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Case studies

An evaluation of the Better Housing Better Health+ Initiative in Oxfordshire

Three colleagues in discussion

Oxfordshire County Council implemented a Better Housing, Better Health (BHBH) service where residents get a home visit from a specialist advisor about home energy saving instead of just telephone support. Engaged by the council, we helped to find out if this additional service is providing value and health improvement.

Objective

The National Energy Foundation (NEF) runs a scheme providing advice on home improvements: BHBH. Residents call a telephone helpline to receive advice on home energy saving. Oxfordshire County Council have implemented a BHBH+ service where residents get a home visit from a specialist advisor instead of just telephone support. The council want to know if this additional service is providing value and health improvement.
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What we did

We used three different analytical methodologies:  

  • Residents using the service were provided with health questionnaires before and after the home advice. A comparative analysis of those questionnaires was undertaken.
  • A matched cohort analysis was conducted. This linked the NEF data to healthcare data and was split into three cohorts. Those using the BHBH+ service, those just using the telephone service and a control cohort not using any service. These were compared looking at differences in health outcomes.
  • A retrospective analysis of the health of the service users was undertaken using linked NEF and healthcare data. This provided a baseline for the health of the cohort population. 

Activity

Communications and engagement

Engaged with residents on home energy-saving advice, using health questionnaires.

Population health analytics

Provided a baseline for the health of the cohort population via a retrospective analysis of the health of the service users.

Data-driven decision-making

Using linked data and survey results to evaluate the value provided through the BHBH+ home visit initiative.

Outcome

The study is still ongoing, so full results are not yet available. Initial indications from the preliminary report of the outcomes from the questionnaire show that the service has improved the self-reported health of this cohort. Permission has recently been granted to link the NEF data to healthcare data. 

It is too soon to draw any definitive conclusion on the results. Early indications show that investment in the BHBH+ service has positive health outcomes.

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