Mc Manus May 24th Housing And Health

23
24 th May 2011 Birmingham Social Housing Partnership Jim McManus Joint Director of Public Health Housing and Health: Context, Inequalities and Impact across the Lifecourse

Transcript of Mc Manus May 24th Housing And Health

Page 1: Mc Manus May 24th Housing And Health

24th May 2011Birmingham Social Housing Partnership

Jim McManusJoint Director of Public Health

Housing and Health: Context, Inequalities and Impact across the

Lifecourse

Page 2: Mc Manus May 24th Housing And Health

Coverage

• Health Inequalities – the context • Housing and health evidence - inequalities• What can be done? – impact across the Lifecourse

• LIVING IN FUEL POVERTY DOUBLES YOUR RISK OF CLINICAL DEPRESSION

• OVERCROWDING AND INFANT MORTALITY

Page 3: Mc Manus May 24th Housing And Health

History

• 145 Years of Public Health in Birmingham :

• Sir Alfred Hill, Birmingham’s First Medical Officer of Health, 1866-1903

• Housing work was a key plank of Birmingham’s early public health strategies

Page 4: Mc Manus May 24th Housing And Health

Life Expectancy by Ward

Page 5: Mc Manus May 24th Housing And Health

Birmingham by Cadbury Neighbourhood Classifications

• Understanding these as drivers and intervening variables

• Transit or Escalator– move to less deprived areas

• Isolate – move to equally or more deprived areas

Page 6: Mc Manus May 24th Housing And Health
Page 7: Mc Manus May 24th Housing And Health

An Example - Direct

Page 8: Mc Manus May 24th Housing And Health

An Example - Indirect

Page 9: Mc Manus May 24th Housing And Health

The Basics

• Where individuals live is strongly related to their health

• Difficult to isolate specific factors as housing is strongly linked with income, employment and other social circumstances

• A strong relationship can be established between poor housing and various health disorders

Page 10: Mc Manus May 24th Housing And Health

Key Points

• Housing does not operate in isolation to deliver benefits and other service providers also have a role to play.

• While physical housing conditions influence health, the wider neighbourhood context including factors such as unemployment, educational attainment etc, may well be of greater importance in determining health.

Page 11: Mc Manus May 24th Housing And Health

Learning the lessons from theNational Audit Office 2010not on course!

Page 12: Mc Manus May 24th Housing And Health

Healthy Housing

• Design• Quality of housing• Thermal Standards• Sustainability• Environment • Safety & Security• Anything else you can think of?

Page 13: Mc Manus May 24th Housing And Health

Unhealthy Housing

• Morbidity and mortality: High morbidity and mortality rates are observed where housing conditions are substandard.

• Psychosocial effects: The sense of isolation felt by persons living in the upper floors of high buildings is now well known to have harmful effects.

Page 18: Mc Manus May 24th Housing And Health

Health Improvement

Health Protection

Commissioning priorities, Evidence, acting when evidence is silent, making it work, supporting implementation

Ensuring we have the right frameworks in place

Long term, medium term, short term impacts

What would an approach look like?

FALLS PREVENTION

Service Quality andImprovement

Page 19: Mc Manus May 24th Housing And Health

Timeframes of impact/yield

Years0 1 5 10 15

Planning Frameworks and Core Strategies

Education

Vitamin Supplements

Decent Homes

Air Pollution

Primary Care

Air Pollution

Decent Homes

Reducing Worklessness

Primary Care

Page 20: Mc Manus May 24th Housing And Health

Elements of a Strategy

Housing Quality and affordability

The Lives people lead The Environment and amenities

•Decency standards•Thermal efficiency•Fuel Poverty•Financial Exclusion•Issues for social care and health care supported by housing (independence, falls prevention, telecare)

•Quality of Education•Life skills•Self-Efficacy•Accessibility•Social Isolation•Social Inclusion

•GreenCleanSafe•Environmental cues for healthy living

This is about doing Housing in a public health supporting way,NOT making housing staff health workers

Page 21: Mc Manus May 24th Housing And Health

Further Resources

• Evidence briefing (Birmingham)• Primary Care Document (BCC)• NICE Paper• http://www.cieh.org/policy/good_housing_good_health.html • http://www2.warwick.ac.uk/fac/cross_fac/healthatwarwick/resear

ch/devgroups/whocc/healthhousing_papers/ • http://www.cih.org/policy/papers21.htm• AN ODD ONE -

http://www.ukessays.com/essays/geography/housing-and-health.php

• http://www.housing.org.uk/policy/older_and_vulnerable_people/housing_and_health.aspx

Page 22: Mc Manus May 24th Housing And Health
Page 23: Mc Manus May 24th Housing And Health

Thank you!

[email protected]