Gatekeepers. voicesofstoke.org.uk expertcitizens.org.uk

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Alyson Joseph
5 years ago
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1 Gatekeepers

2 Contents Partnership Tips for health Health of homeless people Gatekeepers report and findings Lived experience testimony Impact Acknowledgements

3 Working in partnership All organisations involved have similar aims & philosophies Have a remit/commissioned to influence service change/design Tradition of bottom up design, ensuring the input of service users Service Design built around experiences

4 Developing outcomes More than a research project in that this requires outputs to be applied Publication of paper is merely part of the journey Expertise in the field lived experience Staff Experiences Knowledge of the broader sector Project Management with clear goals from outset Ability to access and negotiate with health and care leadership

6 Top tips for health 1. Don t be poor 2. Don t live in a deprived area 3. Don t be disabled 4. Don t work in a stressful, low paid, manual job 5. Don t live in damp, low quality housing or be homeless

7 Top tips for health 6. Be able to afford social activities and holidays 7. Don t be a lone parent 8. Claim all the benefits to which you are entitled 9. Be able to afford and own a car 10. Use education to improve your socio economic position

8 HEALTH OF THE HOMELESS

9 Homeless people are more likely to die young, with an average age of death of 47 years old and even lower for homeless women at 43. Crisis & University of Sheffield (2012), Homelessness Kills, page 4.

10 Homeless people aged 16 to 24 are twice as likely to die as their housed peers. Crisis & University of Sheffield (2012), Homelessness Kills

11 Homeless people aged 35 to 44 are between five and six times more likely to die as their housed peers. Crisis & University of Sheffield (2012), Homelessness Kills

12 Cause of death GENERAL POPULATION HOMELESS PEOPLE Source: Crisis and University of Sheffield (2012), Homelessness Kills, page 7.

13 Hospital interactions

NHS England guidance A patient residing in the practice area does not need identification Specific examples cited in the guidance include People that are street homeless or in unstable

15 NHS England guidance A patient residing in the practice area does not need identification Specific examples cited in the guidance include People that are street homeless or in unstable accommodation People fleeing domestic violence Gateway Reference 04448, November 2015.

16 Situation we tested Anecdotal information that registration was a problem Support workers and others in the sector Signposting was directed at a specialist practice or walk-in centres Limited choice for homeless people

17 What we did Expert Citizens conducted a mystery shop 47 practices across Stoke-on-Trent contacted Scenario presented was registration of a homeless person with no ID No other details were given Also considered case studies and testimony from stakeholders

18 The results 48% 26% 26%

19 TESTIMONY

20 IMPACT

21 What s happening CCG and Public Health have responded positively and are taking action Group met twice Director of Public Health Clinical Director of the CCG Portfolio Holder CCG Commissioning

22 Key actions CCG written to all GPs reminding them of the NHS England guidance Assurances Key staff will receive training Involvement of people with lived experience Incorporation of this customer group in to equality delivery system Action on hospital discharge

23 Hard Edges in Stoke Impact on use of services for 22 customers 12-month prior vs. 12-months since

24 Acknowledgments Authors Paul Astley, Healthwatch Stoke Ben Wilson, VOICES Expert Citizen researchers Joanne Cutts Rachele Hine Karen McCall Susan Perry Contributors Jane Morton, Staffordshire University Responders Cllr Ann James Dr Lesley Mountford Dr John Gilby CCG Commissioning Ruth Smeeth MP BBC Radio Stoke BBC Radio 5 Live

Communications and engagement for integrated health and care

Communications and engagement for integrated health and care Report for Northern CCG Committee Mary Bewley STP Communications Lead 6 th September 2018 Background Aims Objectives Challenges Collaborative