Housing Commissioning for Excluded Groups

This module is part of a digital training package on health inequality and the social determinants of health. It will take around 1:25 to complete, with an optional 1:40 of case studies and discussion, plus reflection time. Using presentations from leading experts this module provides you with an introduction to the impact of homelessness and exclusion on health.  This module is designed for:

  • Policy-makers
  • Local housing
  • Local government
  • Commissioners
  • Voluntary sector organisations
  • Practitioners and clinicians
  • Campaigners and people with lived experience of exclusions

The sessions in this module will challenge you to consider issues with existing housing provision and alternative approaches to commissioning, the impact of housing on health, new models of housing and the current evidence of their impact on health.

Additional units to supplement this learning are listed in the side bar.


Transforming Risk-Based Commissioning to Person-Centred and Preventative Approaches

Julian Corner, Chief Executive of Lankelly Chase, explores the complexity of homelessness and the policies that drive service development to socially excluded groups. He challenges the risk model and explores alternative models and methods for helping those with complex needs.

Julian Corner – Transforming Risk-Based Commissioning to Person-Centred and Preventative Approaches


Unequal Health – Housing Insecurity and Ill-Health

Professor Danny Dorling of Oxford University uses current epidemiological research to highlight the inter-relationships between public policy, housing insecurity and austerity on the acute and long term health of the population.

Professor Danny Dorling – Unequal Health – Housing Insecurity and Ill-Health


Epidemiology of Homelessness and Exclusion: Implications for Services Including Housing First

Professor Stephen Hwang, Director, Division of General Internal Medicine, University of Toronto, reflects on his experience as a clinician and summarises his research from the “At Home” randomised control trial using the Housing First intervention.

Epidemiology of Homelessness and Exclusion: Implications for Services Including Housing First


Housing Provision – Issues for Local Authority Commissioning and Providers

Helen Mathie and Francesca Albanese from Homeless Link review the reasons for increasing homelessness and trends seen in rough sleeping and insecure housing.

Housing Provision – Issues for Local Authority Commissioning and Providers


Case Studies

A City Wide Approach to Providing Shelter and Healthcare for Homeless Adults

Dr Jim O’Connell explores the approaches taken in Boston, Massachusetts, USA.

Jim O’Connell MD -A City Wide Approach to Providing Shelter and Healthcare for Homeless Adults


What Needs to Happen to Promote Inclusion and Health for Homeless and Excluded Groups?

A panel discussion of inclusion health and homelessness experts, Chaired by Mark Easton, Home Affairs Editor at the BBC, explores the key changes required to promote social and health inclusion.

What Needs to Happen to Promote Inclusion and Health for Homeless and Excluded Groups? .


The information in this e-learning resource has been collated by The Faculty for Homeless and Inclusion Health to support learning, collaboration and good practice. This has been sponsored by Public Health England as part of its commitment to sharing evidence and promoting the development of effective local leadership and good practice.