Mapping of specialist primary health care services in England for people who are homeless.: Summary of findings and considerations for health service commissioners and providers.

Maureen Ann Crane; Gaia Cetrano; Louise Marjorie Anne Joly; Sarah Coward; Blanaid Josephine Mary Daly; Chris Ford; Heather Gage; Jill Manthorpe; Peter Williams

doi:10.18742/pub01-091

Mapping of specialist primary health care services in England for people who are homeless. Summary of findings and considerations for health service commissioners and providers.

Maureen Ann Crane, Gaia Cetrano, Louise Marjorie Anne Joly, Sarah Coward, Blanaid Josephine Mary Daly, Chris Ford, Heather Gage, Jill Manthorpe, Peter Williams

Policy Institute at King's

University of Surrey

Research output: Book/Report › Report

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Abstract

Homelessness has been a growing problem in many towns and cities across
England since 2010. It can have a serious adverse impact on a person’s health
and well-being. People who are homeless and sleeping rough or staying in
hostels and shelters have significantly higher levels of physical and mental
health problems than the general population. They also have higher rates of
problematic drug and alcohol use (Wright and Tompkins, 2006).
There are challenges in meeting the health needs of people who
are homeless. Many neglect their health, and their unsettled lifestyle
and sometimes chaotic behaviour reduce their likelihood of completing
treatment programmes. At the same time, many people who are homeless
face barriers in accessing health services, including the inflexibility of
services and appointment systems, negative attitudes from some health
staff, and the difficulties that services have in treating people with complex
and multiple needs.
This summary report presents key findings from a systematic mapping
exercise across England of specialist primary health care services for single
people who are homeless. It raises questions for consideration by health service
commissioners and providers about the provision of primary health care
services for this patient group.
The mapping exercise was part of a larger study in progress which is
examining the integration, effectiveness and cost-effectiveness of different
models of delivering primary health care to people who are homeless
(HEARTH study). The HEARTH study is funded by the Health Services
and Delivery Research Programme of the National Institute for Health
Research, and is being conducted at the Social Care Workforce Research Unit,
within the Policy Institute at King’s College London, and at the University of
Surrey. Ethical approval for the study was obtained from London Bloomsbury
Research Ethics Committee (Reference 15/LO/1382).

Original language	English
Publisher	Social Care Workforce Research Unit, King's College London
Commissioning body	NIHR National Institute For Health & Care Research
Number of pages	16
DOIs	https://doi.org/10.18742/pub01-091
Publication status	Published - 15 Feb 2018

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Cite this

Crane, M. A., Cetrano, G., Joly, L. M. A., Coward, S., Daly, B. J. M., Ford, C., Gage, H., Manthorpe, J., & Williams, P. (2018). Mapping of specialist primary health care services in England for people who are homeless. Summary of findings and considerations for health service commissioners and providers. Social Care Workforce Research Unit, King's College London. https://doi.org/10.18742/pub01-091

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title = "Mapping of specialist primary health care services in England for people who are homeless.: Summary of findings and considerations for health service commissioners and providers.",

abstract = "Homelessness has been a growing problem in many towns and cities acrossEngland since 2010. It can have a serious adverse impact on a person{\textquoteright}s healthand well-being. People who are homeless and sleeping rough or staying inhostels and shelters have significantly higher levels of physical and mentalhealth problems than the general population. They also have higher rates ofproblematic drug and alcohol use (Wright and Tompkins, 2006).There are challenges in meeting the health needs of people whoare homeless. Many neglect their health, and their unsettled lifestyleand sometimes chaotic behaviour reduce their likelihood of completingtreatment programmes. At the same time, many people who are homelessface barriers in accessing health services, including the inflexibility ofservices and appointment systems, negative attitudes from some healthstaff, and the difficulties that services have in treating people with complexand multiple needs.This summary report presents key findings from a systematic mappingexercise across England of specialist primary health care services for singlepeople who are homeless. It raises questions for consideration by health servicecommissioners and providers about the provision of primary health careservices for this patient group.The mapping exercise was part of a larger study in progress which isexamining the integration, effectiveness and cost-effectiveness of differentmodels of delivering primary health care to people who are homeless(HEARTH study). The HEARTH study is funded by the Health Servicesand Delivery Research Programme of the National Institute for HealthResearch, and is being conducted at the Social Care Workforce Research Unit,within the Policy Institute at King{\textquoteright}s College London, and at the University ofSurrey. Ethical approval for the study was obtained from London BloomsburyResearch Ethics Committee (Reference 15/LO/1382). ",

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Crane, MA , Cetrano, G , Joly, LMA, Coward, S, Daly, BJM, Ford, C, Gage, H, Manthorpe, J & Williams, P 2018, Mapping of specialist primary health care services in England for people who are homeless. Summary of findings and considerations for health service commissioners and providers. Social Care Workforce Research Unit, King's College London. https://doi.org/10.18742/pub01-091

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T2 - Summary of findings and considerations for health service commissioners and providers.

AU - Crane, Maureen Ann

AU - Cetrano, Gaia

AU - Joly, Louise Marjorie Anne

AU - Coward, Sarah

AU - Daly, Blanaid Josephine Mary

AU - Ford, Chris

AU - Gage, Heather

AU - Manthorpe, Jill

AU - Williams, Peter

PY - 2018/2/15

Y1 - 2018/2/15

N2 - Homelessness has been a growing problem in many towns and cities acrossEngland since 2010. It can have a serious adverse impact on a person’s healthand well-being. People who are homeless and sleeping rough or staying inhostels and shelters have significantly higher levels of physical and mentalhealth problems than the general population. They also have higher rates ofproblematic drug and alcohol use (Wright and Tompkins, 2006).There are challenges in meeting the health needs of people whoare homeless. Many neglect their health, and their unsettled lifestyleand sometimes chaotic behaviour reduce their likelihood of completingtreatment programmes. At the same time, many people who are homelessface barriers in accessing health services, including the inflexibility ofservices and appointment systems, negative attitudes from some healthstaff, and the difficulties that services have in treating people with complexand multiple needs.This summary report presents key findings from a systematic mappingexercise across England of specialist primary health care services for singlepeople who are homeless. It raises questions for consideration by health servicecommissioners and providers about the provision of primary health careservices for this patient group.The mapping exercise was part of a larger study in progress which isexamining the integration, effectiveness and cost-effectiveness of differentmodels of delivering primary health care to people who are homeless(HEARTH study). The HEARTH study is funded by the Health Servicesand Delivery Research Programme of the National Institute for HealthResearch, and is being conducted at the Social Care Workforce Research Unit,within the Policy Institute at King’s College London, and at the University ofSurrey. Ethical approval for the study was obtained from London BloomsburyResearch Ethics Committee (Reference 15/LO/1382).

AB - Homelessness has been a growing problem in many towns and cities acrossEngland since 2010. It can have a serious adverse impact on a person’s healthand well-being. People who are homeless and sleeping rough or staying inhostels and shelters have significantly higher levels of physical and mentalhealth problems than the general population. They also have higher rates ofproblematic drug and alcohol use (Wright and Tompkins, 2006).There are challenges in meeting the health needs of people whoare homeless. Many neglect their health, and their unsettled lifestyleand sometimes chaotic behaviour reduce their likelihood of completingtreatment programmes. At the same time, many people who are homelessface barriers in accessing health services, including the inflexibility ofservices and appointment systems, negative attitudes from some healthstaff, and the difficulties that services have in treating people with complexand multiple needs.This summary report presents key findings from a systematic mappingexercise across England of specialist primary health care services for singlepeople who are homeless. It raises questions for consideration by health servicecommissioners and providers about the provision of primary health careservices for this patient group.The mapping exercise was part of a larger study in progress which isexamining the integration, effectiveness and cost-effectiveness of differentmodels of delivering primary health care to people who are homeless(HEARTH study). The HEARTH study is funded by the Health Servicesand Delivery Research Programme of the National Institute for HealthResearch, and is being conducted at the Social Care Workforce Research Unit,within the Policy Institute at King’s College London, and at the University ofSurrey. Ethical approval for the study was obtained from London BloomsburyResearch Ethics Committee (Reference 15/LO/1382).

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U2 - 10.18742/pub01-091

DO - 10.18742/pub01-091

M3 - Report

BT - Mapping of specialist primary health care services in England for people who are homeless.

PB - Social Care Workforce Research Unit, King's College London

ER -

Mapping of specialist primary health care services in England for people who are homeless. Summary of findings and considerations for health service commissioners and providers.

Abstract

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