Cold Weather Plan 2013/14 Snow Angels CIC 10/13/2013 1 Introduction Dear Colleagues Every year as we enter the Winter period, we know that falling temperatures and difficult external conditions have the potential to create immense pressures both for our residents and the wide range of care and service providers across Cheshire East who are charged with mitigating them. This document therefore represents a co-ordinated response to events as they may arise, in line with national recommendations and local conditions. In particular, the Cheshire East Cold Weather Plan is designed to support our older and most vulnerable residents, in order to improve their overall health and well-being and reduce the number of excess winter deaths that occur each winter. Whilst it is not possible to accurately predict the severity of the Winter to come, this Plan is a multi-organisational response, offering a wide range of interventions to both prepare for, and implement during periods of cold weather. I would therefore like to thank our staff and all our partner organisations for their contributions in the design of the plan, and their committed support in implementing it in the months to come. Cllr Janet Clowes Portfolio Holder: Health & Adult Social Care, Cheshire East Council . Contents Executive Summary ............................................................................................................................. 0 Background ........................................................................................................................................... 1 Strategic Planning ................................................................................................................................... 2 Development of a “list of lists” ........................................................................................................ 2 Keeping warm ................................................................................................................................... 3 Encouraging uptake of flu and pneumococcal vaccinations...................................................... 4 Implementation of brief health interventions ................................................................................ 5 Reducing social isolation............................................................................................................. 5 Healthy Eating............................................................................................................................... 5 Staying Active ............................................................................................................................... 6 Assessment and support to prevent falls...................................................................................... 6 Provision of personal contingency plan e.g. buddy scheme ..................................................... 6 Assessment for assistive technology and cold weather alerts .................................................. 6 Advance warning and advice during the winter months ........................................................................ 7 Levels of Cold Weather Alerts .................................................................................................... 7 Health Impacts and Time ............................................................................................................ 7 Cascade of Cold Weather Alerts................................................................................................ 8 Local Resilience Forum and Local Health Resilience Partnership ........................................... 9 Communicating with the Public and Service Providers .................................................................. 9 Communications Plan .................................................................................................................... 10 Brand ............................................................................................................................................ 10 Press Releases........................................................................................................................... 10 Community Organisers .............................................................................................................. 10 Social media ................................................................................................................................ 11 Leaflets......................................................................................................................................... 11 Engaging with the Community ......................................................................................................... 11 Winter Well Being Portal ................................................................................................................... 12 Making Every Contact Count .................................................................................................... 12 Referral scheme ......................................................................................................................... 12 Training resources ..................................................................................................................... 12 Posters and leaflets etc. ............................................................................................................ 13 Directory of services .................................................................................................................. 13 Cold weather alerts – sign up ................................................................................................... 13 Events Calendar ......................................................................................................................... 13 Executive Summary Cheshire East has the fastest growing older population in the North West and this presents opportunities and challenges for service providers and local communities, particularly during the winter months. The production of a local Cold Weather Plan (CWP) provides the opportunity to target services and resources towards people who are potentially most at risk during the winter. The CWP has been written for partners and stakeholders and does not replace the individual plans for partners – its primary aim is to reduce the health impacts of cold weather, specifically excess winter deaths and emergency admissions to hospitals. The plan specifically addresses Levels 0 – 3 in the Cold Weather Planning process – the Local Resilience Forum is responsible for implementing Level 4 responses. The majority of excess winter deaths during the winter are preventable and the plan outlines a number of actions which will help to reduce health impacts. The population who are most at risk in Cheshire East are likely to be over 75 years old and will possibly have respiratory or cardio-vascular diseases. The plan also outlines a number of research studies which demonstrate the importance of geographical targeting, for example over half of 85 year olds living in Crewe were admitted as emergency admissions to hospital during the year in 2011/12 and this figure increased during the winter months, and the prevalence of off gas properties in the rural areas across Cheshire East poses particular challenges relating to fuel poverty. This is a challenging agenda with diminishing financial resources. There are opportunities to develop community resilience projects, engage with community organisers, ensure that key messages are transmitted through “Making Every Contact Count”, and have a combined communications plan throughout the winter months. A summary of the local Cold Weather Plan is included at Appendix A. 1 Background The national Cold Weather Plan for England (Department of Health, 2012) includes a number of key recommendations to improve health and wellbeing including the production of local Cold Weather Plans (CWP’s). “In winter 2010/11 there were about 23,700 “excess winter deaths….many of these winter deaths are preventable and the Cold Weather Plan recognised that more needed to be done to protect vulnerable people during cold winter months”1. Cheshire East faces particular challenges through the winter months with a high rate of excess winter deaths primarily amongst older people and a high rate of excess winter emergency admissions amongst older people to hospital. There are over 200 excess deaths each winter which “is an additional 19.7% risk of dying at this time of year”2. The area also has the fastest growing older population in the North West and England and there are currently over 75,000 people over 65 years old living in East Cheshire3. The Ageing Well programme is a five year initiative developed by partners which seeks “to make the borough a good place to grow old by maximising the opportunities for the ageing population to prepare for the later stages of like, maintain their quality of life during later life and have access to person centred services when required.”4 Cheshire East Council is responsible for ensuring that the Services it provides or commissions are ready for winter and have in place the appropriate escalation procedures for when cold weather alerts are received. As part of this wider programme Cheshire East Council began hosting a winter planning partnership in May this year to ensure that existing resources were focused on making the most impact and this built on previous winter planning activities since 2010. Through discussions it became clear that there was a need for both a local Cold Weather Plan and a co-ordinated communications campaign and Snow Angels – a social enterprise based in Cheshire - was commissioned through the Innovation Fund to produce these. The national CWP recommends that “at a local level, a cold weather plan should feature as an integral element of wider winter preparedness and response measures developed by the NHS, local authorities and local resilience forums (LRFs).” The report goes on to recommend that there are six essential elements of a local plan including strategic planning, advance warning and advice during the winter months, communicating with the public, communicating with service providers, and engaging the community. This plan concentrates on these key elements – each of the constituent partners will have their own emergency plans which will include cold weather. 1 Protecting health and reducing harm from severe cold, Cold Weather Plan for England, NHS (2012 2 The Annual Report of the Director of Public Health 2011-12, Central and Eastern Cheshire Primary Care Trust(2012) 3 Mid-Year Population Estimates, Cheshire East Council (2011) 4 Ageing Well in Cheshire East, Annual Report (2012-13) Strategic Planning The number of excess winter deaths in Cheshire East has been highlighted in the Joint Strategic Needs Assessment (JSNA) produced in 2012 and is a key priority for the area (the rate for Cheshire East is 12% above the average for England). The key recommendations from the JSNA to reduce excess winter deaths are the production of a local plan dealing with the health impacts of cold weather, increased uptake of flu vaccinations, and the development of a referral mechanism for fuel poverty. Emergency admission rates for hospital for people over the age of 65 years old in Cheshire East are worse than the national average and this rate is worst in the Crewe LAP which is in the worst quarter nationally. Across Cheshire East the rates for emergency admissions for this age group are highest in the towns of Middlewich, Macclesfield and Crewe and a third of all emergency admissions are for people over 85 years old – in the Crewe LAP nearly half of those aged over 85 years old were admitted to hospital on an emergency basis during 2011/12. There is a relationship with deprivation – however this only accounts for one third of emergency admissions. The aim of this project is to reduce excess winter deaths in Cheshire East and to reduce emergency admissions to hospital. The main target audience is older people over 75 years old who are the most likely group of people to be adversely affected by cold weather, particularly if they have respiratory or cardio-vascular diseases. A provisional analysis of excess winter deaths in England for 2010/11 demonstrated that people who died were more likely to be female and the majority were over 75 years old – however the number of deaths of people under 75 years old was increasing5. The JSNA includes an analysis of excess winter deaths by LAP area and the highest rates are found in the Nantwich LAP and the Wilmslow LAP although these differences are not statistically significant. “The risk is also higher for people with certain chronic health conditions, for example it is 55.9% higher locally for respiratory disease and 22.3% higher for cardiovascular disease” according to the Annual Report of the Director of Public Health (2011-12). A key element of effective winter planning is enabling the communication of key messages through a wide range of means and integral to this is the development of the portal to ensure that people have access to resources and referral mechanisms to ensure the effective implementation of “Make Every Contact Count” – a key recommendation from the National Institute of Health and Care Excellence. There are a number of actions which are recommended by the NHS and associated toolkits6 and these are outlined below. Development of a “list of lists” 5 Excess Winter Mortality in England and Wales, 2010/11 (provisional) and 2009/10 (final), Office for National Statistics,(2011) 6 The Systematic Delivery of Population Interventions to Protect Vulnerable Older People from Preventable Seasonal Excess Deaths”, Health Inequalities National Support Team (2007) In Cheshire East there are a number of organisations who have details of older people who could benefit from additional support during the winter months. A “list of lists” has been developed which includes the main contact details of the list holder and this will ensure that relevant information is cascaded to various groups and in the event of cold weather will provide a mechanism for providing more active support. The list includes a wide range of service providers including statutory, voluntary and private sector providers. This range of services covered by this “list of lists” is included on the portal and the list holders will be encouraged to register to receive text or email alerts through the portal. During periods of cold weather and/or snow fall the main contacts will be texted with advance cold weather alerts. The “list of lists” covers older people who are registered with various services including assisted bins and adult social care clients and provides coverage for those older people who are in receipt of a range of services. The cold weather alerts will also be cascaded to a wider range of community networks who will be able to alert other older people in their communities. This “list of lists” approach also gives the potential to target key messages at specific people, for example the priority service provided by the utility companies includes customer profiles. A good example of this is the electricity companies who hold information about customers who rely on respiratory aids which need power, e.g. nebulisers. Keeping warm Keeping warm during colder weather is a key factor in reducing excess winter deaths. There are clear recommendations on the optimum inside temperature for older people and this is a major part of the communications plan. The Housing Strategy for Cheshire East highlights that “older people are more likely to have Category 1 hazards present in their homes (40.1 per cent) posing a significant risk to their health and safety. Excess cold and falls on stairs pose the greatest risk to older owneroccupiers in Cheshire East”7. The JSNA report on fuel poverty8 and key recommendations demonstrated that fuel poverty was highest in the Nantwich LAP. Suggested actions from the JSNA include targeting home repair loans at vulnerable households, assessment for affordable warmth, winter warmth campaign, and raising awareness amongst front line staff, Snow Angels community resilience projects, and assistance for people to access the Green Deal. There has been a revised definition of fuel poverty and this illustrates that there are a number of Lower Level Super Output Areas (LSOA’s) in Cheshire East which have higher rates than the North West average of 12.5% of households living in fuel poverty. The revised definition is that total income is below the poverty line (taking into account energy costs); and that energy costs are higher than typical (the previous definition of a ‘fuel poor household’ is that a household would need to spend 10% of their income on energy a year). The highest rates of fuel poverty in Cheshire East using the revised definition of fuel poverty are in Crewe and the town centre of Macclesfield. However there is a correlation between 7 8 Cheshire East Housing Strategy Moving Forward 2011-1016, Cheshire East Council (2011) Fuel Poverty JNSA Cheshire East, September 2012 the rural areas which have higher rates of fuel poverty and the rural areas which are off gas, and most of these areas have rates of fuel poverty which are higher than the average for Cheshire East. Age UK in their recent report “Later life in rural England”9 stated that “fuel poverty is a huge problem across England, but it is particularly prevalent in rural areas. Due to the high number of stone-built, solid wall properties and off-mains gas households, household energy bills in rural areas are on average 27 per cent higher than in urban areas”. As part of the winter plan partners will work together for a concerted campaign – Big Energy Week – during the first week in November. This will include key interventions for older people living in rural areas and LSOA’s with higher rates of fuel poverty than the regional average. There will also be a joint referral scheme on the portal and training resources aimed at front-line staff and volunteers to support the “Make Every Contact Count” approach. There are a range of services provided through the Care and Repair team and other partner organisations including grants for urgent home repairs including heating, heater loans, prioritisation of home loans for heating, and activities carried out by registered social landlords. Encouraging uptake of flu and pneumococcal vaccinations The analysis of excess winter deaths in 2012-13 by Public Health England concludes that “statistical regression modelling of excess mortality over the past few seasons, including 2012-13, has shown influenza to be a major contributory factor”10. The key target audiences for this action in the context of reducing excess winter deaths are people over 65 years old, and people with certain chronic conditions. Older people with respiratory or cardio-vascular disease are particularly at risk. The Public Health report (2012) shows that the take-up of flu vaccinations across Cheshire East is good in all areas for people aged over 65 years old. The rates are lower in the Crewe and Wilmslow LAP areas at 77.6% for both areas compared with a Cheshire East average of 79.4% - however these rates are above the England average for this age group of 74%. The rate of seasonal flu vaccination uptake for clinical risk groups is lower than the England average in the Wilmslow LAP area. There has been a distribution of leaflets through community networks including Cheshire WI’s, Town and Parish Councils, Neighbourhood Watch etc. In addition there are a range of community transport providers in Cheshire East and they will be asked to distribute leaflets to their membership. The communications plan includes press releases encouraging people to take up the flu vaccinations. The flu clinics also provide a clear opportunity to engage with older people and there are a number of services including Neighbourhood Watch who will be visiting them during October and these services will be asked to distribute key messages during their visits. 9 Later Life in Rural England, Age UK (2013) Excess Winter Mortality, Public Health England, 2012-13 10 Implementation of brief health interventions There are a number of brief health interventions which are recommended as part of the overall approach to maintaining wellbeing throughout the winter months, particularly for older people. The National Institute for Health and Care Excellence (NICE) recommend that “by investing in initiatives to promote healthy living, and training staff and volunteers to offer lowlevel, simple advice about changing their lifestyle, council can reduce hospital admissions and unnecessary healthcare visits, ease the burden on social services…”11The “Next Steps” guide gives more details to ageing well and is currently being updated.12 Reducing social isolation In 2010 Central and Eastern Cheshire PCT and Cheshire East Council hosted a conference “Living well in Cheshire East: a call to action” and highlighted the impact of social isolation on health including information from the Marmott report “Individuals who are socially isolated are between two and five times more likely than those who have strong social ties to die prematurely. Social networks have a larger impact on the risk of mortality than on the risk of developing disease, that is, it is not so much that social networks stop you from getting ill, but that they help to recover when you do get ill”13 Through an analysis of the 2011 Census, Experian’s Mosaic data, and the General Household Survey it is estimated that 20% of older men aged between 65 and 74 years old, and 34% of men aged 75 years old and older live alone in Cheshire East. For women the percentages rise to 30 % for those aged between 65 and 74 years old and 61% for women over 75 years old.14 There is a partnership working group which is working to help to reduce social isolation and events are being held in November to raise awareness of these issues and to develop local projects including Connect 4 Community and promote national initiatives such as Silverline. Existing projects include befriending and companionship schemes across the area and the Men in Sheds programme, Healthy Eating Making sure that older people have a hot meal and enough to drink are both key issues throughout the winter. There are a range of services which distribute hot meals including Wishing Well in Crewe and this provides an opportunity for other key messages to be passed on to older people. There are a number of Food Banks operating throughout Cheshire East at Alsager, Congleton, Crewe, Macclesfield, Prestbury, Wilmslow, and Nantwich who provide 11 Making Every Contact Count, NICE, Local Government Chronicle (2013) Next Steps – Your personal guide to ageing well in Cheshire East, Central and Eastern PCT (2012) 1313 The Marmott Review, Fair Society, Health Lives, Institute of Health (2010) 14 LSOA’s with residents most of risk of loneliness”, Cheshire East Council (August, 2013) 1212 emergency food supplies depending on eligibility and referrals can be made through Cheshire East Council. Staying Active There are a range of activities promoted throughout Cheshire East and the falls programme is outlined in more detail below. Other initiatives include Activeage which provide “Walking for Health” and a range of exercise classes, the Healthy,Wealthy and Wise programme in south Cheshire, Singing for the Brain, and discounted access to leisure centres across the area. Assessment and support to prevent falls On a national basis around 30% of people over 65 fall each year, and this rises to 50% in the over-80s. and falls account for more than half of hospital admissions for accidental injury. Age UK Cheshire East report that “on average over 250 people in Cheshire East don’t want to leave the house because they fear falling. This statistic rises significantly in winter.” Partners in Cheshire East have developed an integrated community falls prevention programme “Be Steady Be Safe” and further details of the programme are included in the portal including training resources for front line staff and volunteers and referral schemes. The various handyperson schemes are particularly valued by older people and “older people are by far the main recipients of help with home adaptations” (Cheshire East Housing Strategy) which are provided through Care and Repair. The Independent Living Centre in Handforth provides a range of equipment and information to help people retain their independence whilst living at home. Provision of personal contingency plan e.g. buddy scheme Personal contingency plans can include a variety of projects which are able to respond in cold weather including good neighbour schemes – for example Connect 4, community resilience projects such as Snow Angels, companionship schemes for example Age UK, neighbourhood schemes such as Haslington and Winterley Good Neighbour and Middlewich Good Neighbour schemes, a social support network in Macclesfield as part of the Ageing Well programme, as well as sources of information about services which are available to help people during the winter weather. Key information about services and responder services are included in the portal. Personal contingency plans are also available through schemes such as Message in a Bottle provided by the Lions. During last winter a number of snow kits were distributed to Town and Parish Councils to enable local volunteers to help to clear snow in their communities. Assessment for assistive technology and cold weather alerts Assistive technology can include a wide range of solutions to enable people to retain their independence at home and includes both telecare and telehealth. The Be Steady Be Safe falls programme includes advices about equipment such as personal alarms, bed sensors, and hip protectors. The telecare service is provided by Cheshire Peaks and Plains through Cheshire East Council and further information about the service is available through the portal including a referral form. Advance warning and advice during the winter months The national Cold Weather Plan outlines five main stages of cold weather planning. Level 0 refers to year round planning and Levels 1 -4 apply to the period I November to 31 March. These levels are underpinned by a series of alerts produced by the Met Office based on low temperatures or ice and/or heavy snow. Levels of Cold Weather Alerts Level 0 Level 1 Level 2 Level 3 Level 4 Long term planning – all year Winter preparedness programme 1 November – 31 March Severe winter weather is forecast – Alert and readiness Mean temperature of 2 C and/or widespread ice and heavy snow are predicted within 24 hours, with 60% confidence Response to server winter weather – Severe weather action Severe winter weather is now occurring; mean temperature of 2 C or less and/or widespread ice and heavy snow Major Incident – Emergency response Central government will declare a Level 4 alert in the event of severe or prolonged cold weather affecting sectors other than health Health Impacts and Time The cold weather alert system relies on forecasting cold weather on certain days – however it is important for partners to ensure that support reflects the differing time periods for differing conditions. Cascade of Cold Weather Alerts The Cold Weather Plan produced by the NHS (2012) recommends that the following groups should be in receipt of cold weather alerts and the respective responsibilities for ensuring that this happens. Clinical Commissioning Groups Local Authorities/Local Resilience Forums Hospital Trusts Residential Homes Community Health Service Providers Social Services Ambulance Trusts Day care centres Walk-in Centres Voluntary organisations Pharmacies Schools, Nurseries and Kindergartens* Mental Health Trusts GP/District Nurses Prisons Care and Nursing Homes Independent Hospitals *This element is carried out through Children’s Services in Cheshire East Council Agencies which are included in the “list of lists” include residential homes, social services clients, day centres, and voluntary organisations. There are a number of other service providers who are also included in the “list of lists” – assisted bin service, nominated neighbour scheme, registered social landlords, dementia support. It is important to ensure that people are not bombarded with alerts as the impact can be reduced and the CCG’s will be responsible for either cascading alerts or signposting the above agencies to information sources , for example the alert sign-up service in the portal. . Cascading information will be managed through the portal and will include additional sources of information. The system will be monitored to ensure that the relevant people have received alerts during the cold weather and there will be a back-up system to the portal provided by Snow Angels. Local Resilience Forum and Local Health Resilience Partnership During the winter months it is important that close contact is maintained with the Local Resilience Forum (LRF) and the Local Health Resilience Partnership15 and winter planning is one of a number of sessions being held with town and parish councils in late October through the Community Resilience Speed Training events being organised by the LRF. From an operational point of view close contact would be increased as the weather worsens and in the event of a Level 4 alert issued by central government the LRF would implement the emergency response. This plan addresses Levels 0 – 3 in the cold weather planning system. Communicating with the Public and Service Providers The communications plan concentrates on the key actions recommended by the National Support Team on Health Inequalities to prevent excess winter deaths. The main target audience for these messages are people over 75 years old, formal and informal carers, and their families and friends. Local newspapers, press releases, events, and community organisers will be used to relay key messages. 15 Responding to Major Emergencies in Cheshire East, Health and Wellbeing Board (2013) Communications Plan • Local newspapers • Local Radio • Leaflets/posters • Social media • Events • Home visits • Cold Weather Alerts • Portal • E Bulletins • Partnership meetings • Social Media • Events • Press releases • Members newsletters • Social media • Portal • Cold Weather Alerts • Events Target Audience Partner Organisations Service Providers Community Networks • Direct Mail • Cold weather alerts • E Bulletins • Events Brand The brand for Cheshire East is “Winter Wellbeing in Cheshire East” and this will be used throughout all the communications this coming winter. The brand can be used by all the partners and jointly branded with organisational logos when required and is available on the portal. Press Releases Key messages will be developed including updating previous press releases and these will be distributed to the four main local newspapers through the media team at Cheshire East Council. The press releases are to be scheduled from the launch of the campaign in early October and will be in two distinct phases – Get Ready for Winter (which reflects Levels 0 – 2) and Act Now for Winter (which reflects Level 3). Community Organisers There are a number of network organisations throughout Cheshire East who have agreed to convey key messages to the target audience including the Cheshire Federation of WI’s, Town and Parish Councils, members of the CVS Cheshire East network, Homewatch Coordinators, Cheshire East Faith Network, community transport providers, and Community Agents. Social media Partners will tweet key messages throughout the winter including Cheshire East Council and the Clinical Commissioning Groups. South Cheshire CCG are developing a social media community and this will be operational in November and it is hoped that other partners will build on this approach. In addition partners will be encouraged to “re-tweet” messages through the portal. Leaflets There will be a range of leaflets available through the portal which will be able to be modified by partners to include their own logos and contact information. These will also be targeted through certain list holders for specific messages to ensure that different communication channels are used, for example the assisted bin list, and further details are included in the Action Plan on the portal. Engaging with the Community There are a wide range of locally run projects in Cheshire East which involve older people during the winter months and all of these can contribute towards winter wellbeing through awareness raising of key actions, distributing information, targeting certain messages in particular geographic areas, and signposting people to further sources of information. Key examples of this type of project include the Street Safe project with Park Homes across Cheshire East where older people may be particularly vulnerable, Big Energy week in November, the Senior Health and Wellbeing Fair in Crewe in October, Older People’s Day celebration event in Poynton with Cheshire Fire and Rescue Service, events in GP surgeries, and a winter campaign being organised through the mobile library service. Other specific health projects include the Colshaw Farm Healthy Living Project, the Healthy Lifestyles project in Radway Green, winter warmth projects in Bromley Farm, Buglawton and Cledford. Poynton Town Council employ and Health and Well-Being Co-ordinator and Age UK Cheshire and Age UK Cheshire East both have Health Co-ordinators based at two GP surgeries in Crewe and Knutsford. Discussions have been held with the Community Matrons and District Nurses about referrals to other sources of information and with South Cheshire CCG about potential referral schemes with GP surgeries supported by Age UK Cheshire. A range of events will be included in the portal as they are finalised. Winter Well Being Portal The portal will be hosted on the Snow Angels website snowangels.org.uk and as the host of portal data, Snow Angels CIC operates a strict data processing agreement to ensure we meet our obligations as data processors under the terms of the Data Protection Agreement. All access to data within the portal is governed by access rights to ensure that only properly authenticated users can access information Making Every Contact Count The aim of the winter wellbeing portal is to ensure that a wide range of front-line staff and volunteers have access to material to enable them to support older people during the winter. Referral scheme The referral scheme provides a single point of contact for services and organisations will be able to provide basic information about the individual and select from range of services including energy advice, falls awareness, benefits and financial advice, companionship schemes etc. The main organisations involved in this scheme are Cheshire East Council through the Hot Spots project and the Be Steady Be Safe falls programme, Cheshire Fire and Rescue Service through the provision of Home Safety Assessments, and Age UK East and Age UK Cheshire for information and advice. Referrals to other organisations will be made through both of the local Age UK’s to more locally provided or specialist organisations when required, for example Community Agents. This system will be monitored throughout the year to ensure that referrals are taking place and to assess outcomes for older people. A longer term referral scheme is being developed with Cheshire East Council and Plus Dane Housing to enable five key questions to be asked and this will provide the basis of a more integrated scheme in the future. Training resources The portal provides access to training resources which are aimed at front-line staff and volunteers and it will also be possible for partner organisations to access the Learning Lounge – an on-line training site provided by Cheshire East. Training resources will include fuel poverty awareness and falls awareness. Posters and leaflets etc. The portal will include a series of posters and fliers which can be adapted to include local contact details, for example flu vaccination take-up. Directory of services This directory will include organisations who deliver services in relation to older people during the winter months and discussions have taken place with Cheshire East CVS about the Partners in Practice project. A brief description of services and contact details including the web-sites will be included. Cold weather alerts – sign up This enables organisations and their staff and volunteers to sign up for cold weather alerts which will be sent by email. Events Calendar The events calendar will allow a wide range of events to be promoted to a range of organisations. For further information please contact: Cathy Boyd Director Snow Angels CIC 0788 151 0304 cathy@snowangels.org.uk