Part of the BRE Trust

Making the Most of Data

Chris Johnes - Principal Consultant

BRE Housing and Health

About BRE

All profits from the BRE Group are used by the BRE Trust to fund new research and education programmes that will help to meet its goal of ‘building a better world together’

In 2011/12 BRE Trust expenditure on research was £3.17 million, compared with £2.93 million the previous year. These funds support the three key elements of the Trust's activities: research, publications and five university centres of excellence

Content

– Finding opportunities

– Data

– Useful sources

– Building a case

– Talking the right language

– Collaboration

– Monitoring and progress reporting

Finding opportunities

– Where are we now?

– Identify synergy – what can you offer?

– Shared agenda

Housing

Health

SocialInclusion

Economy / Employmen

t

Environment

Anti SocialBehaviour

Planning

HousingManagemen

t

Regeneration

Neighbourhoods

Data

– Council’s sit on a huge amount of data, the trick is to use it effectively– Inspection data (HHSRS hazards)

• Can this be mapped?– Latest stock modelling / survey– JSNA

– Interpret the data and make the case…….

Useful information sources– Joint Strategic Needs Assessment – health inequalities, fuel poverty

– Housing stock condition (model or survey) – no. hazards, tenure breakdown, location of poor housing

– Health Profile - http://www.apho.org.uk/resource/view.aspx?RID=116449

– IMD – 7 domains including living environment domain

– Public Health Outcome Framework

– CCG priorities

– Fuel poverty rates - DECC

Starting the conversation

NHS England – ‘Commissioning for Value’

CCG priorities

http://fingertips.phe.org.uk/profile/general-practice

Index of Multiple Deprivation (IMD) 2010Living Environment Domain

– Measures the quality of individuals’ immediate surroundings both within and outside the home.

– Two sub-domains: the ‘indoors’ living environment, which measures the quality of housing, and the ‘outdoors’ living environment which contains two measures relating to air quality and road traffic accidents.

– Sub-domain: The indoors living environment

– Social and private housing in poor condition (modelled from 2005 EHS data)

– Houses without central heating (2001 census).

– Produced at Lower layer Super Output Area(LSOA) level (approx 1500 people)

– http://data.gov.uk/dataset/index-of-multiple-deprivation

Example from Bristol City Council:Indoors Sub domain 2010

2011 Census

– Source - http://www.alex-singleton.com/Open-Atlas/

2011 Census

– Source - http://www.alex-singleton.com/Open-Atlas/

Other sources of information

– Fuel Poverty Rates

– Life expectancy (ONS)

– IMD – Health deprivation and disability domains

– Stock condition survey / model

– Hospital Episode Statistics

Building a Case / drivers

– How can removing HHSRS hazards help address local identified need?

– Potential health impact of housing improvements

- Excess winter deaths

- Hip fracture in 65s and over

- Accident reductions

– Social determinants of health

– Add value – physical environment plus individual needs

– Who will support?

– Targeted intervention?

– Integrated Care

Talking their language

Outcome frameworks

1. Adult Social Care

2. Public Health

3. NHS England

Public Health Outcomes

Improving the wider

determinants of health

Health Improvement

Health Protection

Healthcare, Public Health and

preventing premature mortality

Children in poverty Self-reported wellbeing

Air pollution

Mortality from preventable causes

Pupil absence Falls and injuries in over 65’s

     

Mortality from all CVD

Sickness absence rate

Hospital admissions caused by

unintentional injuries in

children and young people aged 0-14 and

15-24 years

Mortality from respiratory disease

Percentage of the population affected

by noise

Emergency readmissions

Fuel poverty Hip fractures in over 65’s

Social isolation Excess winter deaths

Using Housing

– All familiar with health effects of cold, however:

– House inspection vehicle of engagement – potentially to access other services

– Opportunity to access those under the radar of mainstream services (how many visited people in unacceptable housing not known to other services?)

Collaboration

– Map existing services – who visit homes

– Identify local partners

– Share cost

– Add value

– Realigning existing resources

Monitoring progress and reporting– Number of inspections

– Number of cat 1 hazards

– Amount of private sector leverage

– Frequent reports for partners

– Providing feedback from referrals

– Customer satisfaction?

– If you don’t record it, how can you report it?

– Maintaining partner interest

NICE draft guidance on Excess Winter Deaths

Recommendations

– Strategic planning– Identifying people whose health is at risk from cold homes– Assessing how heating and insulation needs to be improved to raise

properties to an acceptable SAP – minimum band D, ideally band B

– Provide a local health and housing referral service

– Take into account the needs of groups who are vulnerable to the cold

– Others visiting vulnerable people should assess their heating needs

– Train professionals and voluntary workers to help people whose homes may be too cold for their health and wellbeing

– Ensure vulnerable hospital patients are not discharged to a cold home

– Use existing powers to identify housing (particularly in the private rented sector) that may expose vulnerable residents to the cold

– Anticipated publication date - March 2015

Summary

– You can do it!– The data sources are out there

– Work out what point you need to make ad then find the data to support that

– The door is opening– NICE consultation– DECC involvement with health and housing

Thank You for Listening

watsoni@bre.co.uk

johnesc@bre.co.uk