Your helpful guide to keeping warm, well and safe this winter 1 About this booklet Winter can be a difficult time for everyone, however as the temperature drops and conditions worsen the risks become more significant for people aged over 65. Every year sees 25,000 emergency hospital admissions across Dorset during the winter months, with 24,000 unnecessary deaths nationally. Cold weather sees an increase in the risk of heart attack, stroke, lung illnesses, flu and other conditions. Accidents also increase as people slip and fall in the snow or ice risking serious injury. Your local NHS is here to help you. This booklet has been produced with a number of local partners as a guide to help you afford winter, and keep warm, well and safe during the coming months along with some simple practical advice. Thanks to the following organisations for assistance in putting this booklet together: Age UK Bournemouth Borough Council Borough of Poole Dorset Energy Advice Centre Dorset County Council Dorset Fire and Rescue Dorset Police Health Protection Agency Poole Council for Voluntary Services The Energy Saving Trust If you require this booklet in another format or need further copies please let us know by contacting the Patient Advice and Liaison Service on 01202 541585 or by emailing [email protected] 2 Contents Affording winter What help is available to me? Energy and cost saving tips Dispelling myths about insulation Top tips 3 5 6 8 9 Keeping warm Keep warm indoors Keep warm outdoors Keep active Top tips 10 11 12 12 13 Keeping well Get protected against flu Norovirus or winter vomiting bug Healthy eating Stocking up Top tips 14 15 15 16 16 17 Keeping safe Slips and trips Winter driving Be informed Snow and ice After snowfall Get your heating checked Top tips 18 19 19 20 20 20 21 22 Useful contacts 23 3 Affording winter If you are worried about the cost of heating your home, it is worth knowing that there are a number of schemes which can help. In this section we will give you details of who you can contact, along with some top tips for keeping costs down. 4 What help is available to me? CERT Priority grants Under this scheme if you receive various benefits and allowances you may qualify to have cavity wall and loft insulation done for free (except if your property is larger than average for its type). Contact your energy supplier for more information. Over 60’s council tax band scheme The following local authorities are currently offering this scheme: • Bournemouth Borough Council • Christchurch Borough Council • Purbeck District Council which provides free cavity wall and loft insulation up to the value of £1000, to owner occupiers between 60 and 69 years of age living in properties that fall into council tax bands A, B, C, and D. You do not need to be on benefits, however funding is limited. Warm Front grants The Warm Front grant is the government scheme for insulation and heating and is run by Carillion Energy Services. The scheme provides insulation and heating measures, if you receive various benefits and allowances, up to the value of £3,500 (£6,000 if oil fired heating is required). The grant includes various insulation, draught proofing, low energy bulbs, providing a heating source where no heating exists, heating repairs and conversion of solid fuel open fires to a glass fronted fire. If the cost of the work exceeds the grant then you may be able to have the excess paid under a grant or loan by your local authority, please contact the local authority direct to see if they have any funds available. You can also contact Warm Front directly on 0300 123 1234. 5 Magic Boiler Scheme This scheme is for anybody regardless of age or benefits, and aims to offer boilers at discounted rates. Typically you could save between £100 and £200 on the cost of a new boiler. For more information on any grants mentioned above and assistance available contact the Dorset Energy Advice Centre in the first instance - 0800 975 0166 or visit www.deac.co.uk Energy and cost saving tips There are some simple ways you can reduce the amount you spend on energy without putting yourself at risk. Turn it down You may have your central heating set higher than you need it. Each day try turning your room thermostat down by one degree, carry on until it feels a bit too cool and then turn it back up one degree. Every degree that you turn your heating down could save you around £60 a year on your heating bill. Turn it off Make sure you turn your lights, appliances and chargers off when you’re not using them. Nearly all electrical and electronic appliances can also safely be turned off at the plug without upsetting their systems but check the instructions on any appliances you aren’t sure about. Careful in the kitchen You can save another £35 a year just by being careful how you use your kitchen appliances. • Set your washing machine to wash at 30°C • Only use your tumble dryer when you can’t dry your clothes outside • Don’t fill your kettle right up every time – just boil the amount of water you need. 6 Shower power If you’ve got a shower that takes hot water straight from your boiler or hot water tank (rather than an electric shower) then you may be able to get a water-efficient shower head fitted and cut your hot water use without noticing any difference when you shower. A shower head will cost around £27 but will save on water heating and water bills if you have a water meter. Don’t lag behind If you have an uninsulated hot water cylinder, you could start saving now by fitting a tank jacket. Also get any exposed hot pipework around the cylinder and around the boiler insulated. It’s easy to fit and the materials for the whole lot will only cost you around £25, and you’ll save £55 a year. Be a draught excluder Unless your home is very new, you’re likely to be losing some heat through draughts around doors and windows, gaps around the floor, maybe up the chimney and a whole host of other little holes around the house. Depending on your house, draught-proofing materials could cost up to £160 but you could save up to £90 a year, so they’ll pay for themselves in less than two years. Lighten your load Have you changed all your light bulbs for low-energy ones? They come in a variety of shapes, sizes and fittings. Look for the Energy Saving Trust recommended logo to be assured of light quality and lifetime. Turning the heating down at night Turn down your thermostat before you go to bed or go out, so you’re not wasting energy heating empty rooms. You can probably do this quite early, maybe an hour before you go to bed, as it will take a while for the heater and the room to cool down. If you are cold at night, put on an extra layer of clothing or bedding but remember to stay safe if using electric blankets. 7 Dispelling myths about insulation Keeping in the heat you have already paid for can make a real difference to the cost of heating. However there are some common myths that could mean people put it off. Insulation is expensive For an average size house, loft insulation costs between £100 and £350. Whilst this may seem a lot to pay out in one go there are grants and help available and it can pay for itself in around two years. It won’t save me enough money to make it worthwhile Loft insulation has an expected life of around 40 years so could save you thousands of pounds in the long run; it is also calculated that cavity wall insulation saves between £100 and £350 a year in an average house so pays for itself almost immediately. I can’t have the work done on my property If your loft is easy to access and has no damp or condensation problems, it should be easy to insulate - a competent DIY-er or a professional installer should be able to do this. If you are unsure contact the Dorset Energy Advice Centre (DEAC) on 0800 975 0166. If you live in rented accommodation speak to your landlord. Need help with finding a trades person? Your local Age UK office will hold a list of reputable companies you can contact and also offer a service for doing odd jobs around the home. Bournemouth - 01202 523300 Dorset - 01305 269444 Poole - 01202 666195 8 top tips • There is lots of help available to keep your home warm, contact the Dorset Energy Advice Centre in the first instance - 0800 975 0166 • Call your energy supplier to find out what schemes they offer • Try and keep your home heated to between 18°C and 21°C • Turn electrical appliances off at the plug overnight as you will waste electricity and money • Test electric blankets before use and replace them if they look worn • The Citizen’s Advice Bureau will be able to give you advice on benefits, heating, grants and debt Bournemouth - 08444 111444 Poole - 01202 680838 Dorset - 0844 2451291 9 Keeping warm It is important to keep warm both indoors and outdoors as this can help you stay well during the cold weather. This section will give you helpful advice and tips on how to avoid the chills and therefore reduce your risk of health problems. 10 Keep warm indoors Try and keep your home heated to between 18 and 21 degrees Celsius. To help you monitor your home, free thermometer cards are available through a variety of outlets across Dorset including community hospitals, GP surgeries, pharmacies and local voluntary organisations. Make sure you keep warm by: • Wearing several thin layers rather than one thick layer • Covering up your head and neck by wearing a hat and scarf • Wearing clothes made from wool, cotton or fleecy fabrics • Drawing your curtains at dusk to stop the heat escaping and the draughts coming in • Closing windows and keeping internal doors closed when it’s cold • Using a shawl or blanket to provide extra warmth if you need it • Keeping your feet up, because air is cooler at ground level • Wearing warm clothes in bed - when it’s really cold, wear thermal underwear, bed socks and even a hat. C O O 80 27 75 24 Babies may overheat 70 21 IDEAL living room temperature 65 18 COMFORTABLE house temperature 60 15 DISCOMFORT and risk of respiratory illness 55 12 strokes in vulnerable people 50 9 F HOT - reduce heat but stay warm. TOO COLD - increased risk of heart attack and RISK OF HYPOTHERMIA - increased risk of heart attack and strokes in vulnerable people 11 Keep warm outdoors Try and limit the time you spend outside – it may seem like common sense but the less time you spend outside in cold weather the better; if conditions are severe it is best to avoid going out at all if possible. If you do need to go out: • Wrap up warm - gloves, hat and scarf make a real difference • Try to wear lots of layers - this will help trap layers of warm air near the body • Keep moving - try not to stand around in the cold • If it looks like rain make sure you have a waterproof coat - an umbrella may keep the water off you, but won’t help keep you warm. Keep active Cold weather can lead to ill health and depression, particularly in people aged over 60. One way of staying healthy is to keep active. Light exercise can help to keep you warm and improve your mood. When indoors try to move around at least once an hour. You can perform some simple exercises such as marching on the spot, mini squats whilst holding on the back of a chair or repeating getting up and sitting back down in your chair. If you are able to venture out then Age UK run the ‘Fit as a Fiddle’ nationwide programme‚ supporting people aged over 50 with physical activity‚ healthy eating and mental well-being. Call 0800 169 8787 for more details. Always speak to your GP before starting any exercise programme. Your local leisure centre may run reduced cost or free activities, contact your local council for details of your nearest centre 12 top tips • Wear lots of layers and limit the time you spend outdoors and remember to wrap up warm when you go out • Keep active. Move around at least once an hour and don’t sit down for long periods of time. Even light exercise will help keep you warm • Make sure your heating is working properly - if in doubt get it checked out by a professional • The recommended temperature for your main living room is around 70°F/21°C, and the rest of the house should be heated to at least 64°F/18°C • Draw your curtains at dusk to help keep the heat in • Make sure that your heating isn’t obstructed by curtains or furniture 13 Keeping well There are many things you can do to keep well during the winter - from making sure you get the flu jab to being prepared and ensuring you have a well stocked cupboard and healthy diet. Follow our advice to make sure you keep well. 14 Get protected against flu Flu outbreaks often occur during the winter each year, which is why the illness is sometimes referred to as seasonal flu. Unlike a cold, the symptoms of flu come on very quickly and include a fever and aching joints and muscles. Although flu can be unpleasant, if you are otherwise healthy, the illness will usually clear up on its own and you will recover within a week. To ease symptoms, over the counter flu remedies can be used. However, the effects of flu can be more severe in older people and people with an underlying health condition (particularly chronic heart or respiratory disease), or those with weakened immune systems. Therefore, to protect against the potentially harmful effects of flu, you should be vaccinated each year against flu. The flu vaccine changes every year so it is important to make sure you get protected yearly. Norovirus or the winter vomiting bug Norovirus causes winter vomiting which affects 600,000 to one million people every year. It can be a nasty experience for those affected but it is normally a short-lived infection from which you can usually recover within two to three days. To limit spreading the virus to others: • Stay at home until you are symptom free for 48 hours and drink plenty of water to replace lost fluids. If your symptoms persist, phone NHS Direct for advice on 0845 46 47 • Don’t handle or prepare food for other people • Wash hands thoroughly and regularly at all times, but particularly after toilet visits and before eating. Your local pharmacy can offer you over the counter remedies for coughs and colds - make sure you stock up your medicine cabinet for winter 15 Healthy eating During the winter it is important to keep a balanced diet and ensure you eat healthily. Here are some top tips to help you eat well over the winter: • Try to include a good variety of foods, eating something from each of the five food groups every day • Eat regularly - eating little and often is best • Have at least one hot meal a day • Take hot drinks throughout the day - especially one before bedtime • Drink plenty of fluid - aim for 6-8 cups per day of a variety of fluids including tea, coffee, fruit juice, cordial and water. Stocking up Avoid putting yourself at risk by making sure you have enough food in the house – this will mean you shouldn’t have to go shopping if the weather takes a turn for the worse. Prepare a winter store cupboard containing: • Long-life or dried milk • Tea/coffee/cocoa powder • Tinned milk puddings • Baked beans • Tinned corned beef/ham • Long-life pure fruit juice • Tinned sardines/pilchards/tuna • Instant mashed potato • Lentils/pasta/rice • Tinned fruit and vegetables • Tinned/packet soups • Breakfast cereals • Crackers/plain biscuits 16 top tips • Get the flu jab - ask your GP for details • Avoid any unnecessary trips - get repeat prescriptions in advance and make sure your food cupboard is well stocked • Eat a healthy balanced diet and have at least one hot meal a day • Avoid the risk of the vomiting bug with good levels of hygiene • Prevent the spread of flu - catch it, bin it, kill it • Review your medicines - if you are on medication, talk to your GP or pharmacist about reviewing this to make sure it is still appropriate • Keep yourself healthy - stop smoking, drink less alcohol and more water, eat healthily and try to keep active • If you are struggling with money for food your local Foodbank can provide you with a voucher for 3 days worth of food. To find out more call: Bournemouth - 01202 900979 Christchurch - 01202 487442 Poole - 01202 669566 17 Keeping safe Along with a drop in temperature, the cold weather brings many other factors such as ice and snow which can sometimes bring an element of risk to even the simplest task. In these conditions it is best to only go out when absolutely necessary, but if you do have to there are steps you can take to minimise your personal risk. 18 Slips and trips Anyone can suffer from a fall, but the likelihood of this happening increases as we get older. There are a few preventative measures you can take to minimise falls: • Take regular exercise to keep muscles strong and supple • Wear slippers that have a good grip and that fasten and stay on properly – make sure they aren’t loose or worn out • On stairs and in bathrooms and toilets consider having grab rails fitted • Take care of your feet and avoid poorly fitting shoes • Never allow flexes or wires to trail across the floor and avoid clutter on the ground • Replace worn rugs and carpets • Minimise bending and climbing - keep items that are used a lot in reach If you do fall don’t panic - you will probably feel a little shocked but try to stay calm. If you are hurt and unable to get up try to summon help, move to a soft surface and keep warm by trying to keep moving. Always tell someone if you have had a fall and call your GP practice if you are worried. Winter driving If you plan to drive, only travel when absolutely necessary and ensure your vehicle is roadworthy for the conditions. Check tyres, windscreen washers and wipers, lights, petrol and heater and make sure any snow or ice is cleared from your windscreen and other windows before setting off. Always carry warm clothing, a blanket and a flask containing a hot drink and drive with extreme caution - according to the road conditions – even if the roads appear gritted. If you do need help bear in mind that emergency vehicles may take additional time to get to you. Allow for this wherever possible by ensuring that you have a short-term contingency plan in case of severe delay. 19 Be informed In severe and wintry weather it’s even more important to plan your journey. Just a few minutes checking before you set off can make all the difference. Monitor the traffic and weather conditions and plan journeys by listening to your local radio stations or by calling the Highways Agency information line on 08457 50 40 30. Snow and ice When the weather is very cold and icy, it is best if you try to stay in so you keep safe and warm. If you know there is snow and ice forecast, make sure you plan ahead and rearrange non-urgent appointments. Make sure you get repeat prescriptions so you don’t have to venture out in bad weather. Libraries have facilities you can use if you are unable to physically get to the library during adverse weather conditions. Books can be renewed by calling: Bournemouth - 01202 454848 Dorset - 01305 224311 Poole - 01202 262424 If extreme bad weather means that libraries are closed, overdue charges are waived for that day. Don’t struggle to put out your rubbish bins - either ask a neighbour to help or wait until conditions improve After snowfall Despite what you may have heard you can clear snow and ice from pavements yourself; and it’s unlikely that you’ll be sued or held responsible if someone is injured on a path or pavement you’ve cleared. If you do, there are some tips to make it easier: • Do so early in the day - it’s easier to move fresh, loose snow 20 • Don’t use water - it might refreeze and turn to black ice • Use salt if possible - it will melt the ice or snow and stop it from refreezing overnight • You can use ash if you don’t have enough salt - it will provide grip underfoot • Take it easy - cold air makes it harder to work and breathe, which adds some extra strain on the body • Even if the snow is starting to thaw take it easy as there could be layers of ice under the snow itself • If possible don’t go out unless it is essential. Check the weather conditions and live traffic information on your local radio station. You can also call the Met Office Weather Desk number 0870 900 0100 which is open 24 hours a day, 7 days a week Get your heating checked Have all gas, solid fuel and oil burning appliances (i.e. boilers, heaters and cookers) serviced by an appropriately registered engineer. Malfunctioning appliances can release carbon monoxide - a gas which at high levels will kill and at low levels can cause headaches, dizziness, chest pains, nausea and vomiting. There are also indicators that suggest your appliance might have a fault, such as black sooty marks on the appliance itself and sooty marks on the walls or surrounding area. Make sure flues and chimneys are swept and checked for blockages and that there is adequate ventilation in rooms to allow appliances to work properly. You should also fit an audible carbon monoxide alarm which is EN50291 compliant, but fitting an alarm should not replace regular maintenance of appliances. 21 top tips • In severe weather don’t go out unless it is necessary - bins and library books can wait until the weather improves • Check local radio or call the Met Office Weather Desk on 0870 900 0100 for up to date forecasts • Do any vital jobs in advance of cold weather i.e. collect repeat prescriptions or medication • If you are driving, check the road conditions and travel news before you set off • If you do have to go out, wear appropriate clothing and sensible footwear • Get extra support - if you think you need extra help, think about personal alarm pendants so you can get support when you need it at home • Dorset Fire and Rescue Service offer a FREE home safety check - for more information call 01305 252600 22 $ Useful contacts to cut out and keep Organisation Telephone Website Borough of Poole Customer Services Gateway to all council services Borough of Poole Social Services Helpdesk Gateway to all council social services Bournemouth Borough Council Gateway to all council services Bournemouth Care Direct Gateway to all council social services 01202 633633 Out of hours: 0800 506050 www.boroughofpoole.com 01202 633902 Out of hours: 01202 657279 www.boroughofpoole.com/ health-and-social-care/ 01202 451451 Out of hours: 01202 451145 www.bournemouth.gov.uk 01202 454979 Out of hours: 01202 657279 www.bournemouth.gov.uk/ SocialCareHealth 01305 221000 Dorset County Council Gateway to all council services 01305 221016 Dorset Direct Gateway to all council social services 01305 224841 Dorset Partnership for Older People Programme Signpost/support service to people over the age of 50 living in Dorset www.dorsetforyou.com Citizens Advice Bureau Bournemouth Poole Dorset Out of hours Medical Service - when your GP surgery is closed www.citizensadvice.org.uk 08444 111444 01202 680838 0844 2451291 0845 600 1013 23 Organisation Telephone Website Dorset Energy Advice Centre Free advice on saving energy and grants 0800 975 0166 www.deac.co.uk Age UK Bournemouth Poole Dorchester Credit Union Helping people across Dorset to save regularly and borrow in times of need Food banks Bournemouth Poole Christchurch 01202 523300 01202 666195 01305 269444 www.ageuk.org.uk First Dorset Credit Union 01305 268444 www.firstdorsetcreditunion.co.uk Coastal Credit Union 01202 566878 www.coastalcreditunion.co.uk 01202 900979 01202 669566 01202 487442 Pension Service Benefit/financial information 0845 6060265 www.thepensionservice.gov.uk Help & Care Services, support and information for older people and carers 0300 111 3303 www.helpandcare.org.uk Healthpoint 01202 675377 Health information service www.boroughofpoole.com/ healthpoint Dorset Police To contact Safer Neighbourhood Teams dial 101 non-emergency number www.dorset.police.uk Dorset Fire & Rescue Free home safety checks 01305 252600 www.dorsetfire.co.uk © Dorset Clinical Commissioning Group 2012 www.dorsetccg.nhs.uk
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