ihia.org.uk
Liverpool HIA Capacity Building
ProjectSophie Grinnell BEng (Hons) MSc
HIA Research FellowLiverpool Primary Care Trust
Liverpool City CouncilIMPACT University of Liverpool
[email protected] Conference – Granada 2011
Capacity Building for HIA in Liverpool 1
• Health Action Zone-funded tripartite project
• Targeted activity to em-bed HIA principles and practices into organisational culture.
• Vision - ‘Health in All Policies’
Capacity Building for HIA in Liverpool 2
• Aims– Develop HIA culture– Integrate HIA into policy planning
• Objectives– Build HIA capacity/capability– Undertake HIAs– Support HIAs– Monitor and evaluate
Healthy Homes Programme (HHP)
• Prevention of death & illness due to poor housing conditions and accidents.
• Target worst 5,500 private rented homes in Liverpool over 3 years.
• Partnership working (fire, health, voluntary sector).
• Funded by Health service, Council manage the project
Facts
• Liverpool has one of highest rates of excess winter deaths (250).
• Most – poor housing conditions, key contributor
• Injuries – 522 hip fractures (2007)• electrocutions• fire• Impact on well-being (depression,
social exclsuion)
How does the programme work
• HHSRS – enforcement the removal of hazardous conditions (adversely affect health & safety of occupants).
• Face to face with residents – Single Assessment Process to establish a range of housing and health related needs.
• Direct referral of needs to a range of
statutory, public and community partner agencies and subsequent checks to ensure follow up contact is made.
Why & How did we do a HIA?
• Screening:– Rapid HIA.• Aim of HIA:- Determine the likely
health impacts of the Programme.
• Workshop:- 35 attendees.• Set evidence based
recommendations.
Data
• Life expectancy:- males 73.4/females 78.8
• Low birth weight higher than national average
• 22% obese• 27% engage in binge drinking• 27% houses no central heating (8%
nationally)• Smoking 35%-28% (still highest rates
nationally)
Impacts identified (workshop)
• Increased rent - eviction• Poor health affected by drug abuse• Food poisoning from poor sanitation• Lack of joined up thinking• People think it’s the norm to be in poor health• Depression as a result of social isolation• Overcrowding outbreak of disease• Many people unable to pay for fuel• Access to social + reacreational activities is
often undervalued as a precursor to good health
Recommendations
• Partnership working models/delivery to be enhanced between Liverpool City Council and Liverpool Primary Care Trust.
• Policy/programme/project alignment and
mapping.
• Healthy Homes Programme to develop/use a virtual model of programme elements for delivery, using best practice.
Recommendations
• Commission satisfaction survey – housing, health and well-being for the duration of the programme (Yrs 1, 2 and 3).
• Further analysis of impacts on mental health from the programme is required.
• Policies/strategies such as the Housing, Health improvement, Advocacy and older people strategy to be informed by health improvement evidence.
Next Steps
• The Programme seen Nationally as best practice – 20/20 Decade health & well-being.
• Evaluate the impact/up-take of the recommendations.
• Continuation of the Programme?
• www.liverpool.gov.uk/council/strategies-plans-and-policies/housing/healthy-homes-programme
Top Related