Durham & Cleveland Comparison

How can the Fire and Rescue Service work with the NHS towards mutually supportive ends

AM Keith WanleyCounty Durham and Darlington FRS

OFFICIALOFFICIALCounty Durham and Darlington Fire and Rescue Service15 stations 27 fire appliances309 WT + 168 RDS Budget - 28.6mPopulation 625,000Ex mining county - areas high on IMD2015/16 20,000 HFSCVision Safest People, Safest Places

OFFICIALOFFICIALFire Deaths Home fire safety alone was not the solution to the whole problemFire fatalities table removed. This table showed the trends in health factors which are prevalent in those who have died in dwelling fires since 2006. These health factors are linked to the elements of the Safe and Wellbeing visits.

OFFICIALOFFICIALStarted spreadsheet in 2006 but went back to 2002Identified trends and linked health issues as contributory factors in our fire deathsHFSV alone will not address these - need a solution to the whole problem not just part of itExpanded HFSV to include additional adviceEstablished fire fatalities protocol for referralsTrained other agencies front line staff in fire awareness and to make referralsS&W visits is providing the necessary support3OFFICIALOFFICIAL

The National Fire / Health Picture

National Health and Wellbeing agenda set out by lead organisations at the Fire Health SummitSigned consensus statement on improving health & wellbeing October 2015Principles for a Safe and Well visit document releasedCFOA Health StrategyNational & regional EMR / Wider work trials

OFFICIALOFFICIALWhat is the consensus statement?This consensus statement describes our intent to work together to encourage joint strategies for intelligence-led early intervention and prevention; ensuring people with complex needs get the personalised, integrated care and support they need to live full lives, sustain their independence for longer and in doing so reduce preventable hospital admissions and avoidable winter pressures/deaths. Principles of a Safe & Wellbeing visitA number of fire and rescue services have begun working more closely with colleagues in health and local authorities; to explore how the FRS might work to support them in improving health and quality of life outcomes for those most at risk in their communities. On many occasions the access that fire and rescue services have to the homes of the most vulnerable is seen as a vehicle to compliment these improvements; with firefighters facilitating direct contact with vulnerable people on behalf of other agencies. The initiatives arising from collaboration have included; falls risk assessments, alcohol and mental health advice and support and improved understanding and access to benefits, to name a few. Fire & Health briefing noteIn order to demonstrate and provide evidence that the work of Fire and Rescue Services (FRS) are making a difference it will be essential to evidence that:FRSs are adding value and contributing to the outcomes of health partnersFRSs continue to reduce the risk of fire whilst diversifying their prevention activities to support health outcomesProvide a means of measuring the effectiveness of Fire & Health activities to promote evaluation and continual improvementIt is therefore essential to measure the impact of this work against health outcomes, alongside FRS outcomes. The ability to provide evidence of the health impact will be essential if FRS are to establish themselves as a credible member of the wider public health workforce.

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Key health issues focused on during Safe and Wellbeing visits6 Key Areas Dementia AwarenessAlcohol Harm & ReductionSmoking CessationLoneliness & IsolationSlips, Trips and Falls

Winter Warmth/ flu

OFFICIALOFFICIALAll questions provided by partner agencies and agreed by PH SMT5OFFICIALOFFICIAL

Are SWVs making a difference?Between 15th February 2016 to 28th February 201718,759 SWVs carried outNeed a formal evaluation to evidence the benefits.DurhamDarlingtonTotalSlips, Trips and Falls366127493Winter Warmth26793360Dementia19635231Smoking12036156Alcohol14620Loneliness and Isolation541148689Total15044451949

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Evaluation of Safe and Wellbeing Two independent evaluations:-Safer and stronger overview and scrutiny committeeProcessesReferral RoutesOutcomesTeesside UniversityFull scope still to be finalised in terms of finance and resource (CBA?)Lead researcher secondment

Need to be working from a robust evidence base

OFFICIALOFFICIALTeesside University commissioned by Public Health - Researcher 1 day per week for 8 to 10 months until evaluation concluded

Safer and Stronger O&S 24 elected members nominated councillors conducting the evaluation over 3 monthsReport to Safe Durham Partnership and the Health and Wellbeing BoardElected member to gain assurance and identify gaps or service improvement elected members to become Community Champions

ProcessFormat o0f questions ensure MECCEffective and efficientAre partners meeting the demand and delivering on outcomeStaff training

Referral routesHow are people identifiedPromotion and communication of scheme publically and with partnersReferral process and identify gaps

OutcomesFeedback and case studiesNumbers of SWV completedNumbers of referrals made by FRSReducing risk and improving the persons quality of lifeBenefits to partner agenciesTrends, concerns and identifying unknown risksImpact on capacityStaff capability and awareness of health and wellbeing

Link to profession discussion at CFOA autumn conferenceSTP requires evidence based interventions delivered at scale and pace

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Examples of further Health collaboration

EMR with NEASTri-responders (Stanhope)Blood bikes (Spennymoor)Blood donation sessions (Durham)ES quad station (Barnard Castle)Age UK (Shared facilitates Darlington)NHS cardiac support sessions (Bishop Auckland)Broth and bingo (Consett)Start a heart and first aid (CS carrousel with schools)Dementia Friends (Service wide)

Our aim is to be the partner of choice for other organisations

OFFICIALOFFICIALCFOA - Beyond Blue Lights

OFFICIALOFFICIALFire / Health collaboration is delivering on:

Governments agenda for collaborationCFOAs Health strategyPartner agency prioritiesOur vision:-

Safest People, Safest Places

OFFICIALOFFICIALCFOA recommendation 3 Safer Homes training over 3000 front line staff trained in fire and crime awareness. All FRS crews trained in all aspects of Health and Crime awareness, Service trained as Dementia Friends. All our training packages have been sent into West Mids FRS 10OFFICIALOFFICIAL

Questions?Tel: 0191 3755630Email: kwanley@ddfire.gov.uk

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