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.