Table of contents

Unmet needs and service gaps

Adults :: Excess winter deaths :: Unmet needs and service gaps

• Other than the influenza vaccination programme and dedicated work carried out by Medway Council's housing department, systematic approaches to the reduction of excess winter mortality (EWM) are in their infancy and need to develop.

• There are insufficient knowledge and tools to be able to identify Medway households most at risk of EWM.
• There is currently no formalised system to generate referrals to energy efficiency services of vulnerable householders from frontline health staff.
• There is currently no identified resource to operate targeted energy advice services in the homes of the most vulnerable householders across the Medway area.
• There is a lack of public and professional awareness of the health problems associated with cold exposure and services available to tackle these.