ihia.org.uk

Liverpool HIA Capacity Building

ProjectSophie Grinnell BEng (Hons) MSc

HIA Research FellowLiverpool Primary Care Trust

Liverpool City CouncilIMPACT University of Liverpool

Sophie.grinnell@liverpool.ac.ukHIA 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

ihia.org.uk

Homing for Health

Sophie GrinnellTony BoyleSophie.grinnell@liverpool.ac.uk

HIA Conference – Granada 2011

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