slide1 n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
HOMELESSNESS: HEALTH POLICY CONTEXT FROM A NATIONAL PERSPECTIVE Martin Gibbs PowerPoint Presentation
Download Presentation
HOMELESSNESS: HEALTH POLICY CONTEXT FROM A NATIONAL PERSPECTIVE Martin Gibbs

Loading in 2 Seconds...

play fullscreen
1 / 14

HOMELESSNESS: HEALTH POLICY CONTEXT FROM A NATIONAL PERSPECTIVE Martin Gibbs - PowerPoint PPT Presentation


  • 128 Views
  • Uploaded on

HOMELESSNESS: HEALTH POLICY CONTEXT FROM A NATIONAL PERSPECTIVE Martin Gibbs Health Inequalities Unit Department of Health Public Health Homelessness Session Birmingham 19 October 2011. Policy context – Homelessness a key priority.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

HOMELESSNESS: HEALTH POLICY CONTEXT FROM A NATIONAL PERSPECTIVE Martin Gibbs


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1
HOMELESSNESS:

HEALTH POLICY CONTEXT FROM A NATIONAL PERSPECTIVE

Martin Gibbs

Health Inequalities Unit

Department of Health

Public Health Homelessness Session

Birmingham

19 October 2011

policy context homelessness a key priority
Policy context – Homelessness a key priority
  • Coalition Government committed to protecting the most vulnerable
  • Commitment to tackling homelessness and rough sleeping
  • Ministerial Working Group on homelessness
  • £400 million over next 4 years to tackle and prevent homelessness - maintained level of investment
  • £6.5 billion for Supporting People over next 4 years - less than 1 per cent average cash reduction
  • £37.5 million for Homelessness Change Programme – new hostel investment from April 2012
ministerial group on homelessness
Ministerial Group on Homelessness
  • Aims to address the complex causes of homelessness and rough sleeping
  • Clear strategic commitment by Ministers from eight Government departments across Whitehall
  • Early progress includes clear statements on homelessness in the Public Health White Paper, the OffenderRehabilitation Green Paper and the Drugs and Mental Health Strategies.
  • Cross-Government reportpublishedin July
  • Next report Spring 2012
policy context homelessness and health
Policy context – Homelessness and health

Health inequalities:

Tackling health inequalities is a Government priority, part of a wider focus on fairness and social justice. Everyone should have the same opportunities to lead a healthy life, no matter where they live or who they are. As well as helping people live longer, healthier and more fulfilling lives, we aim to improve the health of the poorest fastest.

policy context homelessness and health1
Policy context – Homelessness and health

Inclusion Health:

The health needs of the most vulnerable people are being addressed through the Inclusion Health programme, which will focus on improving access and outcomes for vulnerable groups.

Groups include the homeless and rough sleepers.

homeless their health
Homeless – their health
  • Homeless people have significantly higher levels of premature mortality

and mental and physical ill health than the general population.

  • As many as 40% of rough sleepers have multiple concurrent health

needs relating to mental, physical health and substance misuse

  • Of those registered at Cambridge Access Surgery, a homeless specialist

GP practice, 2-3% died each year between 2003-2008 and the average

age of those who died was 44.

  • Rough sleepers are 35 times more likely to commit suicide than the

general population

  • Homeless people have higher rates of tuberculosis (TB), bronchitis, foot problems and infections than the general population
homeless access to services
Homeless – access to services
  • Street homeless people are 40 times more likely than the general population not to be registered with a GP.
  • 31 of 125 PCTs surveyed operate an outreach team for homeless people
  • Homeless people are estimated to consume 8 times more hospital inpatient services than the general population of similar age and make 5 times more A&E visits
  • During 2007/08, 13,000 NFA patients access hospital services
how are we moving ahead
How are we moving ahead?
  • Health reforms – building into the new system
  • Inclusion Health
  • Specific commitments in Vision to end Rough Sleeping
reform agenda headlines
Reform agenda - headlines
  • NHS Commissioning Board
  • Clinical commissioning groups
  • Public Health England
  • Public health role for local authorities
  • New core role for Dept. Health
  • Strengthened roles for Monitor, CQC and NICE

And underpinning this:

  • Greater democratic legitimacy and patient involvement

And crucially:

  • Reducing health inequalities will be a priority for the NHS,

Public Health England and local authorities

nhs reform health inequalities
NHS reform – health inequalities
  • Duty on Secretary of State.
  • Duties on the NHSCB and CCGs to have regard to the need to reduce health inequalities
  • Outcomes Frameworks for the NHS and Public Health with inequalities and equalities at their heart
  • Allocations for GP consortia: ACRA to address the issue of unmet need.
  • Inclusion health – better outcomes for the most excluded
public health reform health inequalities
Public health reform – health inequalities
  • Health and Wellbeing Boards
  • Joint health and wellbeing strategies, drawing on Joint Strategic Needs Assessments
  • Directors of Public Health in local authorities
  • Ring-fenced public health grant - based on relative population health need and weighted for inequalities
  • Health premium - designed to incentivise action to reduce health inequalities
inclusion health
Inclusion Health
  • National Board
  • Four working groups:

Leadership and Workforce

Data, research and commissioning

Provision, promotion and prevention

Assurance and accountability

  • Workplan
rough sleeping commitments
Rough sleeping - commitments

Access healthcare

  • Support health and wellbeing boards to ensure that the needs of vulnerable groups are better reflected in Joint Strategic Needs Assessments
  • The National Inclusion Health Board will work with the NHS, local government and others to identify what more must be done to include the needs of homeless people in the commissioning of health services
  • Highlight the role of specialist services in treating homeless people, including those with a dual diagnosis of co-existing mental health and drug and alcohol problems
rough sleeping commitments1
Rough sleeping - commitments

Help prevent homelessness

  • The National Inclusion Health Board will work with the NHS, local government and others to identify what more must to be done to prevent people at risk of rough sleeping being discharged from hospital without accommodation.