Social workers report cold homes crisis for children

As millions of households struggled through last winter in cold damp homes, the impact on children has been revealed in newly released data.

Over a fifth (21%) of social workers working with children, young people and families have seen their service remove a child or children from their family in the last three years where unsafe or inappropriate housing conditions was a key contributing factor. [1]

Unsafe housing conditions can include maintenance issues, mould, damp, insect or vermin infestations or cramped conditions.

More broadly, 78% of all social workers strongly agree that housing conditions are a concern for people they support, with over a third (36%) strongly agreeing that over the last three years, the number of people they help live in unsafe or inappropriate housing conditions which has increased.

The research among social workers was conducted by the Social Workers Union and follows previous reports by ITV that the cost of living crisis has led to a third of UK social workers witnessing child removals in the past three years where poverty or financial poverty has been a key factor.

John McGowan, General Secretary of the Social Workers Union, commented:

“Removal of a child from their family is always a last resort, but sadly when conditions become dangerous action has to be taken.

“This data shows that the reality of life in modern day Britain is a struggle for many households. The country’s poor housing stock poses a danger to the wellbeing and development of children and poses a risk to the health of many adults with pre-existing health conditions.

“Social workers go above and beyond to help those at most risk in the country and are highlighting safeguarding concerns on a regular basis. However, addressing the housing challenge is more than social workers can do themselves. 

“Not only do we need to see investment in a £13.2bn Warm Homes Plan to help improve housing conditions, but we also need a full range of fully-functioning and well-resourced public services. 

“Ministers must own up to the fact that it is only the Government that can provide the funding to reverse the decline in public services and ensure the most vulnerable get the support they need.”

Among all social workers, housing conditions are a concern with large numbers strongly agreeing that ‘the number of people I work with who are living in unsafe or inappropriate housing conditions’ has increased over the last 3 years.

However, the results varied across the UK, with those in the North East of England, London and Wales most likely to report that housing was a major concern. [2]

Simon Francis, coordinator of the End Fuel Poverty Coalition, said:

“Millions of people from the youngest children to our oldest pensioners are living in cold damp homes, unable to heat their homes to a safe temperature or racking up massive debts – with some even turning to loan sharks

“To add insult to injury, around a quarter of what is spent on heating our draughty properties is wasted, because the UK’s old housing stock is some of the worst insulated in Europe.

“Ministers are making the right noises when it comes to helping improve housing, but the Chancellor needs to put the money where their mouth is and commit the funding needed for a Wam Homes Plan which will help people improve the energy efficiency and insulation of their homes.

“And until these reforms are delivered, Ministers must not forget about the millions of people suffering in cold damp homes – they should provide enough support to ensure that everyone is able to stay warm every winter.”

Amaran Uthayakumar-Cumarasamy, an NHS Children’s Doctor based in South Yorkshire, commented:

“Some of the most acute harms of the UK’s unsafe, unaffordable and insecure housing are shouldered by our most disadvantaged children and young people.

“Whilst the findings of this report are shocking, they won’t come as a surprise to many of us working in the NHS. Increasingly, children’s health professionals across the UK are witnessing cases of respiratory illness, undernutrition and worsening mental health all linked to undignified housing circumstances. 

“What’s more, rather than providing a foundation for their health, unfit, unsafe and expensive housing continues to severely impact their educational attainment, social health and life chances.

“Without radical change towards fairer policies that support affordability, energy efficiency, accessibility and security of tenure, housing will continue to entrench and reproduce childhood mass illness and stark disadvantage.”

Matthew Scott, senior policy officer at the Chartered Institute of Housing, added:

“Warm, safe homes are the cornerstone of our health, but this research demonstrates the life changing impact housing can have on children’s wellbeing.

“Local authorities’ Housing Revenue Accounts are stretched to their limit following decades of rent cuts and caps over the last ten years, and it is nearly three decades since the last significant central investment in upgrading homes, which came through the transformative Decent Homes Programme.

“The government should seize the opportunity to reverse the cycle of underinvesting in housing quality, so every child has a safe, secure home. In its forthcoming Spending Review, we urge the government to set out a new programme of investment in existing homes, including fully allocating the £13.2 billion promised for its Warm Homes Plan and taking steps to put the finances of housing providers on a more stable footing.”

ENDS

[1] 2,295 members of the Social Workers Union responded to a survey conducted online between 3 and 21 October 2024. Respondents were screened to ensure active employment in social work. ITV News broadcast a report with unique access behind the scenes with a social work team on 4 December 2024.

[2] Regional / National differences for this question:

  • North East 41%
  • London 41%
  • Wales 41%
  • South East 39%
  • Yorkshire & Humber 39%
  • North West 39%
  • East Midlands 38%
  • Northern Ireland 37%
  • West Midlands 32%
  • South West 28%
  • Scotland 24%
  • East of England 26%

Featured image posed by model. Signed model release on file with Shutterstock, Inc (asset ID 510078436).

Energy affordability and more insulation will support the NHS say medics

Over two thirds (68%) of UK health workers say high energy bills contribute to avoidable hospital admissions according to new research by campaign group Medact.

Forty-five per cent have sent patients home knowing that their housing situation would make them ill again.

Seven out of ten health workers (70%) regularly see patients forced to go without energy because they are unable to pay their bills and of these, nearly a third (30%) report witnessing this weekly.

Over two thirds (68%) of UK health workers say high energy bills contribute to avoidable hospital admissions. Forty-five per cent have sent patients home knowing that their housing situation would make them ill again.

Ofgem recently announced that the energy price cap for April to June will increase by 6.4%, bringing the average annual energy bill to £1,849. Compared to winter 2020/21, this represents a 77% increase, or over £800 more per year per household.

Cold homes contribute to respiratory conditions, cardiovascular diseases, mental health issues, dementia, and hypothermia—and significantly slow recovery from injury.

According to this new data, almost three quarters (72%) of health workers believe poor-quality housing worsens chronic health conditions or delays treatment of them, and two thirds (67%) see children experiencing respiratory problems caused or worsened by mould or damp regularly (at least once a month).

Over half believe that addressing energy affordability (67%) and improving energy efficiency (59%) would reduce the impact of housing problems on the NHS.

Over half (53%) of health workers also report their own mental or physical health has been impacted by housing issues. In addition, one in four believe that the health impacts of housing problems put plans to improve the NHS at risk.

Dr LJ Smith, a respiratory consultant working in London, said:

“Every single day I treat patients whose lung conditions are entirely preventable, but they tell me their homes are cold, mouldy and damp, and they just cannot afford to keep the heating on. As a healthcare worker I shouldn’t need a detailed knowledge of energy tariffs and benefits –I just want to get back to the job I was trained to do, working with my patients to help them thrive despite their lung condition. This is a public health crisis that is entirely preventable, with solutions that lie outside the NHS.”

Dr Sabrina Monteregge, clinical psychologist working in London said:

“We can fund the NHS but if that’s not alongside funding healthy homes, we’re not going to get very far, because we are just constantly treating problems that the NHS is not built for. The NHS is on its knees, but it was never meant to stand alone – it must work alongside policies that support public health.”

A spokesperson for the End Fuel Poverty Coalition, commented:

“These shocking findings depict the front-line, public health crisis caused by high energy costs and poorly insulated homes.

“Expert reports have long made the link between living in cold damp homes and medical problems, but this research brings home the real-life situations that people are facing.

“We need bolder action from the government to address this crisis – that means all government departments working together to see fuel poverty as a national challenge. And it means the Chancellor backing moves to tackle the problem, such as committing the full £13.2bn funding needed for the Warm Homes Plan.”

ENDS

Opinion poll was conducted by Survation. 2,128 healthcare workers were surveyed, aged 18+ in the UK, between 28th January and 3rd February 2025. Of these, 1,773 were in patient-facing roles.  These findings will be a part of a report to be released by Medact in March. Medact is a public health campaigning organisation whose members are made up of health workers from across the UK.

Over 1,000 dead in December 2022 due to cold homes

Over 1,000 people died in England as a result of living in cold damp homes in December 2022. [1]

Based on new analysis by the End Fuel Poverty Coalition of official data for December 2022, the levels of excess winter deaths caused by cold homes exceeded those of December 2021 and were similar in level to the Covid-pandemic-affected data of December 2020.

ITV News have reported the figures showing that for one week in December 2022 excess deaths exceeded the levels seen in December 2020.

In total there were 1,047 excess winter deaths caused by living in cold damp homes in England in December 2022, this is up from 768 in December 2021. In December 2020 there were 1,518.

Over the course of the whole of winter 2021/22 there were 2,731 excess winter deaths in England caused by living in cold damp homes. [2]

Figures calculated by the Coalition using official government data (including that from devolved statistical bodies), puts the total excess winter deaths in the UK for winter 2021/22 at 15,069. [3]

3,240 of these were as a result of living in cold conditions.

Over the last ten years, the average number of deaths each winter in the UK caused by cold damp homes now stands at 7,409.

The figures come as members of the National Pensioners’ Convention (NPC) and Fuel Poverty Action, backed by the Warm This Winter campaign, held a minute’s silence and funeral march in memory of those who have died.

The demonstration follows on from a day of action on fuel poverty co-ordinated by the Warm This Winter campaign which saw events take place up and down the country in December 2022. Further “Warm Up” protests are being organised for Saturday 21st January by Fuel Poverty Action.

And amid the fears about the health risks of forced switching to prepayment meters, more than 91,000 people have signed a petition, launched by campaign group 38 Degrees, calling on energy suppliers to end the practice.

On Wednesday, more than 1,700 people also sent personal messages via 38 Degrees to the CEOs of their energy company, urging them to end forced transfer for good.

A spokesperson for the End Fuel Poverty Coalition, which is also part of the Warm This Winter campaign, commented:

The energy bills crisis has its roots in Westminster and the Government’s failure over decades to help us insulate our homes and secure a renewable-led energy grid.

The cost of this failure is now being felt by the elderly, disabled, those with health conditions and young families. Even in mild winters, we see huge levels of excess winter deaths caused by living in cold damp homes which put our country to shame.

We need urgent additional financial support for the most vulnerable this winter and next and a significant ramping up of insulation and energy efficiency schemes.

NPC General Secretary Jan Shortt said:

It is shameful that anyone should die from cold related illness in this country. But we fear that the rocketing cost of living, rampant energy prices, and the disastrous crisis in the NHS and social care will see tens of thousands more die in this way.

It’s time the government took action to end this horrific annual cull of our oldest and most vulnerable.

Ruth London from Fuel Poverty Action added:

A large part of the crisis has been caused by energy firms forcing people onto prepayment meters. Many people rely on energy to power stair lifts, wheelchairs, hearing and respiratory aids as well as the heat, light, refrigeration and connectivity that we all depend on. If a pre-payment meter then runs out of credit and this equipment can’t be used, it turns energy debt into a death sentence for many.

Matt Richards, Campaign Manager at 38 Degrees, said:

The life-threatening risks of a home without power are made starkly clear by these horrifying figures. Yet by forcing people on to pre-payment, energy companies continue to put their customers at risk of being left in the cold and dark when the meter runs out. The Government and energy companies must act together to protect the most vulnerable, so this winter’s tragedies are not repeated next year.

Mike Childs, head of policy at Friends of the Earth, said:

Cold, damp and poorly insulated homes are known to have a terrible impact on health, leading in the worst cases to too many early and avoidable deaths here in the UK.

But they’re also an environmental disaster, because they require more energy to stay warm, which means more emissions unleashed into our atmosphere.

We’re already seeing the devastating consequences of burning fossil fuels – including gas for our heating – through extreme weather events all over the globe. And too often it’s the communities that have contributed least to climate change that are the worst impacted. By insulating homes and switching to greener heating, we can save not only lives here in the UK, but overseas too.

ENDS

Image: National Pensioners’ Convention

[1] For methodology, data and sources, please visit: https://www.endfuelpoverty.org.uk/about-fuel-poverty/excess-winter-deaths-and-fuel-poverty/

[2] Winter is defined as December, January and February. Based on table 3, column EB in latest ONS data https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/datasets/excesswintermortalityinenglandandwalesreferencetables and applying UCL / Institute of Health Equity 21.5% Excess Winter Deaths attributable to cold homes.

[3] See full details at: https://www.endfuelpoverty.org.uk/about-fuel-poverty/excess-winter-deaths-and-fuel-poverty/