HOUSING

What we know
What information do we have about the Eastern Board area?
What is the result of this on our health locally?
Policies
What is happening in the Eastern Board area?
References

 

Statistics
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Links
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Documents
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What we know

Healthy housing, together with clean water, sanitation, food and clothing is a basic human requirement. The relationship between housing and health has long been recognised. Victorian solutions to improving ill health including slum clearing and sanitation did much to improve health. Improvements in death rates from infectious diseases such as cholera and typhoid, and to some extent tuberculosis, owed as much to improved standards of living as to microbiology and antibiotics. As our knowledge of communicable diseases and illness have grown, so has our awareness of the importance of housing to physical and mental wellbeing.

 

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What information do we have about the Eastern Board area?

The Northern Ireland Housing Executive 1974 House Condition Survey painted a harsh picture of the condition of Northern Ireland’s housing. It stated that 20% were legally unfit for human habitation, with more than one third of the housing stock in need of significant repair. Around 26% of dwellings lacked at least one of the five basic amenities and 22% lacked four or more such amenities. In total, some 600,000 people or 40% of the population lived in dwellings that were unfit, in disrepair or lacking certain basic amenities.

The 2004 Interim House Condition Survey estimated that there were some 25,600 unfit dwellings in Northern Ireland.  This represents a headline rate of 3.8%. In 1974 almost one in five (19.6%) dwellings were statutorily unfit, a total of nearly 90,000 dwellings. By 1991, under the provisions of a much higher standard, the rate of unfitness had reduced to 8.8% (some 50,000 dwellings), and by 1996 unfitness had declined by a further 6,000 properties to 44,000 (7.3%). In 2001 this had declined again to 31,600 dwellings (4.9%).

In 2004 the Belfast Metropolitan Area had a rate of unfitness of 2.3% (7,600 dwellings).  Most of these (4,440) were in Belfast, which had an unfitness rate of 3.6%, while South Belfast had an unfitness rate of 5%.  As in 2001, Northern Ireland's district towns have a very low rate of unfitness.  Only 2.2% (4,800 dwellings) fail to meet the Fitness Standard.  Rural areas continue to have higher rates of unfitness.  In 2004 a total of 13,500 (6.8%) rural dwellings were unfit compared with 12,100 (2.5%) in urban areas.  This compares with 2001 figures of 18,000 (8.5%) for rural areas and 13,600 (3.1%) for urban areas.  The condition of dwellings in isolated rural areas remains relatively poor.  A total of 11,200 (10%) isolated rural dwellings failed to meet the FItness Standard and although this has reduced a little since 2001 (14,000; 11%) it continues to be the primary location for unfit dwellings.  As in 2001, two-fifths (44%) of all unfit dwellings in Northern Ireland were in isolated rural locations.

In 2001 there were approximately 16,300 dwellings that were unfit on the grounds of dampness. Central heating is traditionally seen as a key indicator of the standard of housing. For the purposes of the 2001 House Condition Survey “central heating” was defined as a heating system with a distribution system sufficient to provide heat in at least two rooms. In 1996 a total of 523,800 (87%) dwellings were recorded as having central heating. By 2001 this figure had risen to 615,400 (95%) indicating a major improvement in the heating standard of dwellings in Northern Ireland. However, in 2004 the most common causes of unfitness were serious disrepair and unsatisfactory facilities for the preparation and cooking of food.  In the case of each criterion approximately 20,000 dwellings (78% and 69% of all unfits) failed the Fitness Standard.  Dampness was recorded as the third most common reason for unfitness (15,200 dwellings; 59%).

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What is the result of this on our health locally?
Within three decades, housing conditions in Northern Ireland have changed from the worst in the United Kingdom to among the best.

At first sight the reduction between the unfitness of dwellings in the House Condition Survey between 1996 and 2004 appears remarkable, but there are a number of important factors which account for this. The political progress towards peace which has been made in Northern Ireland since the House Condition Survey which was carried out in 1996 has promoted a higher level of economic prosperity and confidence in the housing market. This has in turn underpinned an accelerated rate of market renewal. Difficulties of obtaining appropriate sites for new dwellings in parts of Northern Ireland have encouraged home owners and developers to purchase older more dilapidated properties and either renovate them or demolish and replace them. The relatively high level of resources committed to the maintenance and improvement of social housing in Northern Ireland continues to bring benefits in terms of the low levels of unfitness in both the Housing Executive and housing association sectors. Replacement grants in particular targeted at unfit dwellings have undoubtedly accelerated the process of improving housing conditions. In addition, the ongoing regeneration activities particularly in Belfast, but also in other towns and rural areas, where demolitions and, where appropriate, redevelopment have both had a significant impact on reducing unfitness.

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Policies

The Department of Culture, Arts and Leisure have developed a policy on architecture and the build environment. The policy is designed to promote the creation of an attractive, healthy, safe and sustainable built environment, which is affordable, functions efficiently and enriches the experience of living for everyone in Northern Ireland.  The policy:

applies to buildings and public open spaces and the infrastructure in general;
has a strategic aim to promote the value of good design to those who commission, design, construct, use and care for buildings and public open spaces; and
confirms the Government’s commitment to achieving excellence in the construction of publicly funded buildings and spaces.

The policy document is available from http://www.dcalni.gov.uk.  The consultation period will end on 30 June 2005 and the policy was launched in June 2006.

The Department of Regional Development’s (DRD) Regional Development Strategy for Northern Ireland sets out a strategic planning framework and guides physical development within the region up to 2025.

The Department for Social Development (DSD) has published a Fuel Poverty Strategy for Northern Ireland which aims to reduce the number of households living in fuel poverty.

The Programme for Government and the Northern Ireland Housing Executive’s strategic document “Housing and Health: Towards a Shared Agenda” both highlighted the importance of health in Northern Ireland’s future development. The report recognised the many areas where the Housing Executive, in conjunction with the Health Boards and Trusts, is tackling a wide range of housing-related issues that can affect health.

The Department of Health, Social Services and Public Safety planning document
“Priorities for Action 2004/2005”
acknowledged that the key to good community services is integration and cooperation across agencies and disciplines, promoting health and well being as well as service provision and continued partnership with other sectors e.g. with the NIHE and other housing providers through the Supporting People initiative.

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What is happening in the Eastern Board area?

The Housing Executive's strategic document "Housing and Health - Towards a Shared Agenda" in 2001 recognised that good quality housing and housing services contribute significantly to the health and wellbeing of communities. Some of the more significant work includes:

Successful implementation of the Supporting People programme which is currently providing much needed assistance to over 20,000 people annually
Development of the Homelessness Strategy and Homeless Action Plans
Establishment of Investing for Health Partnerships in all Health Board areas
Roll out of Fundamental Review of Adaptations Service
Development of joint IT information exchange project
Research, relating to Housing and Health is now an integral part of the Housing Executive’s annual research programme
Expansion of the Housing Executive’s Community Safety Team to reflect the application of its new statutory powers to tackle anti-social behaviour, including in-house mediation services and the appointment of 54 Neighbourhood Wardens
The programme known as ‘The 40 Most Disadvantaged Communities’ Programme set up in 2001 currently has 40 projects in place

 

Investing for Health Partnerships (IFH) have been progressing the implementation of their Health Improvement Plans. As part of the next phase of implementing the Investing for Health Strategy, all organisations represented on the IFH Partnerships are expected to highlight the contribution both to the Improvement Plan and to addressing the targets of the Investing for Health Strategy within their individual and other plans.

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References
Northern Ireland Housing Executive (1974) Housing Condition Survey 1974: Principle Characteristics of the Northern Ireland Dwelling Stock by District. Northern Ireland Housing Executive: Belfast

Northern Ireland Housing Executive (2001) Housing Condition Survey 2001: Main Report. Northern Ireland Housing Executive: Belfast

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For further information on this topic please contact us at publichealth@ehssb.n-i.nhs.uk

Eastern Health and Social Services Board Champion House, 12-22 Linenhall Street, Belfast BT2 8BS Telephone: (028) 9032 1313 Fax: (028) 9055 3681 Text Phone:(028) 9032 4980 Website: www.ehssb.org E-mail: pr@ehssb.n-i.nhs.uk
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