The year in urban health
This year, we’ve worked with over 70 partners to test solutions to the causes of poor health in urban areas. To celebrate just some of their impact this year, we spoke to four of those partners.
Urban health
In 2024, we partnered with the National Retrofit Hub to understand more about how to improve the quality of homes in the private rented sector. In this guest blog, Cara Holmes explores what we learnt.
In the UK, over a third of the 4.5 million households in the UK that rent privately struggle to heat their homes to a comfortable temperature – and are forced to make the choice between heating their homes and paying for essentials like food.
Nearly a quarter of private tenants experience fuel poverty, and this situation is made worse when homes are poorly insulated, inadequately ventilated and expensive to heat.
Cold, damp homes can lead to respiratory conditions, hypothermia, poor mental health, and problems with childhood development – deepening health inequalities for people that are already struggling financially.
Despite government commitments to improve energy efficiency, progress in the private rental sector has been slow.
Many landlords are hesitant to invest in upgrades, and current policies do not go far enough to drive meaningful improvements. If we are serious about tackling fuel poverty and cutting emissions, the private rental sector must be part of the solution—not left behind while other types of housing make progress towards being more efficient.
That’s why we’ve partnered with Impact on Urban Health to publish Raising Standards in the Private Rental Sector: A Pathway to Equitable and Effective Retrofit, highlighting the urgent need for improvement, uncovering challenges unique to the sector, and offering comprehensive recommendations for improving energy efficiency in the private rental sector.
The report calls for bold action to bring the sector into alignment with the UK’s decarbonisation goals, focusing specifically on the urgent need for policy reform and targeted investment in energy efficiency focused retrofits.
The idea that landlords will exit the market in response to stricter energy efficiency rules is not supported by evidence. Many landlords, particularly those with long-term investments, see their properties as a stable financial asset rather than something they will quickly sell in response to new rules.
Rather than resisting change, landlords want clarity on what is required of them and support to comply. They are more concerned about unclear policies and inconsistent messaging than they are about regulation itself.
Most landlords aim to meet regulatory requirements, but few go beyond the minimum legal standard. This means that if energy efficiency regulations remain weak, landlords are unlikely to take proactive steps to improve their properties.
This is concerning because landlords making only minimum effort means that without drastic intervention, fuel poverty will persist, leaving tenants trapped in cold, inefficient homes.
One of the most significant barriers landlords face are upfront costs. Many landlords, particularly those without mortgages, are reluctant to take on debt to fund improvements.
The financial challenge is exacerbated by an uncertain policy environment. Without clear direction and stable long-term plans, landlords may delay or avoid investing in upgrades. A lack of financial incentives or accessible funding options further discourages action.
There needs to be a coherent, well-resourced strategy to retrofit homes across the private rented sector. In our report, we explore some key recommendations for policy makers:
Minimum Energy Efficiency Standards (MEES) must be strengthened to drive real improvements. This means:
Landlords need affordable and accessible funding options to make energy efficiency improvements. Potential solutions include:
Many landlords do not know where to start with energy efficiency improvements. A lack of clear, trusted information prevents action. To address this, policymakers should:
While landlord support is crucial, it’s also important that tenants are adequately protected and can enforce their rights when things go wrong. This means:
The debate around energy efficiency has been held back by fears that landlords will leave the market. But our research indicates that landlords are not opposed to regulation; they just need clarity, financial feasibility, and practical support.
By setting clear standards, making retrofit financially viable, providing better guidance, and ensuring fair enforcement, policymakers can drive large-scale improvements without destabilising the sector.
Our report paints a clear picture of the challenges that tenants and landlords face in the private rented sector face—and explores the significant opportunities for change.
By implementing targeted, ambitious policies that prioritise retrofit, incentivise investment, and strengthen compliance, we can create a private rented sector that’s fit for the future and improve the quality of life for millions of renters.
Urban Health
This year, we’ve worked with over 70 partners to test solutions to the causes of poor health in urban areas. To celebrate just some of their impact this year, we spoke to four of those partners.
Urban health
In this guest blog, Shira de Bourbon Parme sets out a new framework that outlines ways to prepare neighbourhoods to be resilient to climate change.
Data
Over the last year, Impact on Urban Health, in partnership with research agencies Opinium and ClearView conducted the largest study to date on health and wellbeing in Lambeth and Southwark.
Urban health
Autumn Budget: How can Government use this opportunity to deliver for the nation’s health?