Homelessness, Social Exclusion and Health Inequalities - from margins to mainstream #HomelessHealth15
04 Mar 2015

Two day live broadcast from London

Wednesday 4th - Thursday 5th February 2015

The symposium is developed by Pathway (the homeless health charity) and the Faculty for Homeless and Inclusion Health with support from the Health Foundation. This is the third symposium bringing together the latest in evidence and best practice from around health and public services to create a digital library of professional development material in this fast developing discipline.

Programme

Day 1 - 04 Mar 2015

10:00
Dr Yvonne Doyle, London Regional Director, Public Health England
Opening remarks

10:15
Professor Aidan Halligan, Chair, Faculty for Homeless and Inclusion Health and Chair, Pathway
Welcome and introduction

10:30
Dr Lynne Friedli, author of Mental Health, Resilience and Inequalities (WHO, 2009)
Keynote speech

10:50
Extreme exclusion and health
Dr Al Story, Clinical Lead, London Find and Treat Service, UCLH;
Professor Andrew Hayward, Professor of Infectious Disease Epidemiology and Inclusion Health Research, Farr Institute, UCL.

11:20
Session 1: Questions and discussion
11:30
Break
12:00
STREAM A1 – MENTAL HEALTH & SUBSTANCE MISUSE - LIVE Broadcast
Chaired by Dr Tim Robson, Pathway Team GP Trauma, personality disorder and social exclusion;
a) Homelessness as a consequence of decision-making in mental healthcare:
Dr Simon Wharne, Team Leader for Assertive Outreach, Sussex Partnership Trust;
b) Trauma-informed services for homeless people (with complex needs):
Caroline Hattersley, Deputy CEO, Providence Row;
Jo Prestidge, Senior Personal Advisor - Mental Health and Wellbeing, Providence Row.

12:00
STREAM B1 – EXCLUSION AND INCLUSION
Chaired by: Gill Brown, Chief Executive, Brighter Futures Meeting the healthcare needs of the vulnerable, yet excluded and under-served communities.
a) “Even getting through the door can be a problem if they think you are dirt": health consequences for stigmatised and vulnerable groups
Dr Margaret Greenfields, Professor of Social Policy and Community Engagement, Buckinghamshire New University;
b) Campaigning for change, and working together to meet health needs.
Zoe Matthews, Strategic Health Manager, and Rachel Wemyss, Friends, Families, and Travellers, Brighton.

12:00
STREAM C1 – PATHWAY PROJECTS
Chaired by: Dr Pippa Medcalf, Lead fellow for health inequalities and inclusion health, Royal College of Physicians Approaches to integrated care.
a) mpath - the primary and secondary care interface.
Dr Gerry O'Shea and Dr Shaun Jackson, GPs, mpath Service, Urban Village Medical Practice
b) Kings Health Partners Pathway team – working in A&E.
Rachel Smith, Nurse Practitioner, KHP Pathway Team;
c) Surviving in the new commissioning landscape.
Dr Peter Buchman, GP Lead, Royal London Hospital Pathway Team.

12:00
STREAM D1 –TOPICAL POLICY AND PRACTICE UPDATES WORKSHOP
Chaired by: Anne Beales MBE, Director of Service User Involvement, Together
Patient, community and service user involvement
a) Lessons from mental health survivor networks, peer support and service user leadership.
Anne Beales MBE, Director of Service User Involvement, Together
b) Working with prisoners and ex-offenders.
Mark Johnson, Founder, User Voice;
c) Involving service users in design and delivery of drug rehabilitation.
Dr Martin Weatherhead, GP lead, Service User Representation Lead, Counted 4, Sunderland.

13:00
Break
14:00
Dr Nigel Hewett, Medical Director, Pathway
Introduction to the role of the Faculty in promoting standards
Chaired by: Gill Brown, Chief Executive, Brighter Futures

14:20
Viv Askeland
Involving experts by experience – a personal perspective.

14:30
David Prior, Chairman, Care Quality Commission (CQC)
Regulation

14:50
Professor Kevin Fenton, Director of Health and Wellbeing, Public Health England
Leadership

15:10
Session 2: Questions and discussion
15:30
Break
15:58
STREAM A2 – MENTAL HEALTH & SUBSTANCE MISUSE
Chaired by: Dr Philip Timms, Consultant Psychiatrist, South London & Maudsley NHS Trust
Research issues
a) Preliminary results of a CBT/DBT quasi-RCT, and the issues involved in research with the socially excluded.
Dr Nick Maguire, Clinical Psychologist, Director of Programmes, AU Psychology, University of Southampton;
b) Discussion on the difficulties of research with socially excluded client groups, and how this might be tackled.
Dr Nick Maguire and Peter Cockersell, Associate Lecturer, Department of Psychology, University of Surrey and Consultant

15:59
STREAM B2 – EXCLUSION AND INCLUSION Dr Lucy Platt, Lecturer in Public Health Epidemiology, The London School of Hygiene & Tropical Medicine
Chaired by Gill Brown, Chief Executive, Brighter Futures
The health consequences of criminalising sex work.

15:59
STREAM B2 – EXCLUSION AND INCLUSION Peter Middleton, Senior Outreach Worker, New Horizon Youth Centre
15:59
STREAM B2 – EXCLUSION AND INCLUSION Questions and discussion
16:00
STREAM C2 – PATHWAY PROJECTS
Chaired by: Dr Pippa Medcalf, Lead fellow for health inequalities and inclusion health, Royal College of Physicians;
New approaches to medical respite care.
a) Bradford BRICCS.
Dr Andrew Lephard, Medical Director, Bevan Healthcare;
b) University College Hospital – Pathway to Home.
Emma Thomson, Medical Respite project manager, Pathway;
c) The Crypt, Leeds, emergency short stay community beds.
Dr Rhiannon Davies, York Street Medical Practice, Leeds.

16:00
STREAM D2 –TOPICAL POLICY AND PRACTICE UPDATES WORKSHOP
Chaired by: Anne Beales MBE, Director of Service User Involvement, Together;
Patient, community and service user involvement
a) Lessons from mental health survivor networks, peer support and service user leadership.
Anne Beales MBE, Director of Service User Involvement, Together;
b) Working with prisoners and ex-offenders.
Mark Johnson, Founder, User Voice;
c) Involving service users in design and delivery of drug rehabilitation.
Dr Martin Weatherhead, GP lead, Service User Representation Lead, Counted 4, Sunderland

17:00
End of broadcast - Day One

Day 2 - 05 Mar 2015

09:30
Mark Easton, Home Editor, BBC
Session three Chair

09:45
Alex Bax, Chief Executive, Pathway
Welcome and recap of the key messages

10:05
Dr Martin McShane, Director of Improving the quality of life for people with Long Term Conditions (Domain 2), NHS England
UK perspective on transforming health care

10:25
Dr Austin O’Carroll, GP Mountjoy Street Family Practice, Dublin and Safetynet Network of Specialised Services for Homeless People
City-wide approaches

10:40
Henrik Thiesen Manager and Senior Physician, Health Team for Homeless, Copenhagen, Denmark

11:00
Session 3: Questions and discussion
11:05
Break
11:29
STREAM A3 – MENTAL HEALTH & SUBSTANCE MISUSE - LIVE Broadcast
Chaired by Dr Philip Timms, Consultant Psychiatrist, South London & Maudsley NHS Trust Effective ways of working.
a) Bristol Wet Clinic: an Evaluation.
Clare Fleming, Bristol Homeless Health Service;

11:29
STREAM A3 – MENTAL HEALTH & SUBSTANCE MISUSE - LIVE Broadcast
b) Alcohol, Cognitive Function and Homelessness: A Nutritional Perspective.
Professor Adrian Bonner, Specialist Services Adviser, The Salvation Army.

11:29
STREAM A3 – MENTAL HEALTH & SUBSTANCE MISUSE - LIVE Broadcast - LIVE Broadcast
c) From Symptoms to Persons – A Counsellor’s Enhanced Response to Multiply Excluded Homeless People’. John Conolly, Lead Counsellor, Westminster Homeless Health Counselling Service, Central London Community Health NHS Trust. Not presented on the day, but PowerPoint here for reference.

11:29
STREAM A3 – MENTAL HEALTH & SUBSTANCE MISUSE Questions and discussion
11:30
STREAM B3 – EXCLUSION AND INCLUSION
Chaired by: Cath Maffia, TS4SE(Training and Support for Services and Exiles), Manchester;
The health of vulnerable migrants
a) Update on research and intelligence on health needs across Europe.
Lucy Jones, UK Programme Manager, Doctors of the World UK, part of the Médecins du Monde network;
b) Meeting the health and related needs of Eastern European migrants.
Dr Angela Burnett, Lead doctor at Freedom from Torture and GP at the Greenhouse Practice Hackney and Marcin Troc, Groundswell

11:30
STREAM C3 – PATHWAY PROJECTS
Chaired by: Dr Pippa Medcalf, Lead fellow for health inequalities and inclusion health, Royal College of Physicians Inclusion health: developing a new discipline.
a) Towards inter-professional post graduate training and qualifications – an MSc in Inclusion Health,
Dr Chris Sargeant, GP Lead Pathway Homeless Team, Brighton and Sussex University Hospital
b) CPD, accreditation, appraisal and re-validation in inclusion health.
Dr Zana Khan, General Practitioner, KHP Pathway Homeless Team, Guy’s and St Thomas’
c) The emerging roles of Social Work Occupational Therapy in homeless healthcare.
Karl Mason, Social Work Lead; Lilli Haig-Wood, OT, Trauma, Emergency & Acute Medicine, King’s College Hospital; Ben Cheney, Senior Social Worker, KHP Pathway Team

11:30
STREAM D3 –TOPICAL POLICY AND PRACTICE UPDATES WORKSHOP
Chaired by: Jon Sparkes, Chief Executive, Crisis Policy updates – legal, welfare, and housing issues.
Housing provision – local authority commissioning and issued for providers.
Helen Mathie, Head of Policy, and Francesca Albanese, Research Manager Homeless Link

12:30
Break
13:59
STREAM A4 - MENTAL HEALTH AND SUBSTANCE MISUSE
Chaired by: Dr Philip Timms, Consultant Psychiatrist, South London & Maudsley NHS Trust
Education
a) Alcohol, Cognitive Function & Homelessness: A Nutritional Perspective,
Professor Adrian Bonner, Specialist Services Adviser, The Salvation Army;
b) An Educational Model for Recovery.
Leila Persaud, Coordinator and Tutor; Dean O’Callaghan, volunteer and student; Farhana Islam, volunteer and student; Phillip Boothe, volunteer and student; all at the Recovery College, St Mungo’s Broadway

14:00
STREAM B4 – EXCLUSION AND INCLUSION
Chaired by: Cath Maffia, TS4SE (Training and Support for Services and Exiles), Manchester
The health of vulnerable migrants
a) Update on research and intelligence on health needs across Europe.
Lucy Jones, UK Programme Manager, Doctors of the World UK, part of the Médecins du Monde network ;
b) Transforming local health provision to vulnerable migrants.
Josie Hinton, Bridging Cultures, Senior Worker, MIND in Harrow

14:00
STREAM C4 – PATHWAY PROJECTS
Chaired by: Dr Pippa Medcalf, The Faculty Standards – developing our own Quality Assessment Framework: results of the phase one service reviews.
Gina Rowlands, Managing Director, Bradford Bevan Healthcare
Dr Eleanor Wilman, GP / clinical lead, York Street Health Practice, a service for people who are homeless, temporarily housed or seeking asylum in Leeds

14:00
STREAM D4 –TOPICAL POLICY AND PRACTICE UPDATES WORKSHOP - LIVE Broadcast
Chaired by Jon Sparkes, Chief Executive, Crisis Policy updates – legal, welfare, and housing issues.
a) Housing provision – local authority commissioning and issued for providers.
Helen Mathie, Head of Policy, and Francesca Albanese, Research Manager, Homeless Link
b) An Overview of access to housing and homelessness safety nets.
Carolyn Howell, National Homelessness Advice Service Coordinator, Shelter;
c) Perspective from a practicing solicitor.
Caroline Brosnan, Solicitor, Hodge Jones and Allen.

15:00
Break
15:20
Lord Adebowale CBE, Chair, All Party Parliamentary Group on Complex Needs and Dual Diagnosis (APPG)
Keynote speech

15:35
Panel discussion with Seminar and Workshop Chairs
16:20
Professor Aidan Halligan, Chair, Faculty for Homeless and Inclusion Health and Chair, Pathway
Concluding remarks

16:30
End of broadcast