Fulfilling Lives in Islington and CamdenFulfilling Lives in Islington and Camden (FLIC) supports people who have multiple and complex needs relating to drug and alcohol use, homelessness, offending and mental ill health, to build more positive and fulfilling futures. We work in partnership with statutory and voluntary agencies across both boroughs to improve services for people with multiple needs and drive systemic change, influencing how services are designed and delivered. Home Our action plan Voices Resources News About Physical health and we’ve joined up with Public Health to fund initiatives addressing dual diagnosis and frequent attenders at A & E. We’re also developing a shared programme of work in Camden to improve primary care access for clients with multiple needs. The majority of our clients have very poor physical health, with many having chronic long-term conditions that have rarely received consistent medical treatment. Some have also had acute illness necessitating emergency treatment and hospital admission. Seven clients (from a caseload of 72) died in our first eighteen months. With the average age of death for homeless people currently at 47 years for men and 43 for women, this is a priority. We want to look at ways in which the system can intervene earlier and more effectively to ensure that our clients are better able to access healthcare – and whether in doing so, the costs both to the individual and the system can be reduced. We are planning a physical health demonstration pilot with Public Health & local GP’s to look at how to improve access to primary care. We are also undertaking an in-depth evaluation of our health outcomes using comparable data taken from the beginning and mid-point of service delivery to see if an intensive outreach approach improves health outcomes. We will also be looking at how to improve the expertise & skillset of frontline workers so they are better able to identify & address health issues. FLIC Physical Heath Demonstration Pilot FLIC Physical Health Demonstration Pilot FLIC established a working group to develop the remit of the Demonstration Pilot (please see Quarter Four, Year Four report for further details). In Quarter Four (Year Four), the working group agreed that the pilot would focus on improving the capacity & accessibility of ‘mainstream’ GP practice to clients who were homeless or insecurely housed. We also worked closely with Public Health to secure additional S.106 funding bringing the total funds available to approximately £120,000.