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BREAKOUT SESSIONS

Concurrent sessions run throughout both days of this symposium.

Please use the links below to access these breakout sessions at the appropriate times, check the agenda for full details of all breakout sessions.

Stream A: available to view via the main live stream above.

Streams B, C & D: Where available online breakout sessions are hyperlinked on the Agenda – simply open the appropriate day of the symposium agenda and click on the breakout title to watch the session.

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WELCOME TO PATHWAYS FROM HOMELESSNESS 2023

Welcome to the live stream of the Pathways from Homelessness 2024 Symposium.

The 2024 Pathways from Homelessness Symposium will be a call to action based on evidence. We did it with “Everyone In” in 2020, we can do it again.

At March 2023, 104,510 households were in temporary homeless accommodation. 131,370 children were in temporary accommodation. It affects health and wellbeing, mental health, children’s education and life chances – it is an emergency and it is getting worse.

We know that health is a critical factor leading to homelessness and successful recovery from homelessness.

We know from evidence that housing first is critical, but that it is often not sufficient.

Complex health conditions need to be addressed. A decade of work, research and service development means policy makers have the evidence on how to tackle homeless health issues. With the establishment of new integrated care services locally there are new opportunities to integrate prevention and innovative solutions.

The 2024 Symposium will bring together the best practice, policy, clinical and intervention work with homeless people, not just from the UK but Internationally.

AGENDA

Please click on the tabs below to see the seminar agenda for each day of this event.

10.00 – 11.15 PLENARY SESSION ONE

FROM EVIDENCE TO ACTION – INCLUSION HEALTH IN TODAY’S NHS

10.00 Chair’s opening remarks
Alex Bax, Chief Executive and Mandy Pattinson, Lived Experience Programme Manager, Pathway

10.10 Keynote Address
Professor Kamila Hawthorne MBE, Chair of Council, Royal College of General Practitioners

10.20 The effectiveness of different models of primary health care services for people who are homeless
Dr Maureen Crane, Visiting Senior Research Fellow and Dr Louise Joly, Visiting Research Fellow, King’s College London

10.40 In conversation with …
Dr Laura Neilson, Chief Executive, Shared Health Foundation
Dr Maureen Crane, Visiting Senior Research Fellow and Dr Louise Joly, Visiting Research Fellow, King’s College London
Mandy Pattinson, Lived Experience Programme Manager and Pete Bull, Experts by Experience, Pathway

11.15 – 11.45 REFRESHMENT BREAK

11.45 – 13.15 BREAKOUT SESSIONS STREAM 1

STREAM A1: MEETING THE NEEDS OF ASYLUM SEEKERS

Understanding and addressing the needs of refugee and asylum-seeking children and young people
Dr Amy Stevens, Public Health Lead, Bevan Healthcare CIC

A picture of the level of complex need of asylum seekers as seen by a specialist primary care provider
Dr Eleanor Oseya and Dr Edward Orsi, General Practitioners, Inclusion Healthcare

Doctors of the World update:  5 years of Safe surgeries and ‘They just left me’: research report on asylum seekers, health, and access to healthcare in initial and contingency accommodation
Niloha Rangel, National Health Advisor and Lucy Jones, Associate Director of Research, Doctors of the World UK

“This is silent murder”: Are we medicalizing human distress caused by the reality of life as an asylum seeker in the UK?
Dr Emily Clark GP, Prospect Medical Practice; NIHR In-practice Fellow,University of East Anglia and Rasha Ibrahim, CEO, The Zainab Project

STREAM B1: PEOPLE IN MENTAL HEALTH SERVICES

Learning from the ‘Everyone In’ approach to providing mental and physical health support to people experiencing homelessness for translation into future health and policy
Neha Jain, Research Assistant and Emma Adams, NIHR Doctorate Fellow, Newcastle University

Stigma and lived experience in the homelessness sector
Dan Bleksley, Research Officer, Groundswell

Trauma informed systems: practical, co-produced recommendations
Hazel Renouf, Trauma Informed Systems Manager, NHS Bristol, North Somerset and South Gloucestershire Integrated Care Board

STREAM C1: IMPROVING SERVICES THROUGH CO-PRODUCTION

Co-producing palliative and end of life care research with people with lived experience of homelessness: The TIFFIN recommendations
Jodie Crooks, Qualitative Research Manager, Marie Curie

My story, my words, my voice
Marie McDermott, Senior Nurse for Primary Care, Norfolk and Waveney Integrated Care Board and Tracey Williams, Queen’s Nurse; Honorary Fellow Faculty Homeless and Inclusion Health; Norfolk and Waveney ICB Clinical Lead for Health Inequalities & Inclusion Health

Tackling trauma to end homelessness
Luke Elton, Head of Service Improvement, Oasis Community Housing

STREAM D1: ACTION THROUGH EDUCATION

The Importance of empathy in inclusion healthcare
Dr Andy Ward, Associate Professor of Medical Education and Inclusion Health GP, Stoneygate Centre for Empathic Healthcare, Leicester Medical School
Ray Cottington, Leicester Peer Programme Manager, Hep C Trust

Enabling psychologically informed environments and trauma informed care in organisations: leadership perspectives
Dr Peter Cockersell, CEO, Community House and Therapy and Dr Sione Marshall, Clinical Psychologist, Independent Practitioner

Stakeholder mapping in inclusion health: Who needs to be included?
Luke Johnson, Public Health Registrar, UCLH Find and Treat

12.45 – 14.00 LUNCH BREAK

13.20 – 13.50 LUNCH AND LEARN

Action on addiction – challenging stereotypes, saving lives

Glasgow’s plans for a saFer drug consumption facility
Dr Saket Priyadarshi, Associate Medical Director and Senior Medical Officer, Glasgow Alcohol and Drug Recovery Services

14.00 – 15.15 BREAKOUT SESSIONS STREAM 2

STREAM A2: IMPROVING INCLUSION HEALTH PRIMARY CARE

Focused care: ‘making the invisible visible
Dr Laura Neilson, CEO, Shared Health Foundation

Green health prescriptions for people experiencing homelessness
Dr Katie Hawkins GP, The Access Place

A realist review of the causes of ‘missingness’ in primary care, and the interventions designed to address it
Dr David Baruffati, Research Associate, University of Glasgow

STREAM B2: ACTION ON ADDICITIONS

Rough Sleeper Drug and Alcohol Service collaborative working with the Chapman Barker Unit for rapid access to inpatient detoxification for the homeless population
Gill Heaton, GM Housing First ,RSDA Salford and Clare Hilton, Patient Flow Lead, Chapman-Barker Unit, GMMH

It’s more than Hep C – Hepatitis C and people who experience severe and multiple disadvantage
Lou Wilkins, Team Leader and Sarah Paling, Specialist Harm Reduction Outreach Lead, The Health Shop

Delivering Neuro informed care in Homeless services
Dr Viki Teggart, Consultant Clinical Neuropsychologist and Rebecca Humphreys, Clinical Neuropsychologist, Greater Manchester Mental Health Foundation Trust

Navigating transitions into and through peer worker roles: an autoethnographic exploration of work on the SHARPS Study
Josh Dumbrell, Research Assistant, University of Stirling

STREAM C2: ACTION ON MENTAL HEALTH SERVICES

Using local service data to inform an inclusive model of mental health care
Dr Eileen Corroon Sweeney, Consultant Psychiatrist, Inclusion Mental Health Team, Dublin South City (INT)

The ‘good’ bye – reflections on transitions and endings in a mental health homeless team
Dr Sarah Shand, Specialist Therapeutic Outreach Team and Maria Preston, Clinical Team Manager, LYPFT

Integrating primary care and mental health in an NHS homeless healthcare service: A pilot of using a ‘seeking safety’ group-based intervention
Dr Jodie Pitt, Principal Clinical Psychologist, NHS Homeless Healthcare and Catherine James GP, Homeless Healthcare Team Southampton; Berkshire West Primary Care Training Hub Programme Director

STREAM D2: A YEAR OF ACTION IN THE PATHWAY PARTNERSHIP PROGRAMME

A year of action in the Pathway Partnership Programme

In this session we explain our programme supporting commissioners, managers and teams to improve the health of people experiencing homelessness.

We will explore the exciting achievements and the many challenges facing our Pathway teams. We also hear from some of the teams themselves.

Dr Peter Buchman, GP; Deputy Clinical Lead for Pathway Partnership Programme

Paul Hamlin, Project Manager, Pathway Partnership Programme

Theo Jackson, Research & Data Lead, Pathway Partnership Programme

Dr Danielle Williams, GP lead Homelessness Inclusion Team, St Georges Hospital NHS Trust

Dr Danny Fay, GP Health Inclusion Pathway Plymouth

Shona Rogers, Peer researcher

Emma Slyfield, Support Worker Health Inclusion Pathway Plymouth

15.15 – 15.45 REFRESHMENT BREAK

15.45 – 16.45 PLENARY SESSION TWO

INCLUSION HEALTH EDUCATION: CULTURE CHANGE, SYSTEM CHANGE, HEARTS AND MINDS

15.45 Chair’s introduction
Dr Chris Sargeant, Medical Director, Faculty of Homeless and Inclusion Health

Jeff Parker, Pathway Expert by Experience

Inclusion health: the power of education
Dr Gemma Ashwell GP and Clinical Lecturer, Bevan Healthcare and University of Leeds
Professor Margaret Greenfields, Professor of Social Policy, Anglia Ruskin University

Panel discussion: above speakers plus
Jeff Parker, Pathway Expert by Experience
Samraj Bhullar, Student Representative

16.45 – 17.30 PLENARY SESSION THREE

TAKING ACTION ON INCLUSION HEALTH

16.45 Chair’s opening remarks
Dee O’Connell, Head of Policy and Programmes, Pathway

Dr Jenny Drife, Consultant Psychiatrist, START Homeless Team; Inclusion health advisor to the Royal College of Psychiatrists

Launch of the Barometer of Homeless and Inclusion Health
Francesca Albanese, Head of Research and Evaluation, Crisis

Presentations from Pathway and Crisis

17.30 Award of Honorary Fellowships to the Faculty

17.40 Sing for Freedom Choir

The choir will be performing a short programme of their own poetry and songs in joyful acapella harmony, chosen and adapted by the group in response to their current theme of ‘belonging’.

Close of Day 1 of the Symposium

08.30 – 09.30 INTERNATIONAL BREAKFAST BRIEFING PANEL DISCUSSION

 

CANCERLESS PROJECT: Innovative health services for cancer prevention in homeless people
Professor Rosa Gomez Trenado, Project Manager-Researcher, Fundacion Para la Investigacion e Innovacion Biosanit en Atencion Primaria – Sermasb, Spain

Co-designing the Health Navigator Model to enhance cancer prevention and early detection among people experiencing homelessness in Europe
Tobias Schiffler, Research Assistant/PhD candidate, Department of Social and Preventive Medicine, Centre for Public Health, Medical University of Vienna, Austria

Results of a Phase II Hybrid Randomised Controlled Trial of the Homeless Health Response Bundle on reattendances to an Australian Emergency Department
Professor Jane Currie, Professor of Nursing, Queensland University of Technology, Australia

09.00 – 09.30 Action on effective interventions: peer-led, psychosocial and NICE
Guillermo Rodriguez, Head of Evidence and Data, Centre for Homelessness Impact
Greg Hurst, Head of Communications and Public Affairs, centre for Homelessness Impact
Dr Jo Brown, Research Manager, Groundswell
James Dillon, Peer Evaluator, Crisis
Katie Carter, Pathway Housing and Team Coordinator, Arch Health CIC/Brighton & Sussex University Hospitals NHS Trust
Sara Emerson, Health Engagement Team Leader, Justlife

09.45 – 11.15 PLENARY SESSION FOUR

USING SAFEGUARDING TO CHALLENGE POOR PRACTICE, IMPROVE CARE AND CHANGE CULTURES

Please note this session includes polling. To be able to participate and vote please scan the QR code below with your mobile device.

Chair’s opening remarks
Sam Dorney-Smith, Pathway’s Senior Nursing Fellow and Secretary of the London Network of Nurses and Midwives Homelessness Group

In discussion with:
Khosru Miah, Community Member, The People’s Recovery Project

Presentations:
Professor Michael Preston-Shoot, Emeritus Professor of Social Work, University of Bedfordshire; Independent Chair, Greenwich Safeguarding Adults Board, Lewisham Safeguarding Adults Board, Somerset Safeguarding Adults Board; Joint Coordinator, National SAB Chairs’ Network; Adult Safeguarding Consultant
Melanie Williams, Vice President, Association of Directors of Adult Social Services; Corporate Director, Adult Social Care and Public Health, Nottingham County Council
Gill Taylor, Independent Homelessness, Safeguarding & Inclusion Health Consultant

11.15 – 11.45 REFESHMENT BREAK

11.45 – 13.15 BREAKOUT SESSIONS STREAM 3

STREAM A3: PECHA KUCHA PRESENTATIONS

What does expert practice and research, tell us about executive functioning and The Care Act in homelessness?
Ellie Atkins, Manager & Safeguarding Lead, Adult Social Care in Homelessness and Rough Sleeping. Manchester City Council

Making a rough sleepers’ drug & alcohol outreach team psychologically and trauma informed
Dr Sophie Buckley, Clinical Psychologist and Chloe Shepherd, Substance Misuse Practitioner, Nottingham Recovery Network / Framework HA

Feedback, reflections and learning in the co-design and delivery of inclusion health education with experts by experience
Jo Dawes, Physiotherapist and Research Fellow, University College London

Hostel support workers experiences navigating healthcare alongside people experiencing homelessness
Iman Muzafar, 4th Year Medical Student, Imperial College Business School & King’s College London GKT School of Medical Education

Work score use repeat
Dr Hayley Rees GP, Bevan Healthcare CIC

Proactive preventative medicine for homeless populations: a case series in primary care
Dr Neil Singh, Head, Homeless and Inclusion Health Service, Victoria Primary Care Network, Eastbourne & Senior Clinical Teaching Fellow, Department of Primary Care and Public Health, Brighton and Sussex Medical School Victoria Primary Care Network, & Brighton and Sussex Medical School

Preliminary findings: what is the nutrition status of homeless people residing in temporary accommodation in North London?
Hannah Style, Founder and Research Dietitian, FEAST With Us

Mitigating the overdose risk faced by people experiencing homelessness from across Cranstoun services
Wendy Taylor, Assistant Director of Services and Chris Rintoul, Head of Harm Reduction, Cranstoun

Exploring effective mental health interventions for people experiencing homelessness: An East of England NIHR ARC Research Project
Jenny Walker, Inclusion Health & Homelessness Advanced Nurse Practitioner, Norfolk & Suffolk Foundation Trust

Meeting the mental health need of people seeking asylum and refugees in Norfolk
Dr Hannah Fox GP, SHIFA Clinic, NSFT

‘Everyone counts’: an exploration of barriers to accessing healthcare for some of the most vulnerable children in the NHS
Holly Tarn, Year 4 Medical Student, Brighton and Sussex Medical School

One small step for Bevan, one giant leap for Inclusion Health patient
Dominic Maddocks, Paramedic and Angelique Denys, Homeless Outreach Nurse,Bevan Street Health Team

Developing a ‘neuro-informed’ network
Dr Louise Noronha, Clinical Psychologist, Psychology in Hostels Team, East London NHS Foundation Trust and Dr Ché Rosebert, Clinical Psychologist / Tower Hamlets Psychology in Hostels Lead

Embedding peer work in interdisciplinary health settings: An example from the neunerhaus Mental Health Practice
Paula Reid, Health and Participation Lead, neunerhaus

STREAM B3: IMPROVING INCLUSION HEALTH HOSPITAL CARE

All right stop, collaborate and listen. Can Vanilla Ice inspire out of hospital care?
Elizabeth Keat, Homeless Integration Lead, Leeds Community Healthcare

Severe injection-related infection: development of a novel, patient-centered pathway
Dr Claire Mackintosh, Consultant Infectious Disease Physician, Regional Infectious Diseases Unit, Western General Hospital and Linda Smith, Lead Drug Liaison Nurse, NHS Lothian

My voice matters
Rebekah Besford, Clinical Lead Nurse and Dawn Benge, Care Navigator, Leeds HHIT

Using immigration advice to help vulnerable non-UK nationals experiencing homelessness find pathways out of destitution: the hospital discharge model
Josephine Whitaker-Yilmaz, Policy and Public Affairs Manager, Praxis

STREAM C3: POST – HOSPITAL HOUSING AND SUPPORT

Innovative practices in intermediate care
Dr Johanna Reilly GP, Edinburgh access Practice

Greater Manchester Housing First: Integrated health offer for people with co-occurring mental health, alcohol and drugs support needs
Jade Elliott, Operational Manager, GMMH Housing First Dual Diagnosis Team and Emily Cole, Programme Lead, GM Housing First

Access to health services for those in temporary accommodation through health engagement work
Sara Emerson, Health Engagement Team Leader, Justlife

12:45 – 14:00 LUNCH BREAK

13:00 – 13:50 LUNCH AND LEARN

13.20 – 13.50 Evaluation of the pan London substance misuse inpatient detox and rehab pathway for people experiencing homelessness
Dr Caroline Shulman, Inclusion Health Clinician and Researcher; Honorary Lecturer, UCL; Pathway Senior Clinical Fellow – Homelessness and Palliative Care

13.00 – 13.40 Action on employment – recruiting people with lived experience of homelessness into the NHS, a best practice toolkit
Emma Thomson, Senior Project Manager, Pathways
Darren De Vally, Freelance Consultant for Pathway

14.00 – 15.15 BREAKOUT SESSIONS STREAM 4

STREAM A4: INTEGRATED COMMISSIONING

Integrated Commissioning

This session will discuss challenges and opportunities on inclusion health for ICSs and will ask what more needs to be done locally and nationally to make real improvements in health and care for people facing social exclusion.

Dee O’Connell, Director of Policy and Programmes, Pathway
Gill Taylor, Inclusion Health Learning Programme Lead, Pathway
Nicola Gitsham, Head of Healthcare Inequalities Improvement and Personalisation, NHS England
Clare Mahoney, Complex Lives / Inclusion Health Programme Lead, Liverpool Place
Lisa Byrne & Lena Abdu, Surrey Heartlands ICB

STREAM B4: TAILORING THERAPIES

Does a little go a long way? OT clinics in a high support hostel
Nicola Bygrave, Senior Occupational Therapist and Anna Midgley, Westminster Homeless Health Coordination Project (HHCP), EASL

Digital pathways through homelessness: a longitudinal qualitative study exploring technology use in relation to health for women experiencing homelessness
Sophie Gaber, Occupational Therapy Postdoc Researcher, University College London (England) & Marie Cederschiöld University (Sweden) & Jo Dawes, Physiotherapist and Research Fellow, University College London

Communication support: A pilot to develop a speech and language therapy service within the Greater Manchester Mental Health Foundation Trust Homelessness Services
Laura Cole, Speech and Language Therapist, Greater Manchester Mental Health Foundation Trust

Nutritional assessment of people experiencing homelessness
Ghislaine Swinburn, PCN FCP Dietitian, Bristol Inner City Primary Care Network

STREAM C4: ACTION ON HOUSING

Health begins at home
Sharon Collins, Director, Keep Well Collaborative, Hampshire & Isle of Wight Integrated Care Board

Health and housing: making permanent supportive housing work for Canada’s most vulnerable
Stephen Rolfe, Director of Health Partnerships/PhD student, Indwell &
Dr Abe Oudshoorne, Associate Professor and Associate Director (Graduate Programs), Western University, Ontario

A place to play: The effects of temporary accommodation on the play needs of under-5s
Anna Pearl Johnson, Researcher, The Reach Alliance

STREAM D4: LEADING THE WAY ON CO-PRODUCTION

“I have lived through it”: initiating system change through the voice of lived experience
Carolin Hess, Research Fellow, Nottingham Trent University/Changing Futures Nottingham; Sabrina Robinson, Expert Citizen, Julian Jennings, Peer-Mentor & Amelia Draper, Evaluation Lead, Changing Futures Nottingham

The evolution of a grassroots Inclusion Health Network to City of Sanctuary Health Stream in Norwich
Dr Hannah Fox GP & GPwER in mental health of people seeking asylum, Lawson Road Surgery &
Dr Emily Clark GP, Prospect Medical Practice; NIHR In-practice Fellow, University of East Anglia

15.00 – 15.45 REFRESHMENT BREAK

15.45 – 16.45 PLENARY SESSION FIVE

PROFESSOR AIDAN HALLIGAN MEMORIAL LECTURE AND CLOSING STATEMENT

15.30 Chair’s opening remarks
Dr Chris Sargeant, Medical Director, Faculty for Homeless and Inclusion Health

15.35 Aidan Halligan Memorial Lecture
Professor Sir Michael Marmot CH, Director, UCL Institute of Health Equity; UCL Dept of Epidemiology and Public Health

16.10 Faculty Network’s Commitment to Action
Dr Jenny Drife, Consultant Psychiatrist, START Homeless Team; Inclusion Health Advisor to the Royal College of Psychiatrists on Homelessness
Tony Jablonski and Gareth Davis, Pathway Experts by Experience

16.25 – 16.30 Vote of thanks and closing remarks
Leslie Morphy CBE, Chair, Pathway

Close of Day 2 of the Symposium

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Day 1 - 13/03/2024

10.00 – 11.15 PLENARY SESSION ONE

FROM EVIDENCE TO ACTION – INCLUSION HEALTH IN TODAY’S NHS

10.00 Chair’s opening remarks
Alex Bax, Chief Executive and Mandy Pattinson, Lived Experience Programme Manager, Pathway

10.10 Keynote Address
Professor Kamila Hawthorne MBE, Chair of Council, Royal College of General Practitioners

10.20 The effectiveness of different models of primary health care services for people who are homeless
Dr Maureen Crane, Visiting Senior Research Fellow and Dr Louise Joly, Visiting Research Fellow, King’s College London

10.40 In conversation with …
Dr Laura Neilson, Chief Executive, Shared Health Foundation
Dr Maureen Crane, Visiting Senior Research Fellow and Dr Louise Joly, Visiting Research Fellow, King’s College London
Mandy Pattinson, Lived Experience Programme Manager and Pete Bull, Experts by Experience, Pathway

11.15 – 11.45 REFRESHMENT BREAK

11.45 – 13.15 BREAKOUT SESSIONS STREAM 1

STREAM A1: MEETING THE NEEDS OF ASYLUM SEEKERS

Understanding and addressing the needs of refugee and asylum-seeking children and young people
Dr Amy Stevens, Public Health Lead, Bevan Healthcare CIC

A picture of the level of complex need of asylum seekers as seen by a specialist primary care provider
Dr Eleanor Oseya and Dr Edward Orsi, General Practitioners, Inclusion Healthcare

Doctors of the World update:  5 years of Safe surgeries and ‘They just left me’: research report on asylum seekers, health, and access to healthcare in initial and contingency accommodation
Niloha Rangel, National Health Advisor and Lucy Jones, Associate Director of Research, Doctors of the World UK

“This is silent murder”: Are we medicalizing human distress caused by the reality of life as an asylum seeker in the UK?
Dr Emily Clark GP, Prospect Medical Practice; NIHR In-practice Fellow,University of East Anglia and Rasha Ibrahim, CEO, The Zainab Project

STREAM B1: PEOPLE IN MENTAL HEALTH SERVICES

Learning from the ‘Everyone In’ approach to providing mental and physical health support to people experiencing homelessness for translation into future health and policy
Neha Jain, Research Assistant and Emma Adams, NIHR Doctorate Fellow, Newcastle University

Stigma and lived experience in the homelessness sector
Dan Bleksley, Research Officer, Groundswell

Trauma informed systems: practical, co-produced recommendations
Hazel Renouf, Trauma Informed Systems Manager, NHS Bristol, North Somerset and South Gloucestershire Integrated Care Board

STREAM C1: IMPROVING SERVICES THROUGH CO-PRODUCTION

Co-producing palliative and end of life care research with people with lived experience of homelessness: The TIFFIN recommendations
Jodie Crooks, Qualitative Research Manager, Marie Curie

My story, my words, my voice
Marie McDermott, Senior Nurse for Primary Care, Norfolk and Waveney Integrated Care Board and Tracey Williams, Queen’s Nurse; Honorary Fellow Faculty Homeless and Inclusion Health; Norfolk and Waveney ICB Clinical Lead for Health Inequalities & Inclusion Health

Tackling trauma to end homelessness
Luke Elton, Head of Service Improvement, Oasis Community Housing

STREAM D1: ACTION THROUGH EDUCATION

The Importance of empathy in inclusion healthcare
Dr Andy Ward, Associate Professor of Medical Education and Inclusion Health GP, Stoneygate Centre for Empathic Healthcare, Leicester Medical School
Ray Cottington, Leicester Peer Programme Manager, Hep C Trust

Enabling psychologically informed environments and trauma informed care in organisations: leadership perspectives
Dr Peter Cockersell, CEO, Community House and Therapy and Dr Sione Marshall, Clinical Psychologist, Independent Practitioner

Stakeholder mapping in inclusion health: Who needs to be included?
Luke Johnson, Public Health Registrar, UCLH Find and Treat

12.45 – 14.00 LUNCH BREAK

13.20 – 13.50 LUNCH AND LEARN

Action on addiction – challenging stereotypes, saving lives

Glasgow’s plans for a saFer drug consumption facility
Dr Saket Priyadarshi, Associate Medical Director and Senior Medical Officer, Glasgow Alcohol and Drug Recovery Services

14.00 – 15.15 BREAKOUT SESSIONS STREAM 2

STREAM A2: IMPROVING INCLUSION HEALTH PRIMARY CARE

Focused care: ‘making the invisible visible
Dr Laura Neilson, CEO, Shared Health Foundation

Green health prescriptions for people experiencing homelessness
Dr Katie Hawkins GP, The Access Place

A realist review of the causes of ‘missingness’ in primary care, and the interventions designed to address it
Dr David Baruffati, Research Associate, University of Glasgow

STREAM B2: ACTION ON ADDICITIONS

Rough Sleeper Drug and Alcohol Service collaborative working with the Chapman Barker Unit for rapid access to inpatient detoxification for the homeless population
Gill Heaton, GM Housing First ,RSDA Salford and Clare Hilton, Patient Flow Lead, Chapman-Barker Unit, GMMH

It’s more than Hep C – Hepatitis C and people who experience severe and multiple disadvantage
Lou Wilkins, Team Leader and Sarah Paling, Specialist Harm Reduction Outreach Lead, The Health Shop

Delivering Neuro informed care in Homeless services
Dr Viki Teggart, Consultant Clinical Neuropsychologist and Rebecca Humphreys, Clinical Neuropsychologist, Greater Manchester Mental Health Foundation Trust

Navigating transitions into and through peer worker roles: an autoethnographic exploration of work on the SHARPS Study
Josh Dumbrell, Research Assistant, University of Stirling

STREAM C2: ACTION ON MENTAL HEALTH SERVICES

Using local service data to inform an inclusive model of mental health care
Dr Eileen Corroon Sweeney, Consultant Psychiatrist, Inclusion Mental Health Team, Dublin South City (INT)

The ‘good’ bye – reflections on transitions and endings in a mental health homeless team
Dr Sarah Shand, Specialist Therapeutic Outreach Team and Maria Preston, Clinical Team Manager, LYPFT

Integrating primary care and mental health in an NHS homeless healthcare service: A pilot of using a ‘seeking safety’ group-based intervention
Dr Jodie Pitt, Principal Clinical Psychologist, NHS Homeless Healthcare and Catherine James GP, Homeless Healthcare Team Southampton; Berkshire West Primary Care Training Hub Programme Director

STREAM D2: A YEAR OF ACTION IN THE PATHWAY PARTNERSHIP PROGRAMME

A year of action in the Pathway Partnership Programme

In this session we explain our programme supporting commissioners, managers and teams to improve the health of people experiencing homelessness.

We will explore the exciting achievements and the many challenges facing our Pathway teams. We also hear from some of the teams themselves.

Dr Peter Buchman, GP; Deputy Clinical Lead for Pathway Partnership Programme

Paul Hamlin, Project Manager, Pathway Partnership Programme

Theo Jackson, Research & Data Lead, Pathway Partnership Programme

Dr Danielle Williams, GP lead Homelessness Inclusion Team, St Georges Hospital NHS Trust

Dr Danny Fay, GP Health Inclusion Pathway Plymouth

Shona Rogers, Peer researcher

Emma Slyfield, Support Worker Health Inclusion Pathway Plymouth

15.15 – 15.45 REFRESHMENT BREAK

15.45 – 16.45 PLENARY SESSION TWO

INCLUSION HEALTH EDUCATION: CULTURE CHANGE, SYSTEM CHANGE, HEARTS AND MINDS

15.45 Chair’s introduction
Dr Chris Sargeant, Medical Director, Faculty of Homeless and Inclusion Health

Jeff Parker, Pathway Expert by Experience

Inclusion health: the power of education
Dr Gemma Ashwell GP and Clinical Lecturer, Bevan Healthcare and University of Leeds
Professor Margaret Greenfields, Professor of Social Policy, Anglia Ruskin University

Panel discussion: above speakers plus
Jeff Parker, Pathway Expert by Experience
Samraj Bhullar, Student Representative

16.45 – 17.30 PLENARY SESSION THREE

TAKING ACTION ON INCLUSION HEALTH

16.45 Chair’s opening remarks
Dee O’Connell, Head of Policy and Programmes, Pathway

Dr Jenny Drife, Consultant Psychiatrist, START Homeless Team; Inclusion health advisor to the Royal College of Psychiatrists

Launch of the Barometer of Homeless and Inclusion Health
Francesca Albanese, Head of Research and Evaluation, Crisis

Presentations from Pathway and Crisis

17.30 Award of Honorary Fellowships to the Faculty

17.40 Sing for Freedom Choir

The choir will be performing a short programme of their own poetry and songs in joyful acapella harmony, chosen and adapted by the group in response to their current theme of ‘belonging’.

Close of Day 1 of the Symposium

Day 2 - 14/03/2024

08.30 – 09.30 INTERNATIONAL BREAKFAST BRIEFING PANEL DISCUSSION

 

CANCERLESS PROJECT: Innovative health services for cancer prevention in homeless people
Professor Rosa Gomez Trenado, Project Manager-Researcher, Fundacion Para la Investigacion e Innovacion Biosanit en Atencion Primaria – Sermasb, Spain

Co-designing the Health Navigator Model to enhance cancer prevention and early detection among people experiencing homelessness in Europe
Tobias Schiffler, Research Assistant/PhD candidate, Department of Social and Preventive Medicine, Centre for Public Health, Medical University of Vienna, Austria

Results of a Phase II Hybrid Randomised Controlled Trial of the Homeless Health Response Bundle on reattendances to an Australian Emergency Department
Professor Jane Currie, Professor of Nursing, Queensland University of Technology, Australia

09.00 – 09.30 Action on effective interventions: peer-led, psychosocial and NICE
Guillermo Rodriguez, Head of Evidence and Data, Centre for Homelessness Impact
Greg Hurst, Head of Communications and Public Affairs, centre for Homelessness Impact
Dr Jo Brown, Research Manager, Groundswell
James Dillon, Peer Evaluator, Crisis
Katie Carter, Pathway Housing and Team Coordinator, Arch Health CIC/Brighton & Sussex University Hospitals NHS Trust
Sara Emerson, Health Engagement Team Leader, Justlife

09.45 – 11.15 PLENARY SESSION FOUR

USING SAFEGUARDING TO CHALLENGE POOR PRACTICE, IMPROVE CARE AND CHANGE CULTURES

Please note this session includes polling. To be able to participate and vote please scan the QR code below with your mobile device.

Chair’s opening remarks
Sam Dorney-Smith, Pathway’s Senior Nursing Fellow and Secretary of the London Network of Nurses and Midwives Homelessness Group

In discussion with:
Khosru Miah, Community Member, The People’s Recovery Project

Presentations:
Professor Michael Preston-Shoot, Emeritus Professor of Social Work, University of Bedfordshire; Independent Chair, Greenwich Safeguarding Adults Board, Lewisham Safeguarding Adults Board, Somerset Safeguarding Adults Board; Joint Coordinator, National SAB Chairs’ Network; Adult Safeguarding Consultant
Melanie Williams, Vice President, Association of Directors of Adult Social Services; Corporate Director, Adult Social Care and Public Health, Nottingham County Council
Gill Taylor, Independent Homelessness, Safeguarding & Inclusion Health Consultant

11.15 – 11.45 REFESHMENT BREAK

11.45 – 13.15 BREAKOUT SESSIONS STREAM 3

STREAM A3: PECHA KUCHA PRESENTATIONS

What does expert practice and research, tell us about executive functioning and The Care Act in homelessness?
Ellie Atkins, Manager & Safeguarding Lead, Adult Social Care in Homelessness and Rough Sleeping. Manchester City Council

Making a rough sleepers’ drug & alcohol outreach team psychologically and trauma informed
Dr Sophie Buckley, Clinical Psychologist and Chloe Shepherd, Substance Misuse Practitioner, Nottingham Recovery Network / Framework HA

Feedback, reflections and learning in the co-design and delivery of inclusion health education with experts by experience
Jo Dawes, Physiotherapist and Research Fellow, University College London

Hostel support workers experiences navigating healthcare alongside people experiencing homelessness
Iman Muzafar, 4th Year Medical Student, Imperial College Business School & King’s College London GKT School of Medical Education

Work score use repeat
Dr Hayley Rees GP, Bevan Healthcare CIC

Proactive preventative medicine for homeless populations: a case series in primary care
Dr Neil Singh, Head, Homeless and Inclusion Health Service, Victoria Primary Care Network, Eastbourne & Senior Clinical Teaching Fellow, Department of Primary Care and Public Health, Brighton and Sussex Medical School Victoria Primary Care Network, & Brighton and Sussex Medical School

Preliminary findings: what is the nutrition status of homeless people residing in temporary accommodation in North London?
Hannah Style, Founder and Research Dietitian, FEAST With Us

Mitigating the overdose risk faced by people experiencing homelessness from across Cranstoun services
Wendy Taylor, Assistant Director of Services and Chris Rintoul, Head of Harm Reduction, Cranstoun

Exploring effective mental health interventions for people experiencing homelessness: An East of England NIHR ARC Research Project
Jenny Walker, Inclusion Health & Homelessness Advanced Nurse Practitioner, Norfolk & Suffolk Foundation Trust

Meeting the mental health need of people seeking asylum and refugees in Norfolk
Dr Hannah Fox GP, SHIFA Clinic, NSFT

‘Everyone counts’: an exploration of barriers to accessing healthcare for some of the most vulnerable children in the NHS
Holly Tarn, Year 4 Medical Student, Brighton and Sussex Medical School

One small step for Bevan, one giant leap for Inclusion Health patient
Dominic Maddocks, Paramedic and Angelique Denys, Homeless Outreach Nurse,Bevan Street Health Team

Developing a ‘neuro-informed’ network
Dr Louise Noronha, Clinical Psychologist, Psychology in Hostels Team, East London NHS Foundation Trust and Dr Ché Rosebert, Clinical Psychologist / Tower Hamlets Psychology in Hostels Lead

Embedding peer work in interdisciplinary health settings: An example from the neunerhaus Mental Health Practice
Paula Reid, Health and Participation Lead, neunerhaus

STREAM B3: IMPROVING INCLUSION HEALTH HOSPITAL CARE

All right stop, collaborate and listen. Can Vanilla Ice inspire out of hospital care?
Elizabeth Keat, Homeless Integration Lead, Leeds Community Healthcare

Severe injection-related infection: development of a novel, patient-centered pathway
Dr Claire Mackintosh, Consultant Infectious Disease Physician, Regional Infectious Diseases Unit, Western General Hospital and Linda Smith, Lead Drug Liaison Nurse, NHS Lothian

My voice matters
Rebekah Besford, Clinical Lead Nurse and Dawn Benge, Care Navigator, Leeds HHIT

Using immigration advice to help vulnerable non-UK nationals experiencing homelessness find pathways out of destitution: the hospital discharge model
Josephine Whitaker-Yilmaz, Policy and Public Affairs Manager, Praxis

STREAM C3: POST – HOSPITAL HOUSING AND SUPPORT

Innovative practices in intermediate care
Dr Johanna Reilly GP, Edinburgh access Practice

Greater Manchester Housing First: Integrated health offer for people with co-occurring mental health, alcohol and drugs support needs
Jade Elliott, Operational Manager, GMMH Housing First Dual Diagnosis Team and Emily Cole, Programme Lead, GM Housing First

Access to health services for those in temporary accommodation through health engagement work
Sara Emerson, Health Engagement Team Leader, Justlife

12:45 – 14:00 LUNCH BREAK

13:00 – 13:50 LUNCH AND LEARN

13.20 – 13.50 Evaluation of the pan London substance misuse inpatient detox and rehab pathway for people experiencing homelessness
Dr Caroline Shulman, Inclusion Health Clinician and Researcher; Honorary Lecturer, UCL; Pathway Senior Clinical Fellow – Homelessness and Palliative Care

13.00 – 13.40 Action on employment – recruiting people with lived experience of homelessness into the NHS, a best practice toolkit
Emma Thomson, Senior Project Manager, Pathways
Darren De Vally, Freelance Consultant for Pathway

14.00 – 15.15 BREAKOUT SESSIONS STREAM 4

STREAM A4: INTEGRATED COMMISSIONING

Integrated Commissioning

This session will discuss challenges and opportunities on inclusion health for ICSs and will ask what more needs to be done locally and nationally to make real improvements in health and care for people facing social exclusion.

Dee O’Connell, Director of Policy and Programmes, Pathway
Gill Taylor, Inclusion Health Learning Programme Lead, Pathway
Nicola Gitsham, Head of Healthcare Inequalities Improvement and Personalisation, NHS England
Clare Mahoney, Complex Lives / Inclusion Health Programme Lead, Liverpool Place
Lisa Byrne & Lena Abdu, Surrey Heartlands ICB

STREAM B4: TAILORING THERAPIES

Does a little go a long way? OT clinics in a high support hostel
Nicola Bygrave, Senior Occupational Therapist and Anna Midgley, Westminster Homeless Health Coordination Project (HHCP), EASL

Digital pathways through homelessness: a longitudinal qualitative study exploring technology use in relation to health for women experiencing homelessness
Sophie Gaber, Occupational Therapy Postdoc Researcher, University College London (England) & Marie Cederschiöld University (Sweden) & Jo Dawes, Physiotherapist and Research Fellow, University College London

Communication support: A pilot to develop a speech and language therapy service within the Greater Manchester Mental Health Foundation Trust Homelessness Services
Laura Cole, Speech and Language Therapist, Greater Manchester Mental Health Foundation Trust

Nutritional assessment of people experiencing homelessness
Ghislaine Swinburn, PCN FCP Dietitian, Bristol Inner City Primary Care Network

STREAM C4: ACTION ON HOUSING

Health begins at home
Sharon Collins, Director, Keep Well Collaborative, Hampshire & Isle of Wight Integrated Care Board

Health and housing: making permanent supportive housing work for Canada’s most vulnerable
Stephen Rolfe, Director of Health Partnerships/PhD student, Indwell &
Dr Abe Oudshoorne, Associate Professor and Associate Director (Graduate Programs), Western University, Ontario

A place to play: The effects of temporary accommodation on the play needs of under-5s
Anna Pearl Johnson, Researcher, The Reach Alliance

STREAM D4: LEADING THE WAY ON CO-PRODUCTION

“I have lived through it”: initiating system change through the voice of lived experience
Carolin Hess, Research Fellow, Nottingham Trent University/Changing Futures Nottingham; Sabrina Robinson, Expert Citizen, Julian Jennings, Peer-Mentor & Amelia Draper, Evaluation Lead, Changing Futures Nottingham

The evolution of a grassroots Inclusion Health Network to City of Sanctuary Health Stream in Norwich
Dr Hannah Fox GP & GPwER in mental health of people seeking asylum, Lawson Road Surgery &
Dr Emily Clark GP, Prospect Medical Practice; NIHR In-practice Fellow, University of East Anglia

15.00 – 15.45 REFRESHMENT BREAK

15.45 – 16.45 PLENARY SESSION FIVE

PROFESSOR AIDAN HALLIGAN MEMORIAL LECTURE AND CLOSING STATEMENT

15.30 Chair’s opening remarks
Dr Chris Sargeant, Medical Director, Faculty for Homeless and Inclusion Health

15.35 Aidan Halligan Memorial Lecture
Professor Sir Michael Marmot CH, Director, UCL Institute of Health Equity; UCL Dept of Epidemiology and Public Health

16.10 Faculty Network’s Commitment to Action
Dr Jenny Drife, Consultant Psychiatrist, START Homeless Team; Inclusion Health Advisor to the Royal College of Psychiatrists on Homelessness
Tony Jablonski and Gareth Davis, Pathway Experts by Experience

16.25 – 16.30 Vote of thanks and closing remarks
Leslie Morphy CBE, Chair, Pathway

Close of Day 2 of the Symposium

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PRESENTERS

With special thanks to our Conference Steering Committee and session chairs:

  • Alex Bax, Chief Executive, Pathway
  • Tony Jablonski, Pathway Expert by Experience
  • James Dillon, Pathway Expert by Experience
  • Gemma Ashwell GP and Clinical Lecturer, Bevan Healthcare and University of Leeds
  • Nikita Kartikapallil, Medical Student, Faculty for Homeless and Inclusion Health
  • Dr Daniela Oehring, Associate Professor Eye and Vision Science
  • Dr Pippa Medcalf, Consultant Physician – Acute Medicine, Gloucester Royal Hospital
  • Mandy Pattinson, Pathway Lived Experience Program Manager
  • Sam Pratt, Policy & Communications Lead, Shared Health
  • Dr Rafi Rogans-Watson, Consultant Geriatrician and Pathway Fellow, University Hospitals Sussex in Brighton
  • Jeff Parker (EbE), Pathway Expert by Experience
  • Dee O’Connell, Head of Policy and Programmes, Pathway
  • Ellie Craven, Medical Student, Faculty for Homeless and Inclusion Health
  • Sophie Koehne, Mental Health and OT Policy and Practice Lead/Lived Experience Lead
  • John Conolly, UKCP reg Psychoanalytic Psychotherapist/Lead Counsellor, CLCH NHS Trust
  • Dr Angela Burnett, Responsible Officer, Freedom from Torture and Medical Justice
  • Dr Chris Sargeant, Medical Director, Faculty of Homeless and Inclusion Health
  • Peter Bull, Pathway Expert by Experience
  • Gina Rowlands, Chair of Groundswell and Honorary fellow of the Faculty for Homeless and Inclusion Health
  • Jonathan Lucas, Communications Officer
  • Neil Stewart, Editorial Director, The Equality Hub; Neil Stewart Associates
  • Gareth Davis, Pathway Expert by Experience

RESOURCES

Delegate resources including the delegate list, agenda and speaker presentation slides are available to download here.

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