a foot in the door: engaging housing organisations in jsna and jhws ed harding, hk consulting
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A Foot in the Door: engaging housing organisations in JSNA and JHWS Ed Harding, HK Consulting For the Northern Housing Consortium January 2012. Who we are. Policy Efficiency Practical tools and support ‘A Foot in the Door’ published Oct 2011 - PowerPoint PPT PresentationTRANSCRIPT
A Foot in the Door:
engaging housing organisations in JSNA and JHWS
Ed Harding, HK Consulting
For the Northern Housing Consortium
January 2012
Who we are
• Policy • Efficiency• Practical tools and
support – ‘A Foot in the Door’
published Oct 2011– Co-designed with
housing, public health, NHS & care
Cost of health inequalities
Health inequalities every year account for:-•Between 1.3 and 2.5 m years of life lost•Increased NHS treatment costs well in excess of £5bn•Lifestyle factors estimated to cost the NHS £10bn pa, society £37bn and cause 140k preventable deaths pa•Together smoking and alcohol cause 25% of the DALY lost in the UK•Losses from illness associated with health inequalities
– Productivity losses of £31-33 billion– Reduced tax revenue and higher welfare payments of £20-32
billionSource: Fair Society, Healthy Lives: A Strategic Review of Health Inequalities in England Post-2010
Overarching agenda
1. Give every child the best start in life
2. Enable all children, young people and adults to maximise their capabilities and have control over their lives
3. Create fair employment and good work for all
4. Ensure healthy standard of living for all
5. Create and develop healthy and sustainable places and communities
6. Strengthen the role and impact of ill health prevention
History of improvements but problems remain• 6.7 million homes in England failed the decent homes standard
• Fuel poor households in England dramatically increased 2004-2010 from 1.2 million to 4.6 million
• Year on year, poor housing conditions are implicated in
– up to 50,000 deaths (over 36,000 excess winter deaths in 2008/09 in England and Wales),
– cause 0.5 million injuries and illnesses that require medical attention; and contribute to increased risk of cardiovascular diseases, respiratory diseases and depression and anxiety.
Cost of poor housing
The estimated costs to the NHS in England each year stand at £600m to treat the health impacts of poor housing.
Later revised to more than £1bn after reviewing the costs due to Excess Cold.
But don’t forget…..• Unsuitable housing• Lack of affordable housing• Space standards • Homelessness• Overcrowding • Unemployment, debt, lack of enterprise culture • Poor educational attainment • Crime, domestic violence and anti-social behaviour• Exposure to green space• Pollution
Looking ahead - welfare reform?
• 670,000 households affected• ‘Up to 5 years to find alternative housing’• HFN: of those ‘under occupying’:
– 72% have disability or major health concern– 81% have no one in employment– 42% to struggle financially
The case for investment is strong
£1.6bn spent on housing related support = £3.41bn saved to the Treasury including £315m saved in the NHS pa
Cap Gemini (2008) Research into the financial benefits of the Supporting People programme, DCLG
£1 spent on adaptations = £69.37 saved in NHS over 10 years
£1 spent on insulation = £34.19 saved in NHS over 10 years
£1 spent on overcrowding = £6.71 saved in NHS over 10 yearsHCA 2010 Frontier Economics, Financial benefits of investment in specialist housing for vulnerable and older people
Competing pressures
Poor outcomesPersistent
health inequalities
Rising costs,
demand and
expectations
Something better for less
Old problem, unique opportunity
(New) approaches
“The asset approach values the capacity, skills, knowledge, connections and potential in a community. In an asset approach, the glass is half-full rather than half-empty.”
Our case studies
•Wakefield – early intervention in the community – Health inequality workers
•Newcastle – housing-led hospital discharge teams
•Bristol – using JSNA to change the relationship between housing and health
•Doncaster – using cost neutral approaches to make housing and indispensable partner
Contact
Sarah Taylor
www.northern-consortium.org.uk
Ed Harding