Digital Revolution in Homeless Healthcare

Pathway staff celebrating the release of the EMIS template

Pathway has introduced the first dedicated digital health-screening template to help health services supporting homeless people.

Following two years of development with EMIS Health, the template is now available free of charge to organisations using the EMIS Web clinical system. It was supported by 11 specialist homeless healthcare services for use by 200 staff.

Developers aim to roll the template out across the UK, and hopes it will ultimately relieve pressure on hard-pressed hospital departments.

The template enables doctors and health workers to create and maintain a detailed picture of a homeless person’s health, capturing vital information including clinical history, mental health and addiction issues, as well as details on housing and financial status. The template utilises national clinical coding and is ‘SNOMED CT ready’.

In the past hospitals were using different codes and record systems, resulting in inconsistent record-keeping, that meant some homeless people were not receiving the best treatment.

Samantha Dorney-Smith, Pathway Nursing Fellow, pictured here with members of Pathway teams, has been shortlisted for a Nursing Times award for her work leading the project. She said:

“Homeless people are five times more likely to attend A&E and four times more likely to be admitted to hospital than the housed population. The template will enable doctors to see patients’ health priorities, provide more effective treatment and help relieve pressure on the NHS by reducing bed days and treatment costs”

She says it will also enable the NHS to accurately track and analyse illness and infection rates amongst the homeless population: “The template will make it much easier to commission large-scale health services, treating patients who are homeless more effectively, economically and on a much larger scale. It has the potential to be a real game changer.”

Mo became homeless after being seriously injured in an accident. A year on, he is safely housed and helped Pathway with developing the template. He said:

“Comorbidities hurt patients and cost the NHS a great deal of money, so it’s important that we capture and use data in ways that really help people. Having my health record follow me would have made diagnosis and treatment quicker, and it probably would have saved the NHS money too.”

Dr Shaun O’Hanlon, Chief Medical Officer at EMIS Group said:

“We have a long-standing relationship with Pathway and were pleased to offer our expertise free of charge to help create this vital template. With homeless people statistically 10 times more likely to die early than the rest of the population, there is a real need for this vulnerable group to receive specialist help, and this template will assist clinicians in driving up standards of care.”

Response to Guardian Article: ‘Homeless people make us miss NHS targets’

Photo by Alex on Unsplash

A collaboration of dentists, dental organisations and homelessness charities (including Pathway, Groundswell, Streets Kitchen, Den-Tech and Dentaid) have published a response to an article in the Guardian in which people experiencing homelessness were described by Mick Armstrong, who chairs the British Dental Association as “no hopers” in the context of the current NHS contract.

The letter is a reassurance to both the public and people experiencing homelessness that despite frustrations about the current dental contract there is hope and that good work is taking place across the country through a range of innovative initiatives to provide accessible care for vulnerable people.


In a recent article published in the Guardian, the head of the British Dental Association referred to people experiencing homelessness as “no hopers” in the context of current dental commissioning. We—a coalition of members of the dental profession, dental charities and homelessness outreach organisations—strongly reject the message that this article is sending to vulnerable individuals and the wider public.

The chaotic and dangerous nature of homelessness can make it difficult for individuals to be at a certain place at a certain time. This is not a failing to be condemned, but a challenge to be met: it is our professional responsibility to make services more easily accessible to the growing number of vulnerable people in our society.

Commissioning models need to be sufficiently flexible to embrace innovative approaches to providing high quality care to those most at need. Good examples include Community Dental Services who provide dental care for homeless people at multiple locations across the country.Based in Plymouth, Peninsula Dental School offers free dental care at four locations, and supports dental students to provide outreach advice at local homeless shelters. Den-Tech provides same-day denture services for people experiencing homelessness. In Manchester, Revive Dental Care offers drop-in dental clinics for vulnerable people. Dentaid holds free monthly clinics in Southampton and their ‘mobile dental unit’ visits night shelters and soup kitchens around the country.

In November, these and many others will meet in Birmingham for the ‘Homeless and Inclusion Oral Health’ conference, organised by The Faculty for Homeless and Inclusion Health, hosted by Pathway. The commitment of these groups is beyond doubt, but their tireless efforts should not give space to government to ignore its responsibility to commission adequate healthcare services.

Instead, we should marry lessons learned in these contexts to resources available within the NHS, and push for greater inclusion at all levels: policy, commissioning, education, training, service design, and inter-professional collaboration.

Until then, we will continue to share experience and resources, establish new partnerships, and innovate in delivering services to members of our society whose requirements are not easily met by existing structures. We believe strongly that there is hope.


If you would like to contact us, please send your email to: inclusivedentistrygroup@gmail.com.
Click here for a full list of signatories.

Janine Doughty, University College London / Pathway Homeless Healthcare Charity / Crisis at Christmas Dental Service Deputy Service Organiser
Jon Glackin, Streets Kitchen
Matt Downie, Director of Policy and Social Affairs, Crisis
Professor Andrew Hayward, University College London / Pathway Homeless Healthcare Charity
Professor Ruth Freeman, University of Dundee
Vanessa Muirhead, Clinical Senior Lecturer, Barts and the Royal London School of Medicine and Dentistry
Jack Monroe, Author
Martin Burrows, Groundswell
Al Story, UCLH Find and Treat Service Lead
Natalie Bradley, Community Dental Service
Ben Atkins, Revive Dental Care
Janine Brooks, Director of the Dental Coaching Academy
Stan Burridge, Pathway Experts by Experience Lead
Fiona Ellwood, Patron of Society for British Dental Nurses
Nicholas Ransford, Clinical Director of Birmingham Community Dental Service
Jill Harding, Dentaid
Laura Daly, DCT2 in dental public health
Professor Christophe Bedos , McGill University, Montreal
Frances O’Leary, DCT3 Paediatric dentistry
Pippasha Khan, Dental student, Kings College London
Andreas Johnson, Chair of Den-Tech Denture Charity
Professor Blanaid Daly, Professor in Special Care Dentistry, Trinity College Dublin
Renato Venturelli Garay, Research Assistant UCL
Sara Harford, Clinical Fellow
Nadia Khalique, Dental Hygienist / therapist
Holly Bretel, StR in Special Care Dentistry
Mehdi Yazdi, Principal dentist Crown Bank Dental practice
Jo Dick, Registrar in Special Care Dentistry
Deborah Manger, Deputy Medical Director & Specialist in Special Care Dentistry for NHFT
Zana Khan, GP in homeless and inclusion health
David Conway, Professor of Dental Public Health, University of Glasgow
Caoimhin MacGiolla Phadraig, Special Care Dentist, Dublin Dental University Hospital
Esther Stephenson, Dental Core Trainee in Oral and Maxillofacial Surgery
Neil Martin, Specialist in Special Care Dentistry/DCT East Anglia Training Programme Advisor
Samina Nayani, StR Special Care Dentistry, Kings College Hospital
Alexander Holden, University of Sydney
Nahush Shah, Senior Registrar in Orthodontics / Service Lead for Crisis at Christmas
Dorothea Hackman, Euston Foodbank
David Croser, General Dental Practitioner
Rob Whitton, Peninsula Dental School
Martha Paisi, Peninsula Dental School
Serena Luchenski, NIHR/HEE Clinical Research Fellow and Honorary Public Health Consultant
Mili Doshi, Consultant in Special Care Dentistry
Laura Gartshore, Senior Lecturer and Honorary Consultant in Paediatric Dentistry
Maryam Ahmadyar, Community Dental Officer
Councillor Ruth Rosenau, Stoke
Matthew Turtle, Museum of Homelessness
Art Hindocha, Senior Registrar in Orthodontics
Jessica Turtle, Chair of Trustees, Simon Community
Gabriel Galia, Wellcome Clinical Research Career Development Fellow
Daniel Stone, Labour Councillor for Stroud Green, Haringey
Jackie Bird, Director of Joanna Project
Andrea Rodriguez, Senior Research Fellow – Homelessness (Advocacy and Policy) Smile4life Programme
Norma Smart, Specialist in Special Care Dentistry
Sam Joseph, Street Vet co-founder
Jade Statt, Street Vet co-founder
Melissa Scott, Service Lead, Homeless Health Service, Bournemouth
Rachel Cullen, Simon Community
Bhavik Patel, Integrated Clinical Fellow, Northamptonshire Healthcare NHS Foundation Trust
Brooke Zaidman, SpR in Special Care Denistry
Jenny Lawson and others, Nag’s Head Solidarity Centre Womens Group
Barbara Moeller
Trish Young
Spires
Theo Rogers
Rochelle Wallace-Whitfield,
Garima Arora, Research Assistant, University of Dundee
Paul Jackman, Still Human Outreach
Nikki Kenyon, Manchester: Life On The Streets
Louise McTernan, Outreach worker Manchester
Derek Richards, President British Association for the Study of Community Dentistry

 

Awards Hat Trick for Homeless Health

Bevan CIC

It’s a lucky day for three homeless health services, who have been shortlisted for prestigious Nursing Times Awards. 

Pathway homeless hospital teams at Bristol Royal Infirmary and Bevan Healthcare CiC in Bradford will be going head to head in the HRH Prince of Wales Nursing category, whilst Pathway’s Nursing Fellow is up for the Technology and Data in Nursing award. 

People experiencing homelessness often have serious physical and mental health problems and are more likely to face difficult and sometimes life-threatening illnesses such as tuberculosis, Hepatitis, epilepsy, heart disease, stroke and asthma.  

Pathway helps hospitals to set up teams to support homeless patients during their admission, and make sure they have somewhere safe to sleep when they are discharged, help with financial and legal issues, links to day centres and support services and clean clothes and toiletries. 

Dr Nigel Hewett, Medical Director of Pathway said: 

“Nurses play a key role in homelessness teams and change the lives of patients who are homeless with their compassionate care and clinical excellence. We’re incredibly proud of the teams who have been shortlisted and look forward to some friendly rivalry on the night.” 

The 28th Annual Nursing Times Awards take place on 31 October 2018 at the Grosvenor House Hotel. 

 

Seven Superstars Save Homeless Hospital Patients   

Alex Bax and the Carnall Farrar Running Team

Seven really is proving ‘lucky for some’, after seven intrepid runners from health consultancy Carnall Farrar took part in the Virgin Sport Hackney Half Marathon on 20 May, to raise funds for Pathway. 

The team braved one of the hottest days of the year and took to the streets of east London, finishing the challenge and raising a whopping £765 to help seriously ill homeless people. 

Pictured here with Pathway CEO Alex Bax (who met them at the finish line!), the team has raised enough to provide 50 homeless hospital patients with ‘dignity in care’ kits, including toiletries and pyjamas for their hospital admission, travel tickets to a safe bed once a Pathway team has arranged one, and a duvet and pillows to help them set up in a new home. 

 Stan was homeless for 20 years, and now helps formerly homeless people to be part of Pathway’s work. Stan said: 

“Being ill, alone and in hospital was one of the scariest experiences I faced when I was homeless. Knowing that someone cares really helps. This donation will make such a difference to so many people. Well done, and a huge thank-you to all of the runners and donors who took part and made this an amazing event.

 Ruth Carnall, Chair at Carnall Farrar said:  

“We are very proud of all our runners for completing the gruelling race and absolutely delighted that the money raised by their efforts will be going to such an important and worthy cause.”

Carnall Farrar Runners

Can Pathway ‘Bag’ Your Vote?

Pathway calls on Brighton shoppers to help homeless patients

A nurse and doctor talking to a homeless patient sitting on a hospital bed

Pathway, a small charity helping seriously ill homeless people, has been shortlisted for a supermarket charity scheme across Brighton and Hove. Tesco ‘Bags of Help’ gives money raised from carrier bag sales to community projects. Pathway is one of three groups that has been shortlisted for a grant of up to £4000.  

 The Pathway team at Brighton and Sussex University Hospital helps homeless patients to:  

 Find accommodation, 

  • Sort out financial problems,  
  • Register with a GP, 
  • Reconnect with lost family and loved ones.  

 Without help from Pathway teams, many hospitals would be forced to discharge homeless patients to sleep rough after treatment, running the risk of their illness returning.  Brighton and Sussex University Hospital is one of only 11 hospitals across England to offer this specialist support.

During May and June Tesco shoppers in Brighton will be able to vote for Pathway and other shortlisted charities using a token given to them at the checkout each time they shop. Alex Bax, Chief Executive of Pathway said: 

“Your token in the box can make a real difference to homeless people. A little bit of help from a Pathway team can help people get life back on track.” 

 Bags of Help has already given over £36 million to nearly 8000 projects across the UK. Alec Brown, Head of Community at Tesco, said: 

  “We are absolutely delighted to open the voting for May and June. There are some fantastic projects on the shortlists and we can’t wait to see these come to life in hundreds of communities.” 

Money raised by the scheme will go towards ‘Dignity in Care’ packages, making sure patients have toiletries and pyjamas during their stay, clean warm clothes when they are discharged, and bedding and crockery if they are moving into a home for the first time.  

 Ends 

 Notes to Editors 

  1. The Bags of Help initiative is supported by money raised from carrier bag sales in Tesco stores.  
  2. The scheme is administered by Groundwork. 
  3. Bags of Help funding is available to community groups and charities looking to fund local projects that bring benefits to communities. Anyone can nominate a project and organisations can apply online. For more information please visit: www.tesco.com/bagsofhelp 
  4. Customers can vote for Pathway at the following Tesco stores:  

6012    Brighton – Queen’s Road Tesco Express (BN1 3XF)
5321    Brighton – Jubilee Street Tesco Express (BN1 1GE)
3461    Brighton – Western Road Tesco Express (BN3 1JB)
2724    Hove – Droveway Tesco Express (BN3 6LE)
2700    Hove – Tesco Superstore (BN3 2DL)
2704    Hove – Denmark Villas Tesco Express (BN3 3TJ)
2696    Hove – Tesco Express (BN3 6NF)
6576    Hove – Westway Tesco Express (BN3 8LD)
3052    Portslade – Tesco Metro (BN41 1GB)
3447    Woodingdean – Tesco Express (BN2 6BB) 

About Pathway 

Pathway works to improve healthcare for people who are homeless. We’ve helped the NHS create 11 teams of doctors, nurses and social care professionals work across England, supporting 3500 patients every year. Pathway also develops models to facilitate improvements in patient care, carries out research in new and developing areas, provides training for healthcare professionals and supports specialist commissioning. The charity hosts The Faculty for Homeless and Inclusion Health, a network of over 1000 professionals involved in healthcare for people on the edges of society. 

 

BBC Fame for Pathway Team

Pathway has been featured on the BBC News front page, and in a BBC World Hacks episode, with a video and radio programme about homelessness and healthcare.

The Pathway team at the Royal London Hospital spent a day with journalists, explaining how their work helps patients who are homeless:

  • find somewhere safe to stay,
  • reconnect with lost loved ones,
  • obtain lost identification documents,
  • get help with financial and legal issues,
  • find support to address any problems that contributed to losing their home.

Featuring alongside the homelessness hospital team, Patients Jacqueline and Gary kindly agreed to take part, with Lola the dog, who proved to be a canine superstar.

World Hacks is an innovative weekly BBC programme, exploring how we can solve the world’s problems.

Listen to the radio show about Pathway

Watch the short video about Pathway.

New UCL MSc Module in Inclusion Health

two men writing on a whiteboardA new MSc module in Inclusion Health will be launching at University College London this spring, in association with The Faculty for Homeless and Inclusion Health. The course, offering 7 days of learning over 7 weeks, includes material on:

  • Inclusion health populations and their health needs
  • The social determinants of health
  • Effective interventions for inclusion health communities
  • Data collation and statistics for inclusion health services

Teaching staff include leading Inclusion Health experts Dr Chris Sargeant and Dr Caroline Shulman, and chance to learn from people with lived experience of exclusion and ill health. Dr Sargeant said:

“This short course is an opportunity for researchers and people from across the health and social care sectors to formalise and extend their learning at a prestigious academic institution. We look forward to welcoming people at every stage of their career, and supporting the leading lights of inclusion health in the future.”

The course is available as an optional unit on UCL’s Population Health MSc, but can also be taken as a standalone unit with transferable academic credits, or simply for CPD. There are reduced rates for NHS staff, and a limited number of supported places for people with lived experience of homelessness and inclusion.

For more information, or to book your place by 23 March visit: https://www.ucl.ac.uk/iehc/study/homeless-inclusion-health-short-taster-course

Image courtesy of Jonathan Velasquez at Unsplash.

Pathway wins award to replicate homeless hospital team intervention

Pathway has been selected by the Health Foundation, an independent charity, to be part of an innovative programme to improve health and social care by using novel scaling approaches to widen use of successful health and social care interventions.

The Exploring Social Franchising and Licensing programme supports four organisations to replicate interventions that they have already tested and proven to work. The organisations will employ replication techniques, social franchising and licensing, that have not yet been used widely in the UK.

The initiative from Pathway improves healthcare for homeless hospital patients, by creating NHS teams to:

  • Support and advocate for patients who are homeless in hospital,
  • Help homeless patients to find accommodation and release NHS beds,
  • Support people dealing with financial issues
  • Access help to address personal problems that contribute to their homelessness
  • Help people reconnect with lost loved ones.

The approach has been proven to improve health and housing outcomes for patients and is currently used in 11 hospitals across England. Chief Executive Officer Alex Bax said:

“We are delighted to have won the chance to participate in this programme. It’s a fantastic opportunity for us to explore, with the experts, whether we can spread our ‘Pathway hospital team’ model more rapidly, to benefit some of the most vulnerable and excluded patients the NHS supports.”

The new programme will run for one year and each project will receive up to £145,000 to develop approaches that will enable the project to spread their successful health and care intervention to other sites across the UK in future. Sarah Henderson, Assistant Director at the Health Foundation said:

“We are very excited to support four outstanding project teams and organisations, selected because of their ambition, experience of spreading successful health and care interventions, and importantly, because we think their interventions have considerable potential to be replicated using social franchising or licensing techniques.

“Working together, as part of the Exploring Social Franchising and Licensing programme, we hope to increase understanding of whether social franchising and licensing can be used to support a more sustainable and systematic approach to replicating proven health and social care interventions and the conditions under which these methods are most useful. We hope that we can enable successful inventions to be used more widely to improve care for patients and service users.”

Ends

Notes to editors

The media contact for this story is Sushma Sangyam:
sushma.sangyam@health.org.uk
020 7257 2092

About the Health Foundation

The Health Foundation is an independent charity committed to bringing about better health and health care for people in the UK.
www.health.org.uk

About Pathway

Pathway works to improve healthcare for people who are homeless. We’ve helped the NHS create 11 teams of doctors, nurses and social care professionals work across England, supporting 3500 patients every year. Pathway also develops models to facilitate improvements in patient care, carries out research in new and developing areas, provides training for healthcare professionals and supports specialist commissioning.

The charity hosts The Faculty for Homeless and Inclusion Health, a network of over 1000 professionals and people with lived experience of exclusion, including vulnerable migrants, people who are homeless, from gypsy and traveller communities, or who sell sex.
www.pathway.org.uk

 

Can Pathway ‘Bag’ Your Vote?

Homeless health charity asks for help in Tesco ‘Bags of Help’ fundraising initiative  

 Pathway, a local group helping homeless people with serious illnesses has been shortlisted for a major supermarket charity scheme across the City. Tesco ‘Bags of Help’ gives money raised from carrier bag sales to community projects. Pathway is one of three groups that has been shortlisted for a grant of up to £4000.  

In London there are 6 Pathway teams in hospitals helping homeless patients to find accommodation, sort out financial problems and reconnect with lost family and loved ones. Without their help, many hospitals would be forced to discharge homeless patients to sleep rough after treatment, where many become seriously ill. 

 During November and December Tesco shoppers across the City will be able to vote for Pathway and other shortlisted charities using a token given to them at the checkout each time they shop. Alex Bax, Chief Executive of Pathway said 

 “Your token in the box can make a real different to the lives of people who are homeless. A little bit of help from a Pathway team has been proven to improve health outcomes for homeless patients, and improve housing status long after the support has been given.” 

Dr Peter Buchman, Clinical Lead for the Pathway homeless team at The Royal London Hospital said:

“Votes for Pathway will make a huge difference for homeless people in Tower Hamlets, funding ‘Dignity in Care’ packages containing much needed items such as toiletries and clean warm clothes for when patients are discharged. With the help of Pathway our team supports homeless patients at The Royal London Hospital to find accommodation, sort out financial problems and reconnect with lost family and loved ones. Without this we would be forced to send them to sleep rough after treatment, where many are at risk of becoming seriously unwell again.”

 Bags of Help has already given over £36 million to nearly 8000 projects across the UK. Alec Brown, Head of Community at Tesco, said: 

  “We are absolutely delighted to open the voting for November and December. There are some fantastic projects on the shortlists and we can’t wait to see these come to life in hundreds of communities.” 

Money raised by the scheme will go towards ‘Dignity in Care’ packages, making sure patients have toiletries and pyjamas during their stay, clean warm clothes when they are discharged, and bedding and crockery if they are moving into a home for the first time.  

Ends 

 

Notes to Editors

  1. The Bags of Help initiative is supported by money raised from carrier bag sales in Tesco stores.  
  2. Bags of Help funding is available to community groups and charities looking to fund local projects that bring benefits to communities. Anyone can nominate a project and organisations can apply online. For more information please visit: www.tesco.com/bagsofhelp 
  3. The scheme is administered by Groundwork. 
  4. Customers can vote for Pathway at the following Tesco stores: 

90 Mansell Street, E1 8AL
Aldersgate Express, EC1A 4JQ
Bishopsgate Metro, EC2M 4LN
Cheapside Metro, EC2V 6EE
Holborn Viaduct Express, EC1A 2AT
St Botolphs Express, EC3A 7DH
Blackfriars Express, EC4Y 0AA
Smithfield Express, EC1A 9LA
Monument Metro, EC3M 1AE
St Pauls Express, EC2V 6ET 

 

About Pathway

Pathway works to improve healthcare for people who are homeless. We’ve helped the NHS create 11 teams of doctors, nurses and social care professionals work across England, supporting 3500 patients every year. Pathway also develops models to facilitate improvements in patient care, carries out research in new and developing areas, provides training for healthcare professionals and supports specialist commissioning.  The charity hosts The Faculty for Homeless and Inclusion Health, a network of over 1000 professionals and people with lived experience of exclusion, including vulnerable migrants, people who are homeless, from gypsy and traveller communities, or who sell sex. 

Excluded People Ten Times More Likely To Die Early

People excluded from mainstream society in high-income countries have a tenfold increased risk of early death, according to research from UCL, homeless health charity Pathway and an international team of experts.

Candles from www.sxc.huThe researchers found the mortality rate among socially excluded groups including homeless people, people who sell sex, prisoners and people who use hard drugs, was nearly eight times higher than the population average for men, and nearly 12 times for women. By comparison, mortality rates for 15–64 year olds living in the poorest areas of England and Wales are 2.8 times the rate of those living in the richest areas for men and 2.1 times the rate for women.

The two papers, published today in The Lancet journal, highlight the extreme rates of death and disease faced by excluded people and lay out clear evidence for interventions that can help save lives and prevent people from finding themselves in such desperate situations.

The first paper shows that excluded people are more likely to be murdered or take their own life, but also more likely to die from accidents, overdoses, infectious diseases, cancers, liver disease, heart problems and respiratory diseases. In total, researchers analysed data from 38 countries with the UK, USA, Sweden, Australia and Canada providing the highest amount of data.

The lead author of the first paper, Dr Robert Aldridge (UCL Institute of Health Informatics) said:

“We know that excluded populations suffer from lack of access to basic healthcare, but this new research shows the frightening extent of the problem: it’s much worse than we thought. People experiencing homelessness, those with drug addictions, prisoners and those who sell sex are far more likely to develop serious health problems and die early.”

Professor Andrew Hayward (UCL Institute of Epidemiology and Healthcare), senior author of the first paper and Pathway Trustee, added:

“It is no surprise that socially excluded groups have poor health outcomes but the extent of the disparities in wealthy countries is an affront to our values. Socially excluded groups are the canaries in the mine – they point to something toxic in our society.

Extreme social exclusion affects at least half a million people in England every year, but the true figure is likely to be much higher, as national datasets do not ask about these problems. Exclusion, and its health consequences, often result from many years of multiple problems such as poverty, adverse experiences and psychological trauma during childhood.”

The second paper outlines a range of interventions that work to help excluded people including drug treatment, case management, and psychological therapies. Broader work to tackle poverty, unemployment and housing problems can also prevent social exclusion but have been less well studied for their health effects.

“Our research shows how best we can support the most excluded. We urgently need investment and co-ordination between government, health services and social care providers to deliver high-quality comprehensive services in the community, on the streets and in institutional settings such as prisons and hospitals. Supportive values include providing time, building trust, promoting accessibility, fairness and equality. The inequity we have shown is preventable,”

said Ms Serena Luchenski (UCL Institute of Health Informatics & Pathway Public Health Fellow), lead author of the second paper. Dr Nigel Hewett, Medical Director of Pathway, Secretary of the Faculty for Homeless and Inclusion Health, and senior author of the second paper added:

“There are already examples of teams working together in the integrated way that is supported by this research. These include GP and nurse led Pathway homeless teams working in hospitals, and other services who take health care to people in hostels, drop-in centres and on the streets. The challenge in the UK is that health, housing and social care are overwhelmed by austerity and find it difficult to develop the capacity to work collaboratively.”

The researchers also highlight previous studies which have shown that “housing first models”, which give people a stable place to live before addressing addiction or mental health problems, can be effective in improving health and social outcomes and reducing crime.

“The single most important thing we can do to prevent social exclusion is to tackle poverty, particularly amongst children. This is the key structural driver of homelessness and the other forms of social exclusion considered in these papers,”

said Professor Suzanne Fitzpatrick, Director of the Institute for Social Policy, Housing and Equalities Research (I-SPHERE) at Heriot-Watt University and co-author on the second paper.

“In the UK that means, at a minimum, rolling back the current programme of welfare reform cutbacks that are set to drive child poverty up substantially in the coming years. Social housing plays a vital role in mitigating the worst effects of poverty for many families, but there is a desperate shortfall. Theresa May’s recent announcement of 5,000 extra social homes per year in England is welcome but nowhere near enough.”

 

Notes to editors

For more information please contact Rowan Walker, UCL Media Relations, t.0203 108 8515 or rowan.walker@ucl.ac.uk. For out-of-hours enquiries (on Sunday 13 November) please call Chris Lane on +44 (0)7917 271364.

The health impact of social exclusion: a systematic review and meta-analysis of morbidity and mortality data from homeless, prison, sex work and substance use disorder populations in high-income countries’ is available to view on the Lancet website. It is an open access paper that is free to view.

What works in Inclusion Health: overview of effective interventions for marginalised and excluded populations’ is available to view on the Lancet website. It is free to access, but you will need to register for a free Lancet account.

 

About Pathway

Pathway works to improve healthcare for people who are homeless. We’ve helped the NHS create 11 teams of doctors, nurses and social care professionals work across England, supporting 3500 patients every year.

Pathway also develops models to facilitate improvements in patient care, carries out research in new and developing areas, provides training for healthcare professionals and supports specialist commissioning.

The charity hosts The Faculty for Homeless and Inclusion Health, a network of over 1000 professionals and people with lived experience of exclusion, including vulnerable migrants, people who are homeless, from gypsy and traveller communities, or who sell sex.

www.pathway.org.uk | Follow us on Twitter @PathwayUK

 

About UCL (University College London)

UCL was founded in 1826. We were the first English university established after Oxford and Cambridge, the first to open up university education to those previously excluded from it, and the first to provide systematic teaching of law, architecture and medicine. We are among the world’s top universities, as reflected by performance in a range of international rankings and tables. UCL currently has over 39,000 students from 150 countries and over 12,500 staff. Our annual income is more than £1 billion.

www.ucl.ac.uk | Follow us on Twitter @uclnews | Watch our YouTube channel YouTube.com/UCLTV