Health and housing PHEs perspective Gill Leng Housing

Health and housing PHE’s perspective Gill Leng Housing & health lead, PHE Housing LIN NW 3 November 2015

Our vision The right home environment is essential to health and wellbeing, throughout life A home in which to ‘start, live & age well’ Key features of home (permanent & temporary): • • • Warm & affordable to heat Free from hazards, safe from harm Enables movement around the home and is accessible Promotes a sense of security and stability Support available if needed

The challenge? Health impact • Poor housing affects 3. 6 m children, 9. 2 m working age adults, 2 m pensioners • • • Average council works with 1, 470 people facing multiple needs p. a. • • • 19% of adults in poor housing have poor mental health 28% of young people in cold home have 4 or more negative mental health symptoms, compared to 4% in warm homes C. 40% have poor mental health Average of death of single homeless person 47 years NHS costs p. a. • • At least £ 1. 4 bn poor housing: cold homes & falls related to the home >£ 85. 6 m single homelessness – A & E attendance & admission >£ 26 m delayed transfer of care – lack of housing £ as a result of mental health?

Cost to the NHS? • The cost of poor housing is estimated to at least £ 1. 4 bn p. a. (first year treatment costs only) • New BRE calculation – over 55 s • 2 m households in poor housing • 1. 3 m homes with Cat 1 hazard • £ 624 m p. a. cost to NHS – £ 442 m excess cold, £ 131 m falls • Between 4 – 7% accessible Sources: Nichol S, Roys M, Garret H (2015) The cost of poor housing to the NHS, BRE; and Garret H, Burriss S (2015) Homes and ageing briefing, BRE

PHE’s role in local public health • Remit to • Develop capability in the local public health system • Inform decision making, based on evidence • Enable a shared understanding of • Relationship between home and health locally • The national framework & the local response • What these mean for policies & plans to improve health & wellbeing – challenges and opportunities • The effectiveness of housing interventions, for whom and when • How working together professionals can plan & deliver for better health

PHE commissioning support • Standards in evidence – HACT • Rapid evidence review: homeless prevention – Review Homeless Link • IBAs in housing settings – Middlesex University • Healthy eating & social landlords – 5 landlords • Workforce development – SITRA • Inclusion health Elearning resources– Pathway Do Analyse Plan • Homeless health needs audit & annual report – Homeless Link • Health and homes resource – CIEH • Home adaptations & integration – Care & Repair England • Workshops & briefings to support commissioning eg, Homeless Link & NHS; Housing LIN

Analyse: Homes & health evidence resource Website: www. cieh-housingand-healthresource. co. uk

Analyse: Homeless health needs audit www. homeless. org. uk/our-work/resources/homeless-healthneeds-audit/health-needs-audit-toolkit

Plan: Home adaptations & integration www. careandrepair-england. org. uk

Plan: Cold weather plan Websites: https: //www. gov. uk /government/uploa ds/system/uploads/ attachment_data/fil e/468160/CWP_20 15. pdf

Do: Wider public health workforce Website: www. sitra. org/policygoodpractice/housing-forhealth/housing-andpublic-health/

Do: Housing and health exchange http: //www. housinglin. org. uk/Topics/browse/Healthand. Housin g/Health-Exchange/

Review: Standards on evidence • http: //www. hact. org. uk/standards-evidence-housing

The future? • Where can we have an impact? • Children and families: essential to improve life chances • Working age: connecting homes, health & a job, securing future older population’s health • Ageing well: enabling care closer to a healthy home • Pressure points across life course eg, hospital • What do we need to do? • Support systems leadership • Continue work on intelligence and evidence • Develop workforce & others (home a consideration for all) • Enable partnerships & market, incl. private & & VCS • Raise public awareness to inform decision making

Contact • Gill Leng • Housing & health lead • Tel: 07766 660799 • Email: gill. leng@phe. gov. uk • Twitter @gill_leng