Boilers on Prescription The Gentoo story so far

Boilers on Prescription The Gentoo story so far Paul Burns Green Futures Manager Gentoo Group

The Gentoo Customer Journey So Far… Retrofit for the Future

The expected savings & findings • Analysis to understand savings • Carbon, energy & bill savings to customer • Bill data and physical monitoring • Before vs. after work to paint full picture of situation • Understanding occupant behaviour

What else is in the retrofit bottle?

“Do you think we’ve stopped folk “Do think turning up at their GP’s asyou much”? we’ve stopped folk turning up at their GP’s as much? ”

What a Your postcode should not influence your life expectancy. difference! Its information for your postman. Not for a targeted marketing campaign for an undertaker.

Our Idea • Prescribe home improvements to patients with given medical condition exacerbated by cold damp homes • 100% funded by a Clinical Commission Group • Tenure blind • Private landlords must be registered on Sunderland City Council’s approved landlord list • Social housing excluded for now ……………Result Nothing

The next 18 months… Learn how to speak the NHS language

Partners & Advocates • • • Public Health England The Royal College of GPs The Royal Society for Public Health Sunderland CCG Sunderland City Council Durham Dales, Easington & Sedgefield CCG Bangor University Nottingham City Homes Northumberland County Council

Dr Tim Ballard Vice Chair Royal College of General Practitioners “The introduction of Clinical Commissioning gives us the opportunity to work in new ways and do things differently. The NHS has historically struggled to rise to the challenges of decreasing health inequalities and investing “upstream” to prevent illness and keep people out of hospital. The health sector also needs to respond to the challenges of delivering care more sustainably, clearly articulated at the launch of the NHS Sustainable Development Strategy 1. ” “Boiler on Prescription’ is an innovative exemplar scheme demonstrating how all of these strands can be brought together. Investing in fuel-efficient boilers and home insulation for high risk populations leads to a better home environment, improved management of long term conditions and a decrease in hospital admissions. Fuel poverty is also addressed, empowering individuals to afford a better diet and quality of life. Finally there is the overall reduction in CO 2 emissions. What is there not to like? ”

The Rt Hon. the Lord Hunt of Kings Heath OBE, Philip Hunt “Gentoo’s ‘Boiler on Prescription’ trial looks to tackle health inequalities that many people with long term conditions face. All too often patients with medical conditions aggravated by cold homes can’t manage their situation effectively as they are unable to heat their home to an appropriate level, either due to the cost or thermal inefficiency of the property. “This trial is aiming to see what the impact will be on health by improving thermal efficiency of the home and reducing the number of times patients need to seek medical intervention. What’s exciting is that this trial brings together Public Health, the Local Authority, CCG’s and social housing providers and looks to help people based on medical need across tenure. ”

So, Boilers on Prescription. . • 6 homes currently improved • 63 interactions with NHS in previous 6 months • Average spend on home £ 5 k • Participants are included in our wider QALY study • Two further trials underway in Durham and Northumberland • In talks with several other partners nationally • We are actively looking for funding partners

So, Boilers on Prescription • Up to 35. 6% reduction in gas consumption each month • Up to £ 29. 91 saving on gas bill each month • Generally an increase between 2 and 7 SAP points however a maximum increase of 47 points (moving the property from EPC G to EPC D). • Up to a 42% increase in living room temperature • Up to 14% increase in bedroom temperature

What Next? £ 1 m

Any questions? Paul. Burns@gentoogreen. com 07590 778886 @apaulburns gentoogroup. com