Keith Wanley, Area Manager, County Durham and Darlington Fire & Rescue Service
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Title ‘How can the Fire and Rescue Service work with the NHS towards mutually supportive ends’
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Keith Wanley, Area Manager, County Durham and Darlington Fire & Rescue Service
- 1. OFFICIAL OFFICIAL How can the Fire and Rescue Service work with the NHS towards mutually supportive ends AM Keith Wanley County Durham and Darlington FRS
- 2. OFFICIAL OFFICIAL County Durham and Darlington Fire and Rescue Service • 15 stations • 27 fire appliances • 309 WT + 168 RDS • Budget - £28.6m • Population 625,000 • Ex mining county - areas high on IMD • 2015/16 – 20,000 HFSC • Vision – “Safest People, Safest Places”
- 3. OFFICIAL OFFICIAL Fire Deaths Home fire safety alone was not the solution to the whole problem • Fire 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.
- 4. OFFICIAL OFFICIAL The National Fire / Health Picture • National Health and Wellbeing agenda set out by lead organisations at the Fire Health Summit • Signed consensus statement on improving health & wellbeing – October 2015 • Principles for a ‘Safe and Well’ visit document released • CFOA Health Strategy • National & regional EMR / Wider work trials
- 5. OFFICIAL OFFICIAL Key health issues focused on during Safe and Wellbeing visits 6 Key Areas Dementia Awareness Alcohol Harm & Reduction Smoking Cessation Loneliness & Isolation Slips, Trips and Falls Winter Warmth/ flu
- 6. OFFICIAL OFFICIAL Are SWVs making a difference? Between 15th February 2016 to 28th February 2017 18,759 SWVs carried out Need a formal evaluation to evidence the benefits. Durham Darlington Total Slips, Trips and Falls 366 127 493 Winter Warmth 267 93 360 Dementia 196 35 231 Smoking 120 36 156 Alcohol 14 6 20 Loneliness and Isolation 541 148 689 Total 1504 445 1949
- 7. OFFICIAL OFFICIAL Evaluation of Safe and Wellbeing • Two independent evaluations:- • Safer and stronger overview and scrutiny committee o Processes o Referral Routes o Outcomes • Teesside University o Full scope still to be finalised in terms of finance and resource (CBA?) o Lead researcher secondment Need to be working from a robust evidence base
- 8. OFFICIAL OFFICIAL Examples of further Health collaboration… • EMR with NEAS • Tri-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
- 9. OFFICIAL OFFICIAL CFOA - Beyond Blue Lights
- 10. OFFICIAL OFFICIAL Fire / Health collaboration is delivering on: • Governments agenda for collaboration • CFOAs Health strategy • Partner agency priorities • Our vision:- “Safest People, Safest Places”
- 11. OFFICIAL OFFICIAL Questions? Tel: 0191 3755630 Email: kwanley@ddfire.gov.uk
Notas do Editor
- Started spreadsheet in 2006 but went back to 2002 Identified trends and linked health issues as contributory factors in our fire deaths HFSV alone will not address these - need a solution to the whole problem not just part of it Expanded HFSV to include additional advice Established fire fatalities protocol for referrals Trained other agencies front line staff in fire awareness and to make referrals S&W visits is providing the necessary support
- What 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 visit’ A 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 note In 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: FRS’s are adding value and contributing to the outcomes of health partners FRS’s continue to reduce the risk of fire whilst diversifying their prevention activities to support health outcomes Provide a means of measuring the effectiveness of Fire & Health activities to promote evaluation and continual improvement It 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.
- All questions provided by partner agencies and agreed by PH SMT
- Teesside 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 months Report to Safe Durham Partnership and the Health and Wellbeing Board Elected member to gain assurance and identify gaps or service improvement – elected members to become Community Champions Process Format o0f questions – ensure MECC Effective and efficient Are partners meeting the demand and delivering on outcome Staff training Referral routes How are people identified Promotion and communication of scheme publically and with partners Referral process and identify gaps Outcomes Feedback and case studies Numbers of SWV completed Numbers of referrals made by FRS Reducing risk and improving the persons quality of life Benefits to partner agencies Trends, concerns and identifying unknown risks Impact on capacity Staff capability and awareness of health and wellbeing Link to profession discussion at CFOA autumn conference STP requires “evidence based interventions delivered at scale and pace”
- CFOA 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