The scandal of pensioner winter deaths

Why is society in Wales so prepared to put up with more older people dying in the winter compared to other months of the year?

In 2012/13, the Chief Medical Officer for Wales confirmed that this is the case with 1,900 more deaths in the winter months, with 70% of these attributed to our over 75 year olds. This pattern is repeated year on year.

Why? Because as we age, we become frailer, our bodies are less able to cope with low temperatures and we become more susceptible to respiratory and circulatory illness.

This is backed up by accepted figures in Wales that 140,000 pensioners are in fuel poverty, meaning they need to spend more than 10% of their income on fuel costs.

“Just turn the heating on”, I hear you say. It’s not as simple as that. With rising energy costs and many older people on a fixed income, many cannot afford to pay their fuel bills... so they don’t turn on the heating. Many older people face many difficult decisions, like choosing between eating or heating their home.

Many thousands of older people can’t survive on their state pension or are not claiming the benefits they are entitled to. They have boilers which are old, inefficient and use more fuel. They live in properties which aren’t insulated. They are on an expensive fuel tariff and don’t know how to change provider. They don’t know about the latest government grant scheme that just might be able to help them.

This isn’t good enough. It is clear that the system isn’t working because we still have older people dying in the winter who wouldn’t be dying in other months of the year.

While there are undoubtedly plenty of schemes that could help, there is confusion for older people about where to go and what help they can get, and we are not doing enough to find and help the people who need that help the most.

There have been numerous grant schemes, over many years, such as Home Energy Efficiency Scheme (HEES), Carbon Emissions Reduction Target (CERT), Community Energy Saving Programme (CESP), and now, the NEST and Energy Company Obligation (ECO). There is lots of evidence to suggest that these schemes have helped improve many properties, helped many people on low incomes and reduced carbon emissions, particularly in the social housing sector. Housing associations and local authorities have undoubtedly carried out some great work with energy companies for the benefit of their properties and their tenants.

We now need to focus on the people we haven’t reached. One particularly affected group is low income, older owner occupiers dispersed in urban, suburban and rural areas across all of Wales. Finding these people requires more up front effort and is not as attractive to energy companies who have legal targets on the quantity of carbon emissions they need to reduce, so instead have targeted geographic energy efficiency schemes at scale.

So, to combat older people dying of cold this winter, Care & Repair Cymru is running their Fighting Fuel Poverty campaign this week (October 20-24) to find older people who are most at risk and to provide them with practical advice.

We aim to help them access benefits and available grants to keep them warm, as well as assisting them directly with our “Health through Warmth” grants, delivered in partnership with Npower.

We’re also asking people who receive the winter fuel payment, but don’t need it, to donate it to a hardship fund at Care & Repair by calling 0300 111 3333 so that we can redirect this to older people in fuel poverty who need more help.

As we head into the winter months and look ahead to the UK elections next year, we believe that the UK and Welsh Governments need a rebalancing of policy focus so that tackling fuel poverty and stopping winter deaths amongst our older people receives as much attention as reducing CO2 emissions.

We need co-ordinated action by government and energy companies to target advice and energy efficiency grants based on specific need of individuals as well as wider need to reduce the carbon footprint.

As the Older People’s Housing Champion for Wales, our “Fighting Fuel Poverty” campaign aims to highlight the scandal of pensioner winter deaths and find solutions to help those in need. We’re only a phone call away, so if you’re an older person or have a relative, neighbour or friend in need of help, please call one of our local agencies on 0300 111 3333. Care & Repair can reach out and spread a bit of human kindness and warmth this winter to those feeling left out in the cold.


Chris Jones
Chief Executive
Care & Repair Cymru

Working in partnership for warmer homes

With Autumn now firmly taking hold, people across the country are starting to turn the heating on. However, it’s easy to forget that not everyone has the luxury of keeping their home warm.

A warm home has a significant impact on our health and wellbeing. As research has shown, cold temperatures can have a detrimental effect on people with long-term health conditions such as heart, circulatory and respiratory disorders, as well as the elderly community.

Indeed, this subject has become a real focus for the Government in recent months, with calls for a collaborative approach across the health sector to ensure that those who need it most are able to heat their homes. Recent guidance from the National Institute for Health and Care Excellence (NICE) has also added to the debate, calling for the wider community, from gas engineers to health workers, to work together to identify vulnerable people who are at risk.

This partnership approach is one that npower Health Through Warmth has championed since the scheme began in 2000, by working with organisations such as Care & Repair Cymru. Together, we help vulnerable people to stay warm at home, whether it’s by replacing broken boilers or installing heating systems or loft and cavity wall insulation.

That’s why npower Health Through Warmth is supporting Care & Repair Cymru's Fighting Fuel Poverty campaign, to remind people that help may be available for vulnerable home owners who have a long term illness, a low income with little or no savings and who are unable to fully fund the work required.

For more information, or to find out if you or someone you know could be eligible for help, visit www.healththroughwarmth.com or contact your local Care & Repair Agency on 0300 111 3333.


Elaine Midwinter
Scheme Manager
npower Health Through Warmth

Fighting fuel poverty - let Care & Repair help you

According to latest figures, there are almost 2,000 excess winter deaths a year in Wales. We hear the term ‘excess winter deaths’ quite frequently, but it’s hard to imagine how and why this can happen.

As an Affordable Warmth Caseworker for Care & Repair Cardiff, visiting older people on a daily basis in their homes, unfortunately I can see how this happens. When reporting on this issue, the press might conjure up images of older people with blankets around their knees, shivering in front of a gas fire. This is not the case for the majority of older people, but for some this is actually their reality.

I saw a lady recently in Riverside who was wearing a dressing gown over her clothes to keep warm every time I visited her. I saw a gentleman in Canton who wore a woolly hat and refused to put the heating on unless it snowed because he was scared of high gas bills. I saw a lady in Grangetown who had no form of heating whatsoever in the house, had never had any, and cried every time I visited as she couldn’t face another winter living that way. Unfortunately, this is how some older people live, and it is easy to see how their health and wellbeing can be affected.

Many older people live on low incomes, have little or no savings and live in homes that don’t suit their needs. Quite often, they live in the family home that they have lived in for decades which they now find that they can’t afford to maintain or heat adequately. There are often problems with the heating system, windows and damp, along with stairs and bathrooms that can’t be managed. Many people are just used to managing and used to be being cold; they’re not aware of the damage it could be doing to their health or where to go for help. Poor physical health and mental health problems can also complicate the issue and make it difficult for people to find and access help, or even to face having anything done to their home.

There is help out there. We can help people to find grants to improve their home and heating and support them through the process of having any work done. We can help people to take control of their bills by looking at changing supplier or making sure they are on the best tariff. We also make sure that people are claiming all the benefits they are entitled to which can vastly increase their income and make life a little easier. We’ve also helped people to clear gas and electricity debts.

I think it will be difficult to find a long term solution to fuel poverty. Grants for new boilers are excellent in the short term, but what happens in 10 years time when that boiler is inefficient again? It’s not a long term solution to the problem. We hear that insulating our homes is the best solution, but most people have had cavity wall and loft insulation fitted and accessing more complicated specialist measures is difficult and very expensive.

One thing I have come to learn in this job is the importance of planning for your old age. Older people should be able to live out their later years in comfort without worrying about living in cold homes which don’t suit their needs. It’s of benefit to everyone of any age to think about maintaining their homes, having appliances regularly serviced and using energy as efficiently as possible. These are all things that Care & Repair can assist with, so I would advise anyone who needs advice to contact us on 0300 111 3333.


Beatrice Roberts
Caseworker, Care & Repair in Cardiff

Fighting Fuel Poverty

The impact of fuel poverty goes beyond financial consequences. Living in fuel poverty can affect people’s health, increasing the risk of common ailments such as colds, flu and respiratory infections including bronchitis. This has resulted in worryingly high excess winter death levels in Wales, with older people particularly susceptible.

There are indirect effects: stress in children and adults, long-term depression and anxiety, social exclusion, damaged health and life chances for families and individuals and reduced educational attainment.

Moreover, there are broader budget implications for education, employment and health services in Wales.

You are in fuel poverty if 10% or more of your household income is spent on energy.

The causes of fuel poverty are equally complex, requiring a person centred approach alongside energy efficiency measures.

In 2012, 30% of households in Wales were living in fuel poverty, equating to 386,000 homes. Nearly 85% of these are vulnerable households, containing a child, older person or someone with a disability or chronic illness.

Energy efficiency is not the only way of helping fuel poor households and further opportunities exist, including helping people to find the best energy deal and to maximise their income.

True partnership working is key to finding those who are hardest to reach, ensuring that they receive all the help they are entitled to and developing solutions to meet their needs and situation.

No one agency can provide all the solutions to a complex problem affecting people with diverse circumstances. However, a central movement such as Care & Repair Cymru can guide people in the right direction to obtain the help they need.

Last year, Care & Repair agencies gave energy advice to 1,800 older people and 1,000 older people who had damp in their home. Amongst other things, they can advise on whether you are eligible for a £140 Warm Home Discount on your electricity bill and how, as a pensioner, you can join your energy supplier’s Priority Services Register.

If you require help or are unsure about the help you can receive, then contact Care & Repair for free advice on 0300 111 3333.

Mark Isherwood AM 

Chair of the Cross Party Group on Fuel Poverty sponsored by NEA Cymru and Citizens Advice Cymru 

Every traveller has a tale to tell

'Why do you go away? So that you can come back. So that you can see the place you came from with new eyes and extra colours. And the people there see you differently, too. Coming back to where you started is not the same as never leaving.' I love that quote from Terry Pratchett - I'm not sure if it’s true for every traveller though.

Summing up over 5 months of travelling in this blog post would be difficult, but I think it's fair to say that a trip which saw me and my girlfriend Fiona visit Thailand, Singapore, Vietnam, Hong Kong, Beijing, Japan, the USA and Canada was certainly a trip we’ll never forget. 

The purpose of my sabbatical leave was to travel and gain life experiences. Whilst travelling, I couldn’t help but notice some projects and ideas that I feel are worth exploring in my job role at CHC. For example, Portland (Oregon) in the USA which has earned its reputation as one of the greenest cities in the USA. This reputation is enhanced by information which reveals that Portland, for example, uses 20 percent more renewable energy than the national average and it was one of the first cities to ban plastic bags. Of course, there was some bad practice as well, but I won't pick out anything in particular for this blog post.

I think travelling has made me realise how different countries might approach certain things differently. It’s an obvious statement in a way, but actually seeing good and bad practice around the world was very interesting. However, I’ve only scratched the surface as there’s so much of the world that I haven’t seen. 

Now I’m back at CHC, one of the priorities for me has to be further exploring the potential for European funding for renewable energy and energy efficiency funding in order to help get a project bid in place. I’m planning to be out and about at conferences and meetings trying to catch up with people and find out who’s been up to what in the past 6 months or so, so if you see me, don’t be afraid to say hello! 

Ko Phi Phi, Thailand

Shea Jones
Energy and Sustainability Officer      

Positive ageing - bucking the trend?

This week is Positive Ageing Week, which also includes Older People’s Day today, (1 October). The narrative around ageing and particularly around the substantial increase in the number of older people in the coming decades is often focused on the challenges of increasing demand for services and the fact that, across public services, we aren’t ready to accommodate this need.

At Care & Repair’s recent Annual Conference, a consultant from Powys Teaching Health Board (Prof. Bim Bhowmick) spoke about caring for older people with more acute needs in the community. One of his main points, which really resonated with me, was in saying that an increase in the older population doesn’t have to mean greater demand… more need… pressure on hospital services. He’d been leading on a consultant led “virtual ward” service aimed at keeping older people out of hospital. Through this he demonstrated a few things, namely:

• Consultant-led community services for older people will reduce attendance at A&E and instances of delayed transfer of care.
• Services configured to intervene at the time, before someone is admitted to hospital for further checks etc., is by far the most important time to intervene. 
• Ensuring that there's an understanding of what can be provided in the community by NHS staff and other stakeholders is key for General Practitioners. 
• The home is often an appropriate place to provide interventions for people with acute needs. 
• If we make these changes on an all-Wales level, we can realise a future where even though there’s a large population of older people, better service focus along with changes in lifestyle and behaviour can combine to offset the type of demand being predicted at present. 

The way we understand housing in the context of positive ageing is also very important. All too often this is a bit one dimensional – along the lines of poor housing leads to poor health. Clearly this is a really important part of understanding the impact housing can have, and the implications of poor housing. But an over-focus on the physical environment may lead us to overlook much of what it means to age positively. Housing certainly underpins this, but (for example) opportunities to socialise, learn new skills, inform and participate in local and national debate, spend more time with family, work or volunteer and travel the world can all have a huge bearing on how 'positively' we age. 

For the housing sector, it’s about understanding how we can best support this shift in emphasis and if there’s capacity to provide staff, share expertise or facilitate patient, carer or family engagement in building a shared understanding of how we support people in truly holistic way. 

Matthew Kennedy
Policy Officer: Care, Support and Health