Evaluation of Dublin's Warmth and Wellbeing Scheme: Impact on Health and Energy Efficiency

 
Evaluation of Dublin’s Warmth and
Wellbeing scheme
 
London School of Hygiene & Tropical Medicine
Emma Hutchinson, James Milner and Paul Wilkinson
16
th
 November 2022
 
Funding: Government of Ireland
 
Partners
 
Department of the Environment, Climate and Communications,
(DECC), Irish Government
Health Service Executive, HSE, Ireland
Department of Health, Irish Government
SEAI, Sustainable Energy Authority of Ireland
 
“Warmth and Wellbeing” Pilot Scheme
 
Aimed at improving health and wellbeing outcomes and social inclusion
through home energy efficiency retrofit by making homes warmer and more
energy efficient
Government funded (free to householders)
Launched April 2016
Eligibility criteria:
residence in (parts of) Dublin - (8, 10, 12, 22, 24)
identified as being at risk of experiencing energy poverty
suffering from chronic respiratory disease
over 55 years of age
tenure - owner-occupier or rented from LA or approved HA
 
undefined
 
Scheme Objectives
 
provide ‘deep’ energy efficiency improvements to the homes of older
people with chronic health conditions at risk of, or experiencing,
energy poverty.
demonstration in Ireland of the multiple benefits of energy efficiency
and its capacity to improve the living conditions of individuals
Gather data on the extent to which energy efficiency improvements
may result in:
Improved health outcomes for individuals
Reduced use of health services
 
 
 
 
Warmth & Wellbeing
 energy efficiency measures
 
Houses given all measures they were suitable for, including:
loft insulation
wall insulation (cavity, dry lining, external)
double glazing (windows, doors)
heating measures (e.g. boiler replacement, radiators)
draught proofing
ventilation measures (e.g. extract fans, trickle vents, in
compliance with building regulations)
 
Main components of study
 
Surveys conducted before and after intervention (by HSE)
 
Self reported measures
   wellbeing 
(eg., physical and emotional symptoms)
   health care contacts 
(GP visits, emergency dept visits, hospital adm)
   thermal comfort 
(and other aspects relating to heating)
 
Cost recovery measures
Prescription data 
(eg., respiratory drugs) (PCRS)
 
Empirical measurements
 – (by SEAI)
Temperatures before and after intervention using temperature loggers
 
Health & Wellbeing Outcomes
 
 
Winter indoor temperatures
Increase in winter indoor temperatures
Reduced decline in indoor temperatures when it is very cold
 
Self-reported status
Improved well-being scores on multiple dimensions
(e.g. mobility, self-care, pain, emotional wellbeing including anxiety & depression, physical
activity and symptoms, social functioning)
 
Health care
Reduced usage of GP, Emergency Departments and hospital services
Reduced volume of prescribed drugs
 
Modelled outcomes
Lower mortality (esp. cardiorespiratory)
 
Health & Wellbeing Outcomes cont…..
 
Self reported – heating related
 
Increase in 
thermal comfort
Reduced difficulty in paying fuel bills
Improved sense of control over indoor temperatures
Improved social inclusion
 
 
Acknowledgments
 
Ben Armstrong (LSHTM)
Ian Hamilton (UCL)
Eileen O’Connor (DECC)
Emma O’Donoghue (DoH)
DECC, HSE, SEAI, Department of Health
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The evaluation study conducted by the London School of Hygiene & Tropical Medicine focused on Dublin's Warmth and Wellbeing pilot scheme, aimed at improving health outcomes and social inclusion through home energy efficiency. Funded by the Government of Ireland, the scheme targeted older individuals with chronic health conditions and those at risk of energy poverty. The main components included surveys, self-reported measures, cost recovery analysis, and empirical measurements. The intervention involved providing energy efficiency measures like insulation, heating improvements, and ventilation upgrades to eligible homes, with data collection on health outcomes, healthcare utilization, thermal comfort, and cost-effectiveness.


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  1. Evaluation of Dublins Warmth and Wellbeing scheme London School of Hygiene & Tropical Medicine Emma Hutchinson, James Milner and Paul Wilkinson 16th November 2022 Funding: Government of Ireland

  2. Partners Department of the Environment, Climate and Communications, (DECC), Irish Government Health Service Executive, HSE, Ireland Department of Health, Irish Government SEAI, Sustainable Energy Authority of Ireland

  3. Warmth and Wellbeing Pilot Scheme Aimed at improving health and wellbeing outcomes and social inclusion through home energy efficiency retrofit by making homes warmer and more energy efficient Government funded (free to householders) Launched April 2016 Eligibility criteria: residence in (parts of) Dublin - (8, 10, 12, 22, 24) identified as being at risk of experiencing energy poverty suffering from chronic respiratory disease over 55 years of age tenure - owner-occupier or rented from LA or approved HA

  4. Scheme Objectives provide deep energy efficiency improvements to the homes of older people with chronic health conditions at risk of, or experiencing, energy poverty. demonstration in Ireland of the multiple benefits of energy efficiency and its capacity to improve the living conditions of individuals Gather data on the extent to which energy efficiency improvements may result in: Improved health outcomes for individuals Reduced use of health services 4 Rialtas na h ireann | Government of Ireland

  5. Warmth & Wellbeing energy efficiency measures Houses given all measures they were suitable for, including: loft insulation wall insulation (cavity, dry lining, external) double glazing (windows, doors) heating measures (e.g. boiler replacement, radiators) draught proofing ventilation measures (e.g. extract fans, trickle vents, in compliance with building regulations)

  6. Main components of study Surveys conducted before and after intervention (by HSE) Self reported measures wellbeing (eg., physical and emotional symptoms) health care contacts (GP visits, emergency dept visits, hospital adm) thermal comfort (and other aspects relating to heating) Cost recovery measures Prescription data (eg., respiratory drugs) (PCRS) Empirical measurements (by SEAI) Temperatures before and after intervention using temperature loggers

  7. Health & Wellbeing Outcomes Winter indoor temperatures Increase in winter indoor temperatures Reduced decline in indoor temperatures when it is very cold Self-reported status Improved well-being scores on multiple dimensions (e.g. mobility, self-care, pain, emotional wellbeing including anxiety & depression, physical activity and symptoms, social functioning) Health care Reduced usage of GP, Emergency Departments and hospital services Reduced volume of prescribed drugs Modelled outcomes Lower mortality (esp. cardiorespiratory)

  8. Health & Wellbeing Outcomes cont.. Self reported heating related Increase in thermal comfort Reduced difficulty in paying fuel bills Improved sense of control over indoor temperatures Improved social inclusion

  9. Acknowledgments Ben Armstrong (LSHTM) Ian Hamilton (UCL) Eileen O Connor (DECC) Emma O Donoghue (DoH) DECC, HSE, SEAI, Department of Health

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