Homelessness, Social Exclusion and Health Inequalities Long-term Impacts of Recession #HomelessHealth14
05 Mar 2014
Wednesday 5th and Thursday 6th March
Two day live broadcast from London

The delayed impact of recession is increasingly being felt in health and social care with particular impacts on health outcomes for homeless people and other excluded / marginalised groups.

This meeting of experts will draw on important insights about long term impacts from recession in the UK and internationally, and hear about ways some services are bucking the trends and delivering improved health and wellbeing for vulnerable people.

The Digital Package Participants in this two day development programme will take away a digital package of material to be used with professional and policy making colleagues, staff induction, in service training and briefing. The toolkit will include a reading and research list and useful contacts in government, health services, academic and voluntary sectors.

Programme

Day 1 - 05 Mar 2014

09:45
Mark Easton, Home Editor, BBC
Welcome by the conference chair

09:55
Professor Aidan Halligan, Chair, Faculty for Homeless and Inclusion Health and Chair, Pathway
Setting the scene

10:10
Dr David Stuckler, Senior Research Leader, Oxford University, and author of ‘The Body Economic – why austerity kills’
How governments can reduce the health consequences of recessions

10:25
Professor Stephen W Hwang, Director, Division of General Internal Medicine, University of Toronto
Epidemiology of homelessness and exclusion

10:45
Dalma Fabian, Policy Officer, European Federation of National Organisations Working with the Homeless, FEANTSA
International trends and their impact on health outcomes

11:00
Questions and discussion
11:15
Break
11:45
Dr Ingrid van Beek, Director, Kirketon Road Centre, Sydney
Targeted primary health care service with a harm reduction focus, for vulnerable populations: ‘lessons from the urban jungle’

12:05
Professor Graham Watt, Norie Miller Professor of General Practice, University of Glasgow and Co-ordinator, General Practitioners at the Deep End
Transforming primary care – the experience of Scottish GPs in deprived areas

12:25
Julian Corner, Chief Executive, Lankelly Chase
12:45
Questions and discussion
13:00
Break
14:05
Professor Steve Field CBE, Chief Inspector of General Practice, Care Quality Commission (CQC); Deputy National Medical Director, Health Inequalities; Chairman, National Inclusion Health Board; and General Practitioner at Bellevue Medical Centre, Birmingham
The role of the Care Quality Commission

14:25
Toby Lewis, Chief Executive, Sandwell and West Birmingham Hospitals NHS Trust
Inclusion health from an acute trust perspective

14:45
Jane Ellison MP, Parliamentary Under-Secretary, Department of Health
Keynote address

15:00
Questions and discussion
15:15
Break
15:45
Parallel stream A1: Reducing homelessness, social exclusion and health inequalities
Chaired by Duncan Shrubsole, Director of Policy and External Affairs, Crisis GUEST;
Integrated health and local authority provision to vulnerable groups:
Kevin Hanner, Service Manager, Under 1 Roof, Norwich Norwich and Tracy Williams, Lead Nurse Practitioner, City Reach Health Services, Norfolk Community Health and Care NHS Trust;

Followed by discussion about how to influence Health and Wellbeing Boards and work across agencies to tackle homelessness and exclusion.

15:45
Parallel stream A2: Promoting health and wellbeing and delivering effective public health interventions
PLANNING PROVISION AROUND PEOPLE:
Drop-in health services for female sex workers - the Tuesday Late Clinic TLC experience:
Dr Hayley Rees, General Practitioner, Bevan Healthcare, Bradford;

Integrated provision to sex workers in London, including join initiatives to support those experiencing sexual violence;
Georgina Perry, Open Doors Project, Homerton Hospital NHS Trust .

15:45
Parallel stream A3: PATHWAY STREAM: Effective discharge from hospital and other settings and reducing avoidable admissions
The Pathway experience – working with NHS colleagues and homeless people to transform healthcare provision in London, Leeds, Brighton and Bradford:

Dr Nigel Hewett, Medical Director, Dr Chris Sargeant, GP Lead Pathway Homeless Team BSUH and Clinical Senior Lecturer, Brighton and Sussex Medical School;
Catherine Hall, Eleanor Wilman, Libby Jones and Emma Hicklin, Pathway

15:45
Parallel stream A4: NHS ENGLAND STREAM: Integrating and improving services MEETING COMPLEX MENTAL HEALTH NEEDS
Specialist mental health provision for entrenched female rough sleepers and rough sleepers with serious mental illness;
Dr Frances Klemperer Consultant Psychiatrist, Joint Homelessness Team, Central and Northwest London NHS Foundation Trust;
Dagnija O'Connell Community Mental Health Nurse, Entrenched Female Rough Sleeper Project, Joint Homelessness Team, Central and Northwest London NHS Foundation Trust;
Dan Jones Team Leader Westminster Homelessness Prevention Initiative and Joint Assessment Service, Central and Northwest London NHS Foundation Trust;
Dr Philip Timms FRCPsych Consultant Psychiatrist, START team, South London and Maudsely NHS Foundation Trust;
Dr Jennnifer Perry, Psychiatric Registrar, START team, South London and Maudsely NHS Foundation Trust);
Anger discussion group: a new approach to engaging rough sleepers in working together towards solutions:

John Conolly, Lead Counsellor, Westminster Homeless Health Service, Central London Community Healthcare NHS Trust and Paul Ashton, Ex-service user consultant.

15:45
Parallel stream A5: Clinical Innovation and research CHANGING THE FACE OF DENTAL HEALTHCARE FOR HOMELESS PEOPLE
Findings and implications of research with homeless Londoners;
Dr Ulpee Darbar, Clinical Director and Zahra Hussain, Restorative Dentistry Consultant, Eastman Dental Hospital;
Stan Burridge, Research Lead on Service User Involvement;
Helen Davies, Research Project Lead, Pathway. Oral health promotion in homeless service settings:
Corwin Hine and Luke Fisher-Brown, Dental Students, Barts and the Royal London.

16:45
End of broadcast - Day One

Day 2 - 06 Mar 2014

08:30
Breakfast Seminar 1: From Exclusion to Access - Improving ad Ensuring High Quality Healthcare to those with the Greatest Need
Ranjit Senghera, Senior Manager Equalities and health inequalities; National lead for Inclusion Health; Regional Link for Midlands and East, NHS England;

Christina Marriott, Senior Manager for Addressing Health Inequalities, NHS England;

Dr Habib Naqvi, Senior Equality Manager, NHS England;

Hannah Rees, National Project Co-ordinator for Equalities and Health Inequalities, NHS England.

08:30
Breakfast Seminar 2: Lessons from experience and innovation - providing treatment to people with TB
Dr Al Story, Clinical Lead, London Find and Treat Service, UCLH

08:30
Breakfast Seminar 3: Outreach and community-based healthcare to homeless people with complex needs
Dr Natalie Miller, General Practitioner and Maxine Radcliffe, Nurse Practitioner, Great Chapel Street Medical Centre, London

08:30
Breakfast Seminar 4: Role or primary and secondary services within the context of the Future Hospital programme
Dr Pippa Medcalf, FRCP, Consultant Physician, Gloucester Royal Hospital and RCP Senior Fellow;
Kate Eisenstein, Senior Policy Adviser, Royal College of Physicians

10:00
Mark Easton, Home Editor, BBC
Conference chair

10:05
Professor Danny Dorling, University of Oxford; author of “Unequal Health – the scandal of our times” and
Keynote: Living precariously in the UK: housing, insecurity and ill-health

10:30
Ruth Passman, Deputy Director for Equality and Health Inequalities, NHS England.
How can health services respond? Their role in tackling inequality

10:45
Rick Henderson, Chief Executive, Homeless Link – the state of the homeless charitable sector
11:00
Panel discussion:
11:15
Break
11:45
Parallel stream B1: Reducing homelessness, social exclusion and health inequalities
GYPSY AND TRAVELLER HEALTH – UNDERSTANDING AND MEETING COMPLEX NEEDS
Impact of homelessness and social exclusion on the physical and mental health of Irish Travellers and Gypsies:
Dr Annie Lau, Consultant Psychiatrist, Huntercombe Hospital Maidenhead;

Engaging Gypsy and Traveller communities and demonstrating the cost-benefit analysis of effective provision:
Helen Jones, Chief Executive, Leeds Gypsy and Traveller Exchange.

11:45
Parallel stream B2: Promoting health and wellbeing and delivering effective public health interventions
ACTION ON THE SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH AND WELLBEING:
Effective solutions to meeting complex needs and creating health equality;
Gill Brown, Chief Executive, Brighter Futures;
Public mental health and social inclusion – tackling the processes of social exclusion:
Peter Cockersell, Director of Health and Recovery, St Mungo’s.

11:45
Parallel stream B3: PATHWAY STREAM: Effective discharge from hospital and other settings and reducing avoidable admissions
UNMET HEALTH NEEDS AMONG VULNERABLE MIGRANTS AND OTHER EXCLUDED GROUPS – HOW CAN CHANGE BE ACHIEVED?:
Access to healthcare for vulnerable migrants:
Lucy Jones, UK Porgramme Manager, Doctors of the World UK;

Developing commissioning guidance to meet the mental health needs of vulnerable migrants:
Dr Angela Burnett, GP Specialist, East London.

11:45
Parallel stream B4: NHS ENGLAND STREAM: Integrating and improving services RAISING EXPECTATIONS AND IMPROVING QUALITY
Chair Antoinette Scott, Service Development Manager, Tri-borough Joint Commissioning Group;
Presentation on the updated national Faculty standards for healthcare and new peer-led quality assurance proposals:
Dr Nigel Hewett OBE, Faculty for Homeless and Inclusion Health;

Supporting organisations to demonstrate they meet the Faculty Standards:
Liza Cragg, Independent consultant in health and inclusion.

11:45
Parallel stream B5: Clinical innovation and research
LATEST INFORMATION AND THINKING ABOUT MEETING SPECIFIC HEALTH NEEDS:

Do homeless people need physiotherapy – and can they access it? An opportunity to consider new data from London and the experience of outreach provision in Glasgow;
Jo Dawes, Senior Lecturer in Physiotherapy, School of Rehabilitation Sciences, St Georges, University of London

12:45
Break
13:50
Duncan Selbie, Chief Executive, Public Health England
Looking after the public’s health: national priorities/local programmes

13:55
Poster Presentation - Bobby
14:10
Panel:
Gill Brown, Chief Executive, Brighter Futures;
Dr Nigel Hewett OBE, Medical Director, Pathway;
Maurice Wren, Chief Executive, Refugee Council;
Georgina Perry, Open Doors Service Manager, Homerton University Hospital NHS Trust;
Juliet Lyon CBE, Director, Prison Reform Trust;
Bean Stocks, Service User.

15:10
Professor Aidan Halligan, Chair, Faculty for Homeless and Inclusion Health and Chair, Pathway
Closing address

15:30
Parallel workshops C1: Reducing homelessness, social exclusion and health inequalities
TACKLING THE SOCIAL CAUSES OF HOMELESSNESS, AND INTERVENING EARLY WITH YOUNG PEOPLE AT RISK:

Joint approaches to working with younger homeless people involving NHS, housing, and peer support approaches:
Gaynor Parry, Cheshire and Wirral Partnership NHS Trust, and Chris Allen, Forum Housing;
Update on UK policy changes and their impact on homelessness and exclusion:
Crisis

15:30
Parallel workshop C2: Promoting health and wellbeing and delivering effective public health interventions
RESPONDING TO COMPLEX NEEDS AND SUPPORTING STAFF WORKING WITH DIFFICULT ISSUES:

The role of wet centres in meeting the health needs of long-term drinkers:
Jane Gray, Nursing Director and Peer Mentor, Anchor Centre, Leicester;

A practical framework for ‘Reflective Practice Team Development (RPTD)’ interventions to support teams and enhance Psychologically Informed Environments for the benefit of all;
Dr Christopher Scanlan, Consultant Psychotherapist, University of East London.

15:30
Parallel workshop C3: PATHWAY STREAM: Effective discharge from hospital and other settings – and reducing avoidable admissions
SUPPORTING EX-OFFENDERS AND OTHER MARGINALISED GROUPS WITHIN COMMUNITY SETTINGS;

Homeless Health Peer Advocacy approaches to reducing barriers to healthcare for homeless people:
Kate Bowgett, HHPA Manager, and David Hughes, Peer Advocate, Groundswell, London;

Initial outcomes from Emergency Assessment Centres and other short-term provision for rough sleepers – joint health, housing, and police approaches:
Sarah Mitchell, Brighton and Hove Rough Sleepers Street Services Team, Brighton and East Sussex; Sgt Richard Siggs, Sussex Police and Simon Hughes, First Base Day Centre, BHT.

15:30
Parallel workshop C4: NHS ENGLAND STREAM: Integrating and improving services INCREASING KNOWLEDGE, SKILLS AND CONFIDENCE TO RECOGNISE AND RESPOND TO MENTAL HEALTH ISSUES
Building mental health capacity and services within homelessness provision:
Barney Wells, Social Worker, Nicola Bygrave, OT and Tara O’Neill, Psychologist, all from the Enabling Assessment Service London;

Mental capacity guidance:
Elizabeth Clowes, Assistant Director, Social Inclusion, Lambeth Integrated Commissioning Team.

15:30
Parallel workshop C5: Clinical innovation and research
LOOKING AFTER OUR LIVERS: CURRENT PRACTICE AND FUTURE AMBITIONS FOR BIG CHANGE AND IMPACT;

Community-based alcohol detox provision:
Dr Merlin Wilcox, Dr Emma Warren, General Practitioners and Eve Gibb, Luther Street Medical Service, Oxford;

A breakthrough in hepatitis C - can we now cure everyone?:
Professor Graham Foster, Consultant hepatologist, Barts and The London NHS Trust, and Professor of Hepatology, Queen Mary University of London.

16:45
End of broadcast