From Symptoms to People; Personality Disorder and Homelessness
Opening mr
1. London Network of Nurses and
Midwives
Homelessness Group
Friday 17th April 2015
St. Martin-in-the-Fields
‘Austerity and Access’
CO-PRODUCED WITH:
SPONSORED BY:
SUPPORTED BY:
ENTERTAINMENT BY:
3. Housekeeping
• Timing
• Sign in to workshops
• Panel Questions – stick your dots on BEFORE
lunch
• Poster competition
• Quiz (answers by afternoon tea
in box at reception )
• Feedback forms
• Schedule Changes
4. Who are the LNNM
Homelessness group?
• Chair currently - Maxine Radcliffe
• Vice Chair – Paul Coleman
• Treasurer - Rosa Ungpakorn
5. LNNM – the last year
• Screen grab from website – add from home max
6.
7.
8. London Health
Commission
Recommendation 31:
Health and care commissioners should develop a pan-
London, multi-agency approach to healthcare for the
homeless and rough sleepers, with dedicated
integrated care teams, and commissioned across the
capital by a single lead commissioner
9. Focus groups
• The Homeless Health Services Programme
Board is one of the 13 transformation
programmes that feature in the agreed set
of programmes for 15/16 by all 32 CCGs
and NHS England – the London Health
Partnership
• Focus groups will help inform the agenda
• Pack colours and rooms
10. • 64% increase in London rough sleeping (2010/2011 – 2013/2014)
• 54% of rough sleepers not UK born (2013/2014)
• 90% projects report clients being benefit sanctioned (2015)
• 18% reduction in London hostel bed spaces (2012 – 2014)
• 54% attendees to a specialist GP clinic turned away by
mainstream GPs, often several times. Testing showed 18%
had a serious infectious disease. (2012)
• 1 in 5 Project London attendees feared arrest if they
accessed healthcare. 1 in 4 had been denied access. (2013)
• 28.2% of the general population say it is not
easy to get through to their GP (2014)
Austerity and Access
11. LNNM future
• Bi-monthly meetings
• Continue to influence policy
• Next year’s conference?
• Funding ? to run network ? Future
Action Learning sets
• Input to the Program Board guiding
commissioning review
Notes de l'éditeur
Thanks LHF for £££ and groundswell for co-production
Quality of workshop presentation,
space limitations – workshop sizes not optimal - well be inviting people to present to the network throughout the year
roughly 40 core members, with around 15 nurses attending each meeting. There are over 200 hundred specialist practitioners on our pan London email distribution list and links with many others outside London. The group meets bi-monthly. There is usually a presentation on an area of interest.
Specialist nurses, midwives and allied healthcare practitioners working in all areas of homelessness are welcome. For example we have members who work with refugees and asylum seekers, homeless families, clients with TB, and sex workers
Elections held yearly – next in July although vice chair will likely be in May due to responsibilities –Paul
Produced a website to host network members content www.homelesshealthnetwork.net
This is intended as a resource for network members and allies, where you can find all the presentations from this conference and those of past meetings as well as links to other useful site.
If we get some further funding/ time turner from the Ministry of Magic we will host a forum on the site; funding needed to support moderation and troubleshooting forum is set up already.
Mapping project discussion (and have been) underway with the QNI and Homeless link – we are bidding with the Young Foundation for some funding to get this done ideally using peer researchers;
All the slides from presentations to the LNNM are put on the website
The last year – we along with St Mungos and the Pathway made representations to the LHC
We have invited London Health Partnership to this conference as they are conducting a Review of homeless health commissioning pan London following from Recommendation 31 with the aim of implementation; our understanding is that commissioning changes will be rolled out pan London in a pilot phase between October 2015 and March 2016, implementation from April 2016. Therefore key time is now, whilst still in data collection/information gathering for this phase
improving data collection and data sharing (prototype July-September 2015 followed by implementation)
London Health Partnership – “Transforming London’s health and care together”
· London Health Partnership is a collaboration between all London CCGs and NHS England London region to support the delivery of better health in London and meet the challenges set out in the NHS Five Year Forward View & London Health Commission
· Homeless Health Services is one of the 13 transformation programmes that features in the agreed set of programmes for 15/16 by all 32 CCGs and NHS England
· The Senior Responsible Officers for the implementation of this programme includes, to name but a few:
o Dr Adrian Mclachlan (GP, Chair of the Homeless Health Services Prog Board and Chair of Lambeth CCG) and Caroline Alexander (Chief Nurse, NHS England)
o Del Mehet (Head of Programmes, London Health Partnership and Barbara O’Connor, Associate Director, Office of CCGs
o Mariko Ollason, Project Manager, London Health Partnership
o Public Health England and a range of other partners involved in this important piece of work
Why this topic for the conference – members experiences of gatekeeping and rise in threshold of ‘serious’ at risk etc.
Entirely voluntary and grant funded – forum for sharing learning and experience/ supervision. We did have some funding for this – action learning sets from FNF but ran out last year. We will seek further funding to support the network and possibly to help us organise the conference
Next meeting in program – the care act and implications.
Following meeting in July – Safeguarding unborn children – alerting issues and homeless pregnant women. LNNM to produce case studies for this
Follow up on only thing we didn’t manage from last year – clearer dataset, input to Hidden Health
LNNM Group to work with Inclusion Health to see if the members can contribute to evidence around the identified ‘Hidden Needs’ identified in the recent March 2014 Inclusion Health report