# Local level health preparedness for adverse weather: A review of Community Risk Registers in England

## TL;DR

This paper reviews how well local health plans in England account for weather-related risks, finding that most do not fully incorporate national guidance.

## Contribution

The study introduces a novel assessment framework for evaluating local health preparedness against adverse weather risks using Community Risk Registers.

## Key findings

- Only half of the reviewed CRRs referenced adverse weather risks.
- Fewer than half of the CRRs referenced relevant national and local guidance for health preparedness.
- Only two CRRs fully met all assessment criteria for health risk preparedness.

## Abstract

The increasing frequency of adverse weather events due to climate change poses challenges for emergency planning, response and recovery. While many countries have national plans for preparedness and response to specific hazards, the extent to which these plans influence local health risk management strategies is unclear.

An assessment of Community Risk Registers (CRRs) published by Local Resilience Forums (LRFs) in England was conducted in 2023. The assessment criteria applied spanned recognition of disaggregated adverse weather risks, through to incorporation of guidance from national agencies within the CRRs.

Of the 33 (out of 38) CRRs reviewed, only half referenced adverse weather risks, and around half referenced relevant national and local guidance to support preparedness and response to minimise potential health impacts. Only two CRRs met all assessment criteria (i.e., the referencing of adverse weather risks, as well as national, local and UK Health Security Agency (UKHSA) specific public health guidance on adverse weather risks).

There is a need to support strengthened inclusion of national evidence and guidance into local risk assessments and the translation of these into relevant documents to raise public awareness of the health impacts from adverse weather.