The Health and Wellbeing Profile for Hackney and the City 2009: Housing

Hackney Better Homes Partnership, 17th

December 2009

Vicky HobartPublic Health, NHS City and Hackney

Overview• Our population

• Health and well being priorities

• Housing and health:• Access to housing• Security of tenure• Housing conditions• Local neighbourhood/community• Individual behaviour

• Role of the planning system

• Role of the partnership

The population of Hackney

Population of 223,364– young population, high birth rate – ethnically diverse– deprivation and affluence

Life-expectancy– women 82 years– men 75 years

1 in 4 residents smoke1 in 3 children obese or overweight28% consume 5+ portions fruit & veg daily More than half the population does not participate

in sport or exercise regularly

Health and wellbeing priorities

Read the Health and Well-being profile

Longer male life expectancy will be a key indicator of success

Housing and health

In priority need- for a home or housing related support?

Nowhere to stay, vulnerable or inappropriately housed in temporary accommodation

• Older people

• Disability

• Families

• Poor mental health

• Recent release from institution (prison, armed forces, care)

Access

0% 20% 40% 60% 80% 100%

Hackney: allhouseholds

Hackney:households in localauthority housing

singlepensioner2+ pensioners

single non-pensioner2+ adults

lone parentfamilies2+ adults, 1child2+ adults, 2+children

Household composition in Hackney (2009)

Tenure

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2001 2008 2001 2008 2001 2008 2001 2008

City of London Hackney London England

Other publicsector housing

Local authorityhousing

Registered sociallandlord housing

Owner occupiedand private rentedhousing

Changes in housing tenure in Hackney and the City (2001 to 2008)

Housing conditionsAverage number of people per household across Hackney and the City (2008)

Neighborhood and community• Active travel• Public transport• Crime & fear of crime• Anti social behaviour• Visual appeal• Access: healthy food, culture & leisure, green

space• Community facilities and health services • Social capital and neighbourliness

Care outside hospital

The planning system• Collaboration between health and planning

authorities• Shared evidence base • Core strategy and Local Development

Frameworks• Investment strategies• Planning contribution priorities• Health impact assessment, strategic

environmental assessment and sustainability appraisal

Evidence baseMental health density and lack of an ‘escape’, design (including high rise and deck access dwellings),

physical distress (including vandalism and poor maintenance), housing quality (eg damp), fear of crime, and neighbourhood noise.

Obesity and cardio-vascular disease walking and cycling ways connect homes with schools, workplaces and shops; improving accessibility to open and green spaces and sport and leisure facilities; and removing environmental barriers to enable residents in deprived areas to become physically active

 

Respiratory diseases modify both the total volume of traffic and congestion of traffic at specific locations. This may have a preventative effect on cardio- respiratory disease, saving the NHS an estimated £1,400 to £2,500 per admission to hospital avoided.

Excess winter (cold) and summer (heat) related deaths ensure that measures are incorporated into the layout of a development to reduce the heat island effect and to improve insulation.

Injuries Spatial planners can introduce area-wide traffic calming measures that reduce child injury rates, and address inequalities. ‘Home zones’ can support new or existing neighbourhoods become accessible for community use eg play, walking and cycling. Road bypasses decrease accident rates, but the evidence that new major urban roads can impact on local road networks and accidents is less strong. Injuries and falls in the home are a common and significant risk for older people, and falls cause 4% of injury deaths in older age groups. Simple behavioural and environmental adaptations can reduce the risk of trips and falls in the home, but the evidence of effects of wider environmental adaptation in the home is weak.

 

To do list…

• Housing related support (SP)

• Environmental Health

• Care closer to home

• Case studies

• Specific data

Role of the partnership

Develop the local evidence baseBalance unmet need and future demand

Potential for further joint commissioning?

Identify priorities for Health Impact Assessment

Shape how we deliver strategic priorities: Sustainable community strategy & LAA, Core strategy, Health

Strategy

Take up opportunities & manage risk Future of supporting people programme

Care outside hospital

Key messages

• Acute levels of housing need in Hackney • But much achieved in recent years• Housing is a fundamental determinant of

health and well being• Access to a home and/or housing related

support is key to improving health outcomes, achieving independence (and reducing health and social care costs)

• Huge opportunity for collaboration between health and borough planners

Next steps

Comments by Friday 15th January to

anna.garner@chpct.nhs.uk

Or

vicky.hobart@chpct.nhs.uk