1. Clare Reeder Mo Elmi c.reeder@nhs.net
WORD ON THE STREET
Clare Reeder
Mo Elmi

4. Have a think… Average age of death of someone street homeless
Standard mortality ratio for someone that is homeless
How many people sleeping rough in London
A reason to do this teaching – needs assessment and the idea from both health professionals and service users was the need for education.

5. Background Homeless Hostel dwellers Night Shelters Rough sleepers
Temporary accommodation
B & B
Homeless
Staying with friends
Hidden homeless
Living in squats
Sofa surfers

6. Key terms Intentionally homeless Local connection
No recourse to public funds
For example, if you are evicted from your home because you did not pay your rent. Or if you give up your home when it is reasonable for you to continue living there.
have lived here for at least six out of the last twelve months, or three out of the last five years

7. Ward
47 male
“NFA” - hernia repair – discharge planning

8. Ward
65 male – Korsokoffs – nursing placement no longer wants him – discharge planning

9. CHAIN ANNUAL BULLETIN GREATER LONDON 2017/18
Flow - People who had never been seen rough sleeping prior to 2017/18 (i.e. new rough sleepers).
Stock - People who were also seen rough sleeping in 2016/17 (i.e. those seen across a minimum of two consecutive years).
Returner -People who were first seen rough sleeping prior to 2015/16, but were not seen during 2015/16 (i.e. those who have had a gap in their rough sleeping histories)
CHAIN ANNUAL BULLETIN GREATER LONDON 2017/18

10. CHAIN - Combined Homelessness and Information Network 2017/18

11. “Homeless people attend A+E six times as often…are admitted four times as often and stay three times as long because they are three times as sick”
Professor Barry McCormick
Former DOH
Trimorbidity of health
Mental ill health
Physical ill health
Drug and alcohol misuse
Average age of death is 47

12. The Lancet (Nov 2017)

13. “Social exclusion is deprivation upon stilts”
The Lancet
Standardised mortality ratios in marginalised and excluded population
11.86 Female
7.88 Male
“Social exclusion is deprivation upon stilts”
Michael Marmot .
“Social exclusion is deprivation upon stilts”

14. CHAIN ANNUAL BULLETIN GREATER LONDON 2016/17

15. Mo’s Story

16. Myths
Turning up to a hostel
Registering at a GP

17. Streelink and GP registration

18. Homeless GP Surgeries

19. Safe Surgeries

20. Current practice Bradford Leeds Manchester UCLH Royal London Kings
Brighton
Bradford
Leeds
Manchester
UCLH
Acute hospital ward rounds
Homeless health nurse practitioners
Care navigators

21. Latest Updates – positives….

22. Homelessness Reduction Act Duty to Refer
The Homelessness Reduction Act 2017 (HRA) places a new statutory duty on Hospital Trusts, NHS walk-in centres and Accident and Emergency departments.
From October 2018, you are required to refer (with consent) any patient who is homeless, or at risk of homelessness in the next 56 days.
Homelessness may include patients residing in hostels or unsuitable accommodation, people in insecure accommodation or people sleeping rough.

23. People’s stories
“I have been an inpatient at Charing Cross Hospital Mental Health Unit for 3 months and was discharged to the street last night”
“He was discharged to the park after being beaten up and kicked in the head – if he wasn’t homeless – they would check he had somewhere to go”
“When hospitals find out you are homeless – they treat you are like a disease”

24. The Faculty For Homeless and Inclusion Health

25.
services?field_geofield_latlon=london&field_geofield_latlon_op=5&field_homeless_ england_type=5641&field_region_and_local_authority=All&field_homeless_england _type_1=All

26. Thank you