fuel Poverty and Public Health –
Securing Warm Homes Healthy People Funding
“One of the most significant, yet least
recognised factors causing death and Illness…”
•Health :
•40,000 long term
health issues
•9,000 social care,
secondary care & VCS
•2,400 emergency
hospital admissions
•300 extra deaths
•Preventable
Homes – Mainland and Islands
• Higher energy costs
and lowest incomes :
• 6 in 10 homes hard
to keep warm & dry
• 53% of homes off
mains gas, dual fuels
– Cornwall
• 100% off gas grid –
Isles of Scilly
• More dependent on
expensive warmth –
oil, LPG, coal
Fuel Poverty – 100,000
Fuel Poverty is bad for health
• Long term unemployment – bad for health;
• Low income is bad for health;
• Poor housing is bad for health.
Winter Wellness is good for health
• Warm, damp and mould free homes
• Health improves
• Cornwall Works support – progress to work
Economy & Poverty
•23,000 long term
worklessness
•16,000 children in
poverty
•High cost of living
•Lower than
average incomes
Winter Wellness help
0800 954 1956
Guides & Postcards
Emergency Fund:
– Heaters, Coal, Oil,
Electric Blankets
– Key meter top ups
– Boiler repairs
– Debt payment
– Keep Warm Boxes
Quick fixes – and…
Winter Wellness help
Longer term solutions:
• Insulation (benefits are significant)
• New and repaired heating systems
• Tariffs renegotiated
• Income improved
• Referrals : meals on wheels, independent
living advice, loft clearance
• Move back into work (Inclusion Cornwall)
Managing the programme
• 30 organisations
• Who are Community
Energy Plus?
• How do we know if
we’re delivering?
• Maximising number of
households supported?
• Hard to reach or hardly
reached?
• Value for money?
• Deliver long term
solutions?
Managing the programme
• Getting access to clients – many already
supported by various groups
• Launch event – all partners showcasing
• Freephone number – if someone’s in need,
call it!
• £15/referral to CEP (freephone no. or
postcard)
Main approach
• Big partnership – helpful in gaining access
to those in need
• Central point of contact (CEP) for anyone in
need, regardless of reason
• Referral fee of £15 / referral
• Paying CEP & CAB for home visits
• Emergency support conditional on home
visit
2011/12 – 2012/13 comparison
Service 2011-12 2012-13
Number helped through
freephone no.
380 894
(1500 total)
Emergency Fund payments 143 328
Referrals to CEP helpline 97 510
Referrals from CEP helpline to
other partners
89 402
(1015 total)
Home visits 48 432
Costs of frontline support
excluding home visits, CCF
funding & freephone no.)
£13,000
(originally
£29,000)
£13,500
(including full-
time worker
3mths)
Increased activity 2012/13
Why?
• Referral fee £15?
• Better established – now in 2nd
yr?
• Launch event to raise awareness?
• Full-time worker for 3 months?
Interesting facts…
• 50% of referrals dealt with by more than one
organisation
• Only 3% of those that received emergency
support in 2011/12 received support again in
2012/13
• We are delivering long term solutions.
Joined up Funding
• Warm Homes, Healthy
People £222k
• Cornwall Works 50+
(European Social Fund) £30k
• Cornwall Council £10k
• NHS Cornwall & Isles of Scilly
£10k
• DECC Local Authority Funds
£331k
• Foundations Warm Homes
Funding £5k
• Cornwall Community
Foundation £8k
• Total of £616k to spend by
31st
March 2013 !
Fuel Poverty, Health &
Work Outcomes
 150 homes insulated & improved heating for
next Winter + signposting ECO funding for
next winter
 126 long term workless families with Children
– signed up for Cornwall Works support and
to begin progress to work
 1500 households stayed warm and able to
cook/eat to help their health
Homeless
Block booking of bed nights at homeless shelter
enabling groups to work with the homeless (drug &
alcohol support, etc)
2011/12
• 97 people helped
• 43 people put into permanent accommodation
2012/13
• 41 people helped
• 20 now in accommodation
Heating, Eating and Work
• mental and physical well being
improved
• better start in life for children
• warmer homes for families & older
people
• Improved the health and wealth of
our communities
Improving Well being
Unique:
• linked health
and work
• Inclusion
Cornwall Hub
and European
Social Fund
• Cornwall
Together –
idea
conceived by
Eden
Winter Wellness is about
the 3Q’s
– Improving the Quantity and Quality of life
– Closing the IneQualities gap
Happiness
“Its great news that we can get some
help …. As I have been getting
really stressed about the size of
the bill..”
“My dog and I have had the best
nights sleep in years, thank you so
much”
the timely intervention of “Winter
Wellness” “saved my life”…”I
don’t winter well”.
“The family feel healthy and
optimistic about the future and ….
do not know how they would have
got through the winter without
Winter Wellness help”.
Long term sustainability or
sticking plaster ?
• Community Energy Plus - use less energy
and more efficient homes
• Cornwall Together
• Cornwall Works – increase income through
work
• Better health, improved well being
Conclusions
Tackling poverty
• Fuel costs critical – and something we can help
• Tackling fuel poverty gives access to people with
range of needs
• One contact number for all referrals
• Join up funding streams and partners to provide
comprehensive service
• Small interventions – Big outcomes
• Result - Improved wider quality of life issues
Contacts
Nicola McCheyne
Community Energy Plus
nicola@cep.org.uk
Anthony Ball
Tackling Inequalities Coordinator
Anthony.ball@ciospct.cornwall.nhs.uk
Anthony Weight
Sustainable Development Officer
aweight@cornwall.gov.uk

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The Cornwall and Isles of Scilly Winter Wellness project

  • 1. Warm Homes for Health: Building Fuel Poverty and Health partnerships 16/7/2013 The Cornwall and Isles of Scilly Winter Wellness project
  • 2. Fuel Poverty and Public Health – Securing Warm Homes Healthy People Funding
  • 3. “One of the most significant, yet least recognised factors causing death and Illness…” •Health : •40,000 long term health issues •9,000 social care, secondary care & VCS •2,400 emergency hospital admissions •300 extra deaths •Preventable
  • 4. Homes – Mainland and Islands • Higher energy costs and lowest incomes : • 6 in 10 homes hard to keep warm & dry • 53% of homes off mains gas, dual fuels – Cornwall • 100% off gas grid – Isles of Scilly • More dependent on expensive warmth – oil, LPG, coal
  • 6. Fuel Poverty is bad for health • Long term unemployment – bad for health; • Low income is bad for health; • Poor housing is bad for health.
  • 7. Winter Wellness is good for health • Warm, damp and mould free homes • Health improves • Cornwall Works support – progress to work
  • 8. Economy & Poverty •23,000 long term worklessness •16,000 children in poverty •High cost of living •Lower than average incomes
  • 9. Winter Wellness help 0800 954 1956 Guides & Postcards Emergency Fund: – Heaters, Coal, Oil, Electric Blankets – Key meter top ups – Boiler repairs – Debt payment – Keep Warm Boxes Quick fixes – and…
  • 10. Winter Wellness help Longer term solutions: • Insulation (benefits are significant) • New and repaired heating systems • Tariffs renegotiated • Income improved • Referrals : meals on wheels, independent living advice, loft clearance • Move back into work (Inclusion Cornwall)
  • 11. Managing the programme • 30 organisations • Who are Community Energy Plus? • How do we know if we’re delivering? • Maximising number of households supported? • Hard to reach or hardly reached? • Value for money? • Deliver long term solutions?
  • 12. Managing the programme • Getting access to clients – many already supported by various groups • Launch event – all partners showcasing • Freephone number – if someone’s in need, call it! • £15/referral to CEP (freephone no. or postcard)
  • 13. Main approach • Big partnership – helpful in gaining access to those in need • Central point of contact (CEP) for anyone in need, regardless of reason • Referral fee of £15 / referral • Paying CEP & CAB for home visits • Emergency support conditional on home visit
  • 14. 2011/12 – 2012/13 comparison Service 2011-12 2012-13 Number helped through freephone no. 380 894 (1500 total) Emergency Fund payments 143 328 Referrals to CEP helpline 97 510 Referrals from CEP helpline to other partners 89 402 (1015 total) Home visits 48 432 Costs of frontline support excluding home visits, CCF funding & freephone no.) £13,000 (originally £29,000) £13,500 (including full- time worker 3mths)
  • 15. Increased activity 2012/13 Why? • Referral fee £15? • Better established – now in 2nd yr? • Launch event to raise awareness? • Full-time worker for 3 months?
  • 16. Interesting facts… • 50% of referrals dealt with by more than one organisation • Only 3% of those that received emergency support in 2011/12 received support again in 2012/13 • We are delivering long term solutions.
  • 17. Joined up Funding • Warm Homes, Healthy People £222k • Cornwall Works 50+ (European Social Fund) £30k • Cornwall Council £10k • NHS Cornwall & Isles of Scilly £10k • DECC Local Authority Funds £331k • Foundations Warm Homes Funding £5k • Cornwall Community Foundation £8k • Total of £616k to spend by 31st March 2013 !
  • 18. Fuel Poverty, Health & Work Outcomes  150 homes insulated & improved heating for next Winter + signposting ECO funding for next winter  126 long term workless families with Children – signed up for Cornwall Works support and to begin progress to work  1500 households stayed warm and able to cook/eat to help their health
  • 19. Homeless Block booking of bed nights at homeless shelter enabling groups to work with the homeless (drug & alcohol support, etc) 2011/12 • 97 people helped • 43 people put into permanent accommodation 2012/13 • 41 people helped • 20 now in accommodation
  • 20. Heating, Eating and Work • mental and physical well being improved • better start in life for children • warmer homes for families & older people • Improved the health and wealth of our communities
  • 21. Improving Well being Unique: • linked health and work • Inclusion Cornwall Hub and European Social Fund • Cornwall Together – idea conceived by Eden
  • 22. Winter Wellness is about the 3Q’s – Improving the Quantity and Quality of life – Closing the IneQualities gap
  • 23. Happiness “Its great news that we can get some help …. As I have been getting really stressed about the size of the bill..” “My dog and I have had the best nights sleep in years, thank you so much” the timely intervention of “Winter Wellness” “saved my life”…”I don’t winter well”. “The family feel healthy and optimistic about the future and …. do not know how they would have got through the winter without Winter Wellness help”.
  • 24. Long term sustainability or sticking plaster ? • Community Energy Plus - use less energy and more efficient homes • Cornwall Together • Cornwall Works – increase income through work • Better health, improved well being
  • 25. Conclusions Tackling poverty • Fuel costs critical – and something we can help • Tackling fuel poverty gives access to people with range of needs • One contact number for all referrals • Join up funding streams and partners to provide comprehensive service • Small interventions – Big outcomes • Result - Improved wider quality of life issues
  • 26. Contacts Nicola McCheyne Community Energy Plus nicola@cep.org.uk Anthony Ball Tackling Inequalities Coordinator Anthony.ball@ciospct.cornwall.nhs.uk Anthony Weight Sustainable Development Officer aweight@cornwall.gov.uk

Editor's Notes

  1. Introductions Winter Wellness was a joint submission led by Cornwall Council and the Isles of Scilly. Last year we were awarded £142,000 and this year, we’ve been successful again. We are awaiting final confirmation of the figures. Winter Wellness provided a comprehensive package of advice and guidance for vulnerable people. At risk of preventable excess winter deaths and morbidity due to cold, damp and mouldy living conditions, caused by fuel poverty.
  2. Over the past few years, locally we all work together Community Energy Plus, Citizens Advice Bureaux, Cornwall Works (Cornwall’s Ready to Work Strategy), housing partners and many others. These are the partners that steered the overall project or provided a direct service. It was the integrated working of all these organisations and their knowledge to get to real people that are “hardly reached”, that contributed to last year’s successful outcome and this year’s bid
  3. Every year, Winter is a public health emergency ! In Cornwall and Isles of Scilly - 350 people die during Winter, more than we would expect when compared to summer and spring The causes are a cold home and/or too frightened to turn on their heating because of the cost. Every year, some 5,000 people die- smoking and smoking related illnesses – most common reason. Winter Deaths is the 5 th most common reason. Last Year, for the first time the NHS produced a Cold Weather Plan to ensure we are prepared for Winter in health, care and other sectors. Re-issued last week (5 th November 2012) by the Department of Health
  4. 1 : 5 homes – are in fuel poverty 6 our of 10 homes are seriously inefficient to keep dry & warm Half of all homes, away from the mains gas network Almost 100 people sleeping rough on the streets, with half normal life expectancy Fuel poverty amongst the highest in the country, wages 20% below average. The map shows that many areas, facing the highest fuel poverty, have a greater impact on fuel poverty – The darker area, show higher levels of fuel poverty
  5. Every year, Winter is a public health emergency ! In Cornwall and Isles of Scilly - 350 people die during Winter, more than we would expect when compared to summer and spring The causes are a cold home and/or too frightened to turn on their heating because of the cost. Every year, some 5,000 people die- smoking and smoking related illnesses – most common reason. Winter Deaths is the 5 th most common reason. Last Year, for the first time the NHS produced a Cold Weather Plan to ensure we are prepared for Winter in health, care and other sectors. Re-issued last week (5 th November 2012) by the Department of Health
  6. Fuel Poverty affects all – young and old, can impact on life chances and it affects people’s mental well being. 386 households, some 50 have had insulation works to their homes – upgrading heating systems, and insulation installed – loft and cavity wall. Others have had advice and training on more efficient use of energy, advice on how to use their heating systems better. Of the 140 assisted using the emergency fund, we collected information about benefits and long term unemployed. Following the end of Winter, with Cornwall Works, we’ve identified 59 families, many with children to improve work and progress to work. This is an ESF Convergence, Department of Work and Pensions co financed programme to tackle problem families Our aim and we are already do this, is to improve the outcomes from one programme and make full use of this Fund to deliver life changing outcomes from last Winter and for future Winters.
  7. Fuel Poverty affects all – young and old, can impact on life chances and it affects people’s mental well being. 386 households, some 50 have had insulation works to their homes – upgrading heating systems, and insulation installed – loft and cavity wall. Others have had advice and training on more efficient use of energy, advice on how to use their heating systems better. Of the 140 assisted using the emergency fund, we collected information about benefits and long term unemployed. Following the end of Winter, with Cornwall Works, we’ve identified 59 families, many with children to improve work and progress to work. This is an ESF Convergence, Department of Work and Pensions co financed programme to tackle problem families Our aim and we are already do this, is to improve the outcomes from one programme and make full use of this Fund to deliver life changing outcomes from last Winter and for future Winters.
  8. Last year, we proved that by working together - health, work and fuel poverty We can get people either back in work, or starting that journey. Just by (what we may consider) one small intervention People/families – instead of worrying, could focus on what they could do – school, caring, work, volunteering, enjoying retirement We pushed forward over the summer with Cornwall Together – community energy buying group – and just under 10,000 joined the first auction We are, as far as we can tell, the only partnership that joined together, heating, eating and employment, as longer term routes to better health and away from fuel poverty
  9. Cornwall Council fully supported Winter Wellness last year and the impact it had on people’s lives I’m looking forward to more successful outcomes for many more of our communities, to improve their health and well being this Winter and beyond
  10. Some quotes from last year It’s about improved and physical mental well being The feedback and case studies have shown how much better this small intervention made people feel We’ve learnt and updated separate Winter Wellbeing Guides for Cornwall and Isles of Scilly These are available to take away today