Making the Most of Data Chris Johnes - Principal Consultant BRE Housing and Health
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Part of the BRE Trust
Making the Most of Data
Chris Johnes - Principal Consultant
BRE Housing and Health
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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
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Content
– Finding opportunities
– Data
– Useful sources
– Building a case
– Talking the right language
– Collaboration
– Monitoring and progress reporting
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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
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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…….
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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
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Starting the conversation
NHS England – ‘Commissioning for Value’
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CCG priorities
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http://fingertips.phe.org.uk/profile/general-practice
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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
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Example from Bristol City Council:Indoors Sub domain 2010
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2011 Census
– Source - http://www.alex-singleton.com/Open-Atlas/
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2011 Census
– Source - http://www.alex-singleton.com/Open-Atlas/
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Other sources of information
– Fuel Poverty Rates
– Life expectancy (ONS)
– IMD – Health deprivation and disability domains
– Stock condition survey / model
– Hospital Episode Statistics
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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
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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
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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?)
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Collaboration
– Map existing services – who visit homes
– Identify local partners
– Share cost
– Add value
– Realigning existing resources
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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
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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
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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
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Thank You for Listening