South Wales Fuel Poverty Forum 1 October Fuel Poverty & Health. #NEAforumSW

Transcription

1 South Wales Fuel Poverty Forum 1 October 2015 Fuel Poverty & Health #NEAforumSW NEA 2015

2 Policy Update Carole Morgan-Jones Director, National Energy Action Cymru NEA 2015

3 NEA Cymru Team NEA 2015

4 Energy Efficiency Strategy for Wales Welcome the development of an energy efficiency strategy Limited reference to fuel poverty and 2018 target More resources needed and a sustainable energy efficiency programme Widen delivery of whole house measures Energy Company Obligation Welsh Government need to influence future direction of ECO to ensure the next supplier obligation is a more effective tool to address fuel poverty Implement the NICE guidelines on health risks associated with cold homes Clear communication on the schemes and services offered to the public Need to reconcile national support schemes with local assistance Continued support for the Cyd Cymru collective switching scheme Hold energy suppliers to account for the smart meter rollout in Wales and link up with other schemes and services Monitor compliance with WHQS and private landlord regulations NEA 2015

5 Inquiry into Fuel Poverty & Energy Efficiency Environment and Sustainability Committee s recommendations: Ministerial Advisory Group on Fuel Poverty: Welsh Government should facilitate an annual forum for stakeholders to discuss issues relating to actions to tackle fuel poverty and improve energy efficiency in Wales Energy Efficiency Strategy: how the Welsh Government sets out how coordination between Welsh and UK Government energy efficiency schemes will be improved in the energy efficiency strategy Energy Efficiency Schemes: Welcomed ongoing commitment to the schemes. But delivery in rural areas could be improved Fuel Debt: progress remains slow and not widespread. Welsh Government to keep the level of fuel indebtedness in Wales under scrutiny, particularly in rural areas Data: Welcomed Welsh Government intention to publish new data on fuel poverty Consumer protection: Welcomed establishment of Resource Efficient Wales and would review the success of this service as it develops. NEA 2015

6 Evaluation of the Nest scheme Key Findings of the report : 58m invested in the Nest scheme (April 2011-September 2014) Over 61,000 households provided with advice and support Over 20,000 households - referred or signposted to 3 rd parties for example on money and debt advice Over 15,000 households provided with free home energy improvement measures Leveraged an additional 4.2m of ECO funding into Wales Supported 46 SMEs Created 83 apprenticeships, trainees and jobs Accrued annual energy savings of 7.48m in total Over 80% of respondents to the evaluation were recorded as being in fuel poverty 89% of customers surveyed - increased confidence in and reduced concern about heating homes (of those who received an installation reported being better able to heat their home) NEA 2015

7 Evaluation of Nest Areas for improvement: majority of households have received only a single measure Application process not consistently accessible for certain groups eg those with sight and hearing difficulties, disabilities or mental health problems Risk that some households have been unable to access the support they need as they do not meet all of the qualifying criteria Marketing and targeting of the scheme to socially excluded groups could be improved Extension of Nest programme extension of the Nest scheme until million additional funding invested in Nest scheme in to maximize the funding that can be leveraged from the Energy Companies Obligation (ECO) into Wales. eligibility criteria widened - to include E-rated properties, in addition to F and G rated properties Households in receipt of a means tested benefit and living in privately owned or privately rented properties could now be eligible for free home improvements if their home has a SAP rating of 54 or less (equivalent to an energy rating of EPC E or below) NEA 2015

8 Scale of Fuel Debt The number of domestic electricity and gas accounts in debt at the end of 2014 Country Total accounts in debt Accounts with a customer repaying a debt Accounts in arrears where the debt is not being repaid (% of total accounts in country) (% of accounts in country) (% of accounts in country) Elec Gas Elec Gas Elec Gas GB 1,385,803 1,197, , , , , % 5.3% 3.1% 3.4% 2.0% 1.9% England 1,193,283 1,032, , , , , % 5.3% 3.1% 3.4% 2.0% 1.9% Scotland 126, ,514 75,771 67,936 51,166 40, % 5.5% 3.0% 3.4% 2.0% 2.1% Wales 65,583 56,301 38,003 34,937 27,580 21,364 NEA % 5.0% 2.7% 3.1% 1.9% 1.9%

9 UK Fuel Poverty Monitor 2015 Evaluates & examines the different approaches to addressing fuel poverty across Wales, England, Scotland & Northern Ireland. Developed by National Energy Action & Energy Action Scotland. Funded by Citizens Advice. Aim: to identify good practice NEA 2015

10 2015 UK Fuel Poverty Monitor Wales Recommendations Without substantially increased funding overall, the Welsh Government's flagship energy efficiency programmes are currently only able to assist a small fraction of fuel poor households in Wales. The Welsh Government should lobby the UK Government to use the revenue the UK Treasury receives from levies on energy bills to increase resources for the Welsh Government s energy efficiency programmes The Welsh Government is responsible for transposing the new NICE guideline on Excess winter deaths and morbidity and the health risks associated with cold homes to Wales. The Welsh Government should signal its support for the guidelines within the Government s forthcoming energy efficiency strategy for Wales The new UK Government should publicly set out its plans for working with the Welsh Government to address low incomes and low pay to assist the Welsh Government to meet its fuel poverty and child poverty targets The Minister for Communities and Tackling Poverty within the Welsh Government should work with other relevant departments in Wales to establish the extent to which local authorities in Wales are fulfilling their current duties in relation to housing standards and take appropriate action NEA 2015

11 2015 UK Fuel Poverty Monitor UK Recommendations The UK Government must introduce an ambitious energy saving target for the whole of the UK. The UK Government should also support a minimum binding 40% energy saving target across Europe by The next Comprehensive Spending Review will be of critical importance. The UK Government must take a lead and set an aspirational target for a minimum of 8-10% of the UK s annual public infrastructure budget to be spent on supplementary programme(s) that can make homes warmer and healthier as well as creating economic growth. The UK Government must continue to monitor fuel poverty levels across the UK and identify any changing demographics within fuel poor households under the 10% method of measuring fuel poverty. This should involve working across the nations and relevant departments to update national housing surveys and identifying any cross cutting fuel poverty implications within UK wide policy making. NEA 2015

12 Fuel Poverty Figures NEA 2015

13 Manifesto for the Assembly Elections 2016 NEA 2015

14 Manifesto for the Assembly Elections Key Priorities For Action Set a new fuel poverty target to improve homes to a minimum energy efficiency standard of EPC C, backed up with the data we need to drive an ambitious new strategy Invest in a well-resourced, well-targeted energy efficiency programme for fuel poor households in Wales Save lives by implementing the NICE guidelines on tackling excess winter deaths Protect vulnerable households with a crisis fund for emergency heating when their health is at risk Fund independent advice services to support people in fuel poverty NEA 2015

15 Manifesto for the Elections How to sign up NEA 2015

16 Cyd Cymru Switch 4 now open! NEA 2015

17 Community Action Awards Are you involved in an exciting, innovative project to tackle fuel poverty in your community? Recognises best practice amongst those who are working to tackle fuel poverty and improve energy efficiency in their local communities. Supported by DECC and British Gas. NEA 2015

18 Community Action Awards Winners will receive 1500 to develop or enhance their project, a free place at NEA s Annual Conference, plus practical and financial support to hold a community celebration event. Next deadline is 2 October 2015 (Phase 4); 8 January 2016 (Phase 5) For further information and to apply, visit or contact Nina Svedberg-Dunlavy on or at nina.dunlavy@nea.org.uk. NEA 2015

19 Membership Benefits Standard Membership and Business Supporters Group Discount on training courses, publications and conference fees Free subscription to quarterly magazine, NEA Focus Monthly e-newsletter Access to NEA s Research Team Invitations to NEA national and regional events, incl. House of Commons networking event Access to dedicated members area of NEA website For more information, please visit NEA 2015

20 Membership Benefits What do NEA s members say about being a member of NEA? "As a local authority, we benefit from the information and guidance that NEA produces with regard to home energy efficiency and fuel poverty - in particular, through regular briefings and newsletters, Energy Action magazine and NEA Today members newsletter. We also benefit from the sharing of information on good practice by attending NEA s Fuel Poverty Forums and other events. All in all, it's definitely money well spent!" Richard Murrell, Principal Home Energy Advisor, Derby City Council I feel the main benefits of being an NEA member are the regular newsletters which contain a wealth of useful information and help. My staff use this information to raise awareness and pass on useful tips to our clients which we feel makes a difference to their quality of life. Jackie Blackwell, Prif Weithredwr/Chief Executive Canolfan Cynghori Ynys Mon Citizens Advice Bureau NEA 2015

21 NEA 2015 Nick Huston Director of Special Operations NEA

22 NEA 2015 Phillip Morris Senior Development Manager, Centre for Sustainable Energy

23 NEA 2015 Angie Moray Affordable Warmth Caseworker, Care & Repair North East Wales

24 NEA 2015 Andy Davis Fuel Debt Supervisor, Speakeasy Advice Centre

25 Question & Answer Session Chaired by Carole Morgan-Jones, Director, NEA Cymru Nick Huston, Director of Special Operations, NEA Phillip Morris, Senior Development Manager, Centre for Sustainable Energy Angie Moray, Affordable Warmth Caseworker, Care & Repair, North East Wales Andy Davis, Fuel Debt Supervisor, Speakeasy Advice Centre NEA 2015

26 NEA 2015 Roundtable Discussion

27 Roundtable Discussion Questions 1. What examples do you have of engaging or working with health professionals on the fuel poverty agenda? 2. What networks and meetings should we engage with to get health practitioners on board? 3. Do you have any experience of accessing health budgets to support fuel poverty activity? Can you provide examples. 4. What role should Housing Associations and Local Authorities play? 5. What can/should the Welsh Government do to support action by the health sector? 6. What action will you take forward from what you ve heard today at the forum to engage the health sector? NEA 2015

28 NEA 2015 Thank You

29 Nick Huston (Director of Special Projects) Overview of projects to be delivered by NEA, EAS and Warm Zones April 2015 June 2017

30 Redressing the Balance Key Facts 26.2m fund Innovative GB wide programme designed and administered by NEA Commenced April 2015, 30 month programme Completion expected September 2017 Fund 1 - England, Wales & Scotland : 20m Fund 2 -Targeted: Cheshire, Lincs & Essex: 6.2m Funds will provide heating, energy efficiency measures, advice and related support to over 6,000 FP householders 80 % of funds will be for physical measures Other measures include community engagement, training, building capacity & advice

31 High Level Principles Funding targeted at vulnerable and low income households No overlap with ECO or any other energy efficiency schemes administered by Ofgem To benefit at least as many households as did not benefit from CESP schemes To deliver innovation To have an independently endorsed evaluation methodology and dissemination of findings

32 Three Distinct Funds 1.Technical Innovation Fund - (TIF) To promote new solutions to fuel poverty utilising energy saving measures not traditionally in scope of current schemes 2.Warm and Healthy Homes Fund - (WHHF) To establish new models of working with colleagues in health and social care sector 3.Warm Zones Fund - (WZF) Cost effective delivery of energy efficiency and carbon reduction measures and related advice to vulnerable householders

33 Technical Innovation Fund Round 1. Higher Cost Measures (large measures) Examples of measures: Hybrid heat pumps, ground source, park home insulation, controls using whole house zoning, district Heating, CHP, domestic biomass Fund 1: - Technical Innovation Fund in England and Wales 10 locations in England and Wales 250,000 per area, approx 7,400 per property 34 homes per area / 340 across 10 areas Fund 2: - Technical Innovation Fund in 7 local authority areas Cheshire, Lincs, Essex 7 locations in England 240,000 per area, approx 6,700 per property 36 homes per area / 252 across 7 areas

34 Technical Innovation Fund Round 1. Higher Cost (Large Measures) Gas Absorption heat pumps Hybrid ASHP Boiler flue gas heat recovery Micro CHP Domestic Biomass Air to Air Heat Pumps

35 Technical Innovation Fund Lower Cost Measures (small measures) Examples of measures: Heat recovery extractor fans, electric storage devices, intelligent controls/thermostats, VPO s Fund 1 - Technical Innovation Fund in England and Wales 10 locations in England and Wales 45,000 per area, approx 1,000 per property 45 homes per area / total 450 /10 areas Fund 2: - Technical Innovation Fund in 7 local authority areas 7 locations in England 69,000 per area, approx 1,000 per property 69 homes per area / 483 / 7 areas

36 Heat recovery ventilation Technical Innovation Fund Round 2. Lower Cost (Small Measures) Heating Controls Radiator Fans Boiler optimisation Voltage optimisation Smart controls

37 Technical Innovation Fund Fund1: Technical Innovation Fund 149 EOIs received / 54 invited to submit CfP Received applications approved by Independent Oversight Group [17 large measures/ 10 small measures] All funding allocated, 9 areas represented Some schemes held in reserve Successful applicants notified 18 September Contract Briefing Sessions September Pre-start contract meetings during October

38 Technical Innovation Fund Fund 2: Technical Innovation Fund 51 EOIs received / 24 invited to submit CfP Received applications approved by Independent Oversight Group [9 large measures/ 6 small measures] All funding allocated, 9 areas represented Some schemes held in reserve Successful applicants notified 18 September Contract Briefing Sessions September Pre-start contract meetings during October

39 Technical Innovation Fund Schemes in Wales Fund 1 2 large measure schemes 2 small measure schemes Total value approx 388,000 Cardiff Contract Briefing Session 30 September

40 Warm and Healthy Homes Fund Fund 1-5m: England, Wales & Scotland Warm and Healthy Homes - Partnerships Programme (E&W) Warm and Healthy Homes Small Measures Programme (E&W) Warm and Healthy Homes EAS programme (Scotland) Purpose of programme: To work with partnerships incorporating health sector partners to identify and fund new or existing projects to provide heating, insulation and other measures to vulnerable households at risk of cold-related illness/ewd

41 Warm and Healthy Homes Fund Partnerships Programme 10 locations in England and Wales Average cost per home: 3,250/max 4000 As a minimum scheme will deliver measures to 1000 homes, 100 homes per area Approx. 325,000 to be awarded per area

42 Warm and Healthy Homes Fund Partnerships Programme the response 79 EOI s received 21 invited to CfP / 21 received Independent Oversight Group met 18 Sept Successful schemes are due to be informed Contract meetings during November Programmes due to commence in November 1 scheme in Wales approved

43 Warm and Healthy Homes Fund Small Measures 10 locations in England and Wales Average cost per home: 250 As a minimum 1000 homes, 100 homes per area Approx. 25,000 to be awarded per area Types of measures: TRVs,programmers, room thermostats, HWJs, chimney balloons, draught proofing, etc.

44 Warm and Healthy Homes Fund Small Measures the response 16 CfP received Independent Oversight Group met 18 Sept Successful schemes are due to be informed Contract meetings during November Programmes due to commence in November 1 scheme in Wales approved

45 Warm and Healthy Homes Fund Energy Action Scotland Approx. 310,000 funding for Scotland Working with Health Partnerships across targeted areas Higher cost measures Average cost per home: 3,250, approx. 88 homes Lower cost measures Average cost per home: 250, approx. 95 homes

46 Warm Zones Fund 13 million funding Fund 1 England /Wales/Scotland: 10m 85% England, 10% Scotland, 5% Wales 10% overall off gas areas Fund 2 Targeted areas Cheshire, Lincs & Essex : 3m

47 Scrutiny 1. Independent Oversight Group 2. Fund Control Committee 3. Monitoring and evaluation approach approved and endorsed by Newcastle University 4. Ofgem reporting

48 Next Steps Technical Contract Briefing Sessions planned for September Technical Pre-start contract meetings planned for October Healthy Homes contract meetings planned for November Evaluation process currently being agreed technical and social Energy Efficiency training to take place in each region over a 2 year period Dissemination of all findings

49 Any Questions? Nick Huston- Director of Special Projects Tel:

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51 Our Work The Energy Advice Project is a free service of It provides support to people experiencing financial difficulties, advising and assisting them on a range of energy-related issues. These include: dealing with fuel debt; payment options and budgeting; and saving energy at home.

52 Fuel Debt What we do: Find out how much they owe Advise on priority debts and payment methods Negotiate affordable repayment rates and set up a payment plan on the best payment method Refer to any appropriate other schemes Apply to charitable trust funds to clear the debt We can do everything over the phone and by post. We have clients from all across Wales

53 BGET Grants The British Gas Energy Trust (BGET) can award grants to help: Clear gas and electricity debts (and, in some circumstances coal or oil debts) Purchase essential household items (including white goods and boiler replacements) Provide other forms of financial help (including bankruptcy fees and funeral expenses)

54 Emergency Credit The British Gas Energy Trust can give small grants to British Gas customers who are low on credit on their prepayment meters. They offer 28 credit for single people and 45 if there are multiple people in the household. We can do an assessment over the phone and vouchers for credit are sent to us within 24 hours.

55 Case Study Miss J was referred to us because she had missed a few electricity bills with SWALEC. Miss J has poor physical and mental health following years of domestic abuse and was struggling to maintain her daily affairs. We registered her on the Priority Service Register as a vulnerable adult, signed her up to the Warm Home Discount and referred her for tenancy support. Talking to her we discovered she didn t have a cooker in the property and her electricity tariff had not been changed after her housing association installed gas central heating. We switched her to the much more affordable duel fuel account, then applied to the British Gas Energy Trust who gave a grant of 752 to clear her arrears and a new, energy efficient cooker.

56 BGET Grants To date, we have made 421 applications and have seen 90% successfully awarded grants, with: 139, ,191 to clear energy bill arrears essential household items in other financial awards For more information, please contact Andy Davis or Beth Kirkland on or , or

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58 Fuel poverty In Wales fuel poverty is defined as having to spend 10% or more of your household income in order to adequately heat and power your home. Around 30% of Wales is in fuel poverty. Caused by low income, inefficient housing and high fuel costs. Elderly, sick and disabled at higher risk from fuel poverty. According to Ofgem, in 2014 there were 1.4 million people In debt with their electric accounts, and 1.2 million in debt with their gas accounts. The average amounts owed were over Mental health issues are both a symptom and a cause of debt.

59 New Health Project Principles: Tackle debt and financial insecurity in order to reduce stress and stressrelated illness Provide a single hub for health care and general advice Access a new demographic of clients Take pressure off GPs (who spend a lot of time dealing with non healthrelated issues)

60 What help we give Our 2 new advisers will perform basic benefit checks and debt advice, signposting to other services and specialist Fuel Debt advice, like in the core project Starting with a drop-in service in Butetown Medical Centre in October Hoping to expand into a further 3 surgeries or centres Outreach days at flu clinics etc

61 Working together Ways you can get involved Host a drop-in service run by us Signpost people to our drop-in service, if they are local Any other ideas for working together! If you think we could work together, please contact Suzy Youngman or Simon Brown on: suzy.youngman@speakeasyadvice.co.uk simon.brown@speakeasyadvice.co.uk

62 Affordable Warmth Service Angie Moray Affordable Warmth Caseworker Care and Repair North East Wales

63 Care and Repair Care and Repair agencies were set up to support people in private tenure, the over 60s and disabled 20 years ago, we have a wealth of experience working with the vulnerable people in Wales You might know us for our lists of contractors, arranging repairs and adaptations But we do so much more besides..

64 Caseworkers Support, encourage, and translate

65 Care and Repair Caseworkers We support vulnerable people, from cradle to grave Home visits Holistic service(s) Single point of contact We assess the property under HHSRS We assess the person

66 In Summer 2013, we were awarded People and Places funding from the Big Lottery for a 3 year Affordable Warmth service in the Flintshire area For 2 Affordable Warmth caseworkers, aiming to reach 200 vulnerable people a year Me Sheila my energy buddy

67 Some of our cases Mr and Mrs H referred to us for old radiators Mr D referred as no hot water for over 3 years Mrs P her cousin called us - toilet repair Mr R heating advice Mrs G to liaise with Nest

68 And now for the numbers.. We ve helped 437 people 402 people have been visited 722 pieces of work - heating, dampness, insulation, windows, draught-proofing 103, raised last year in benevolent funding 274, per annum raised for clients in unclaimed benefits last year

69 Hoarding Service Before After

70 Healthy Homes for Discharge

71 Questions? Angie Moray Sheila Dove

72 The Role of Local Authorities Making Homes Warmer Martyn Smith, Energy Conservation Project Officer, Planning and Public Protection Service, Denbighshire County Council

73 Schedule 1. Its all about perception and approach 2. Making Homes Warmer 3. Getting out there 4. A proposition

74 1. Its all about perception and approach What do you get if you put a: Butcher Baker And Candlestick maker together?

75 A romantic candlelit dinner for two! (Rhyl Seafront???)

76 1. Its all about perception and approach What do you get if you put a: Local Authority Care /Fuel Poverty organisation and funding provider together?

77 1. Local Authority People Energy Officers with Access to ECO and WG funding for energy efficiency improvements Housing enforcement Officers Building (regulation) Control Officers Social Services plus many others

78 2. Making Homes Warmer NICE Guidance, March Develop a strategy: identification of people at risk, local interventions, single point of contact, 2. Provide tailored solutions, 3. Provide (energy efficiency) advice 4. Train frontline workers 5. Raise awareness amongst public 6. Ensure buildings meet appropriate standards

79 Develop a strategy Denbighshire County Council Energy Conservation Program, progress to date: (Within DCC emerging Housing Strategy) 5,640,360 Funding secured to improve homes 961 Homes Improved This does not include Nest or any other initiative that we promote

80 2. Making Homes Warmer Denbighshire County Council Energy

81 Identify people at need Data led strategy: targeting need. GIS based analysis. Housing condition survey Energy Performance rating Wall construction Fuel bills Benefit claimants(?)

82 Training and advice Fuel Poverty Advice for Frontline workers; Half day course. Collaboration between DCC, CAB and Nest: Price: free. Next course TBA Fuel Debt Advice in the Community: DCC work with NEA to host. Funded City and Guilds Course IN2 Construction: DCC developed course to assist individuals into employment via energy efficiency projects

83 Meeting appropriate standards Experienced staff or direct links to: Domestic Energy Assessors Energy professionals Project managers Building Control Officers Building surveyors Housing enforcement officers

84 3. Getting out there Working with stakeholders: Communities First Nest Citizens Advice Bureau Job Centre Plus Families First Flying Start National Energy Action Energy Companies

85 4. A proposal Collaboration Not a new word, derived from Latin (collaborat) & French (-ion) (Collins English Dictionary, 2012)

86 4. A proposal Partner organisation LA Available funding Homes made Warmer: healthier people

87 NICE Guidance on Cold Homes and PITCH Phillip Morris Senior Development Manager

88 We have around 60 projects on the go at any one time, each helping us meet our charitable goals of finding solutions to the threat of climate change and the misery of cold homes.

89 Why health and cold homes? BRE believe cold homes cost the NHS 850million+ per year If this was paid for by the NHS is would be paid back in 7 years Overall poor housing represents a similar risk to the NHS as physical inactivity, smoking and not much less than alcohol

90 Health impacts Respiratory illnesses Cardio-vascular disease Mobility Excess winter deaths Mental health Cold homes are often also damp homes See The Health Impacts of Cold Homes and Fuel Poverty, Marmot Review 2011

91 What we have done in the past Trained frontline health workers e.g. district nurses Small pilots with GPs mail out, contacted all GPs Public Health funding for our impartial advice service Staff in GP surgery Spoken at Health and Wellbeing Boards Childhood asthma project

92 National Institute for Health and Care Excellence- new guidance On the 5 th March 2015 formal guidance on: Excess winter deaths and morbidity and the health risks associated with cold homes Recommendations on how to reduce the risk of death and ill-health associated with living in a cold home

93 Recommendations 1 Develop strategy Include in JSNA process Identify those whose health is at risk Raise properties to at least a band C (SAP) Preventative measures all year round Consider how the actions and issues identified are reflected in health and wellbeing Identify and meet training needs

94 Recommendations 2/3 Health and Wellbeing Boards should ensure there is a single-point-of-contact health and housing referral service Ensure this is commissioned and takes account of existing services Anyone who comes into contact to vulnerable people should be able to refer into this Encourages self referral using a free-phone number Provide tailored solutions to meet peoples needs Monitors the impact of interventions

95 Recommendations 4 Identify people at risk of ill-health from living in a cold home Ensure data sharing issues are addressed so people at risk can be identified 5 Health and social care practitioners should make every contact count At least once a year assess heating needs of service users Provide information

96 Recommendations 6/9/10 Non-health workers should assess heating needs Plumbers, electricians etc. Third sector organisations Fire service, police Other council services

97 7 Ensure vulnerable people are not discharged to a cold home 8 Train health and social care practitioners to help those with cold homes

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99 Preventing Illness by Tackling Cold Homes Bristol European Green Capital Strategic Funding 1. Engage Bristol health service at a senior level 2. Encourage commissioners to include cold homes referrals so that systems are changed 3. Train staff on the ground 4. Run a GP pilot 5. Develop the partnerships needed for an Action on Cold Homes Referral Network

100 1. Engage Bristol health service at a senior level Support secured from: CCG Better Care Bristol Public Health Strategic Commissioning Bristol Community Health

101 2. Encourage commissioners to include cold homes referrals Commissioning: Challenging! Does not fit with current procured targets Too niche or small to fit in larger procurement Systems: Total Mobile SystmOne and EMIS Web

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103 Social Prescribing We will provide a single point of contact for cold homes referrals for the single point of contact

104 3. Training Already trained F2 Doctors GPs Financial assessment officers Health Champions Pharmacies In the future Social care staff Health trainers Wellbeing Partners District nurses, community matrons

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106 4. GP Pilots Working with 7 GP practices (so far) Working as part of wider Green Impacts project Mail out to at risk patients Promotion in the surgery

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110 For more information Sign up to our monthly e-news through our website Follow us on