LIVE STREAM

Please note you have the choice of two live streams to watch. Stream A below covers all plenary sessions and all breakout sessions in STREAM A. Stream B can be watched here and covers all breakout sessions in STREAM B. Where available breakout sessions in STREAM C, D and E have been pre-recorded by our speakers and are available to watch on demand – these 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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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 live stream above.

Stream B: Available to live stream via Vimeo here.

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.

IMPORTANT: When switching between live streams A & B or participating in the on demand breakout sessions, please remember to mute the live stream video player above, otherwise you will continue receiving the audio streams from this page and your Vimeo webinar simultaneously.

WELCOME TO PATHWAYS FROM HOMELESSNESS 2025

Follow the symposium hashtag on social media #InclusionHealth2025 – follow Pathway on X https://x.com/PathwayUK and BlueSky https://bsky.app/profile/pathwayuk.bsky.social

 

Welcome to the live stream of the Pathways from Homelessness 2025 Symposium.

Our theme this year, from the margins to the mainstream, pathways to prevent homelessness reflects the strength of our collective knowledge that can be applied in so many mainstream areas in housing and health.

We know what to do to tackle the complex causes and needs of homelessness, how to make care better and how to best support people to improve their lives even when they have experienced the most profound exclusions but are not yet on the streets.

But it also reflects our deep frustrations: that specialist services remain marginalised in so many parts of the country; that wider forces in society continue to push people to the margins as hard as we work to include and bring people in; and that mainstream health, housing and social care services could learn so much more from our work.

While NHS finances feel like they have never been tighter and local authorities across the country are gradually facing bankrupcy by temporary accommodation costs, we know that clever Government officials are busy on the Secretary of State’s new Ten Year Plan for the NHS.

What we can propose and implement:

• Commit to radical funding reform and reallocation, so that commissioners really can target extra resources on people and groups with the highest needs for prevention and recovery.

• Lead the system to routinely include the most marginalised in the design and delivery of services, because we know it is the best way to create things that work for people and prevent the revolving door of homelessness.

• Challenge the NHS to genuinely work beyond its boundaries – connecting with local government and housing providers, creating services that catch people when they fall or, better, before they fall, support people for the long term and, connecting back to the health service’s founding principles, leads the way in changing how our society treats the most marginalised and vulnerable who now include 160,000 children in temporary accommodation.

At this year’s Pathways health and housing specialist conference we will hear about destitution among asylum seekers, the awful risks and harms experienced by women and children stuck in homelessness and how violence blights so many people’s lives when they are forced to survive on extreme margins of society.

At the same time, and as every year, our programme gives us much to be hopeful about. We have a series of papers about how services can best respond to women’s specific needs, how to really listen to women’s voices, and how, in so many areas, understanding the psychology of trauma needs to underpin what we do.

We have evidence of what works in addiction, new thinking about how to challenge stigma and structural exclusion, both how to find and the crucial value to the system, of including hidden or missing patients – in primary care and in hospital – and what we can and should practically do now: to improve diabetes management, to act on (mal)nutrition and much more. And, of course, across the programme we have peer and lived experience voices and perspectives to listen to and inform change.

Alex Bax, Chief Executive, Pathway

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

WHY ARE WE HERE?

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

A patient we cannot forget
Elizabeth Keat, Homeless Integration Lead, Leeds Community Healthcare

Keynote Address: How should we respond to violence?
Professor Martin Griffiths CBE, Clinical Director, Violence Reduction, NHS London

Women’s experiences of severe and multiple disadvantage: a call to action
Professor Sarah Johnsen, Chair in Homelessness and Inclusion Health, University of Edinburgh

Panel discussion and Q&A

Above speakers plus Gareth Davis and Ross Mayo, Pathway Lived Experience Group Members

11.15 – 11.45 REFRESHMENT BREAK

11.45 – 13.15 BREAKOUT SESSIONS STREAM 1

STREAM A1: WOMEN AND FAMILIES IN INCLUSION HEALTH

Women’s experiences of homelessness in high income contexts: Evidence from a meta-ethnographic systematic review
Maxine Radcliffe, Service Director, Health Service Executive

Reducing health inequalities for families experiencing homelessness
Angie Ouattara, Maternal Health Lead, Shared Health Foundation

Exploring Maternity Experiences and Perinatal Mortality in the Gypsy Traveller Community: Insights from Art Based Research Project
Barbara Czyznikowska, Community Engagement and Inclusion Manager, Centre for Ethnic Health Research, University of Leicester and Elisabeth Naylor, Artist and Sculptor

“The best decision I’ve made in years!” Putting women experiencing homelessness at the heart of a women’s health hub
Liz Thomas, Homeless Health Nurse, Urban Village Medical Practice

STREAM B1: LEARNING FROM AROUND THE GLOBE

The Better Health and Housing Program
Claire Doherty, Senior Research and Evaluation Officer, St Vincent’s Hospital Melbourne

Preventing and reducing homelessness among people with acquired brain injury: a first step in the search for solutions
William Jubinville, Occupational Therapist and PhD Student, Université de Montréal

Ericare pathways to stability: from lived experience to youth homelessness solutions
Erica Moseley, Homeless Problem Solver/ Community Developer

Burden of disease of the people experiencing homelessness in Chile
Miguel Harfagar, Director, Fundación Salud Calle, Santiago, Chile

STREAM C1: SPECIALIST PSYCHOLOGY IN INCLUSION HEALTH

Learning from the co-designed HOME (Homeless, older and experiencing memory problems) intervention
Dr Penny Rapaport, Principal Research Fellow and Honorary Clinical Psychologist, Division of Psychiatry, University College London and Charlie Beeson, Research Assistant, University College London

Understanding healthcare exclusion: a meta-ethnography of homeless individuals’ healthcare experiences
Elizabeth Scott, Trainee Clinical Psychologist and Teaching Fellow, OutcomeHome and University of Southampton

Safe space psychotherapy – a new approach to gender and trauma informed talking therapy
Kate John, Women’s Recovery Co-ordinator, St Mungo’s

Centring lived experience voices and experiential expertise in the evaluation of the psychology offer in Crisis’ homelessness services
Raj Hazzard, Senior Researcher, McPin Foundation; Andrew Ashley, Nicholas Couchman and Thomas Inman, Experience Co Researchers, Crisis

STREAM D1: CO-PRODUCED PODCAST: JOURNEYS IN DUAL DIAGNOSIS AND HOMELESSNESS

The podcast explores personal journeys from a non-medical and medical lived experience perspective, in the hope of encouraging conversations around these issues, aiming for better outcomes for everyone affected.
Mandy Pattinson, Lived Experience Programme Manager, Pathway, Mark Banyan and Ross Mayo, Pathway Lived Experience Group Members

STREAM E1: EXTENSIVE CARE: COULD INTEGRATED COMMUNITY TEAMS PROMOTE INCLUSION HEALTH?

Extensive care: could integrated community teams promote inclusion health?
Neil Singh
, Senior General Practice Teaching Fellow, University of Brighton

12.45 – 14.00 LUNCH BREAK

13.15 – 13.45 LUNCH AND LEARN

13.00 – 13.20 LUNCH AND LEARN

Tackling homelessness – a perspective from California
Professor Margot Kushel, Professor of Medicine and Division Chief at Division of Health Equity and Society, Zuckerberg San Franscisco General Hospital
(Video presentation and Q&A)

The best for baby film (20 min video)
Introduced by Dr Ryan Young, GP in Inclusion Health, Brownlow Health

The Best for Baby Revolution film tells the story of having a baby while in the UK asylum system. The film has been written by and stars, Creative Influencers, a group of mothers with lived experience of having a baby whilst seeking asylum. The film has been made as part of a training resource for midwives, with the hope it can inform training and policy on a wider scale. It is an important and hard-hitting piece, informed by personal narrative as well as national research and policy, while also managing to inspire and promote a message of hope.

14.00 – 15.00 BREAKOUT SESSIONS STREAM 2

STREAM A2: BRINGING DATA INTO THE MAINSTREAM

Deaths of people experiencing homelessness: A mixed-methods analysis of death reviews in Oxfordshire 2018-2023
Dr Riley Botelle, Resident Doctor, Wexham Park Hospital, Frimley Health NHS Foundation Trust

MASST – Multi Agency Safeguarding and Support Team
Kerry Gilbert, Matron, Portsmouth Hospitals University NHS Trust

Inception of an inclusion health service at Tallaght University Hospital, Dublin – a needs analysis
Dr Kaitlyn O’Brien, Medical Senior House Officer, Tallaght University Hospital Dublin, Ireland

STREAM B2: IMPROVING PRACTICE

It’s OK to ask sensitive questions but….
Dr Amy Stevens, Public Health Lead, Bevan CIC

Working together to remove barriers
Dr Fiona Meth, Director of Practice, School of Healthcare, Faculty of Medicine and Health, University of Leeds

Bridging gaps: co-producing service change in primary care for and with people with severe and multiple disadvantage
Dr Lucy Potter, GP Academic, Bristol University

STREAM C2: MAINSTREAMING SPECIALIST WORKING

Introducing a working model and then bringing it to life
Anthony Pickup, Involvement and Inclusion Manager, MEAM

How can we best support peer workers to enable them to support those experiencing homelessness and problem substance use? Insights from the SHARPS study
Dr Jen Boyd, Research Fellow, University of Stirling

STREAM D2: DELIVERING HOUSING AND ENDING HOMELESSNESS

How do we join ambitions around delivering housing and ending homelessness? The role of inclusion health
Sarah Finnegan
, Head of Policy, National Housing Federation
Jasmine Basran
, Head of Policy and Campaigns), Crisis

15.00 – 15.30 REFRESHMENT BREAK

15.30 – 17.00 PLENARY SESSION TWO

MAKING THE INVISIBLE VISIBLE: NEW NATIONAL RESEARCH ON INEQUITIES IN HEALTHCARE ACCESS ACROSS ENGLAND

Chair’s introduction
Jo Dawes, NIHR Doctoral Research Fellow

Introduction to the UCL Collaborative Centre for Inclusion Health
Dr Serena Luchenski, Clinical Associate Professor & Honorary Public Health Consultant; Co-Director, UCL Online Master of Public Health; Director, UCL Collaborative Centre for Inclusion Health

Estimating the scale of hospital admissions for people experiencing homelessness
Dr Serena Luchenski, Clinical Associate Professor & Honorary Public Health Consultant; Co-Director, UCL Online Master of Public Health; Director, UCL Collaborative Centre for Inclusion Health

Measuring the unmet healthcare needs of refugees
Dr Rachel Burns, Senior Research Fellow, Collaborative Centre for Inclusion Health

Prioritising equitable access to blood-borne virus treatment for inclusion health groups
Dr Binta Sultan, Inclusion Health Consultant and Clinical Research Fellow, Collaborative Centre for Inclusion Health

Panel discussion/questions to include the above speakers plus:
Pete Bull and Manzoor Bhuiyan, Pathway Lived Experience Group Members

Q&A

16.45 – 17.30 AWARDS AND CELEBRATION

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

Award of Honorary Fellowships to the Faculty

Hosted by: Chris Sargeant and Leslie Murphy OBE

Stephanie O’Leary, Director, Healthy Living, Healthy Lives CIC
Tracy Pollard, our Advanced Clinical Practitioner, Inclusion Healthcare
Jane Cook, Complex Case Manager, Groundswell

Announcement of poster competition winners

Performance by the Sing for Freedom Choir

Close of Day 1 of the Symposium

08.30 – 09.30 BREAKFAST PECHA KUCHA PRESENTATIONS

 

Pecha Kucha Presentations

Chairs: Alex Bax, Chief Executive, Pathway and Dr Chris Sargeant, Pathway Medical Director; Secretary to the Faculty for Homeless & Inclusion Health

A sustainable dental service for people experiencing homelessness in Bristol, North Somerset & South Gloucestershire
Judy Caesley, Dental Hygienist, BrisDoc Homeless Health Service

The impact of shelter activities and social dynamics on substance use among people who use homelessness shelters
Sotiria Kyriakidou, PhD Candidate, University of Manchester

Embedding multiple disadvantage specialist practitioners in statutory services as a vehicle for system change and promoting multi-disciplinary working in Nottingham City
Amelia Draper, Evaluation Lead, Changing Futures Nottingham

Establishing a Student Inclusion Health Society focused on flourishing
Jeyapragash Jeyapala, Internal Medicine Trainee, North West and Central London NHS Trusts

Working together to reduce secondary care appointment DNAs
Wayne Henderson, Mental Health Nurse and Director of Nursing and Specialist Services at Inclusion Healthcare and Jigisha Patel, Service Manager, UHL

09.40 – 10.25 PLENARY SESSION THREE: PATHWAY’S ANNUAL REFLECTIONS AND LAUNCH OF THE 2025 BAROMETER REPORT

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

Pathway Annual Reflections

Launch of 2025 Barometer Report and Policy Updates

Francesca Albanese, Executive Director of Policy & Social Change, Crisis and Theo Jackson, Research and Data Lead, Pathway

Dr Jenny Drife, Consultant Psychiatrist, START homeless outreach team

Dr Aaminah Verity, Senior Clinical Research Fellow, Queen Mary’s University of London

09.40 – 10.25 PLENARY SESSION FOUR: GETTING SUPPORT RIGHT: PERSPECTIVES FROM CANADA AND THE UK

Chair’s opening remarks

Getting the support right in housing, a perspective from Canada
Steven Rolfe, Clinical Director, Indwell, Canada and Professor Abe Oudshoorn, Associate Professor and Acting Associate Dean Research (Faculty of Health Sciences), The Arthur Labatt Family School of Nursing, Western University; the Arthur Labatt Family Chair in Nursing Leadership in Health Equity, Canada

Diabetes and homelessness – what’s to be done?
Sam Dorney-Smith, Senior Nursing Fellow, Pathway; Clinical Research Lead, UCL and Lynne Wooff, Diabetes Specialist Nurse, NMP, Bolton NHS Foundation Trust/Integrated Services Division

Panel discussion/questions to include the above speakers plus:
Pete Bull and Gareth Murphy, Pathway Lived Experience Group Members

11.25 – 11.55 REFRESHMENT BREAK

11.55 – 13.25 CONCURRENT SESSIONS STREAM THREE

STREAM A3: PRIMARY CARE PERSPECTIVES

GP access for inclusion health groups: perspectives and recommendations
Dr Aaminah Verity, Senior Clinical Research Fellow, Queen Mary’s University of London

The STaR project – reaching out. An outreach, low threshold, multidisciplinary approach to substance use disorders and homelessness
Dr Sam Cole, GP Specialist Substance Misuse, Inclusion Health Devon – Clock Tower Surgery

Interventions to address missingness in primary care- what matters for inclusion health?
Andrea Williamson, Professor of General Practice & Inclusion Health, and Calum Lindsay, Research Associate, School of Health and Wellbeing, University of Glasgow

STREAM B3: ASSESSING AND MEETING HIDDEN NEEDS

An investigation into the scale and impact of physical disability in people experiencing homelessness in Ireland
Julie Broderick, Head & Assistant Professor of Discipline of Physiotherapy, TCD and Dr Rikke Siersbaek, Post-Doctoral Research Fellow, Centre for Global Health, Trinity College Dublin

Prevalence of frailty in people experiencing homelessness: secondary analysis of a cross-sectional survey
Joanna Dawes, Physiotherapist and NIHR Doctoral Research Fellow, UCL

Impact of the LEAP-W (Low-threshold Exercise and Protein supplementation programme-for Women) Trial
Fiona Kennedy, PhD Candidate, Trinity College, The University of Dublin, Ireland

STREAM C3: DIABETES AND HOMELESSNESS – FOLLOW UP AND DISCUSSION

Don’t tell us off: Examining ways to improve the health care of people experiencing homelessness with Diabetes
Maggie Kirk, Medical Director, Health bus
Dr Ryan Young, GP in Inclusion Health, Brownlow Health
Rebekah Besford, Clinical Lead Nurse HHIT, Leeds Community Healthcare Trust

STREAM D3: DEVELOPMENTS FROM THE MENTAL HEALTH SUB-GROUP – DISCUSSION SESSION

As the network continues to expand, this is an opportunity to meet in-person to reflect on shared challenges and look to the future for the network.  We hope to explore how we can continue to learn together as well as harness the expertise within the group to make systemic change.

STREAM E3: IMPROVING NUTRITION IN INCLUSION HEALTH

Nutritional support project for people experiencing homelessness and drugs and alcohol misuse
Neal McArdle, Head of Learning & Training Services, Providence Row

Work of the Pathway Nutrition Committee
Ghislaine Swinburn, Research Dietitian; Pathway Fellow

12:55 – 14:00 LUNCH BREAK

13:25 – 13:55 LUNCH AND LEARN

13:15 – 13:45 LUNCH AND LEARN

Pecha Kucha Presentations

Interventions to improve inclusion health groups’ access to primary care in England
Dr Elspeth Carruthers, IMT2 Doctor, Whittington Health NHS Trust

How homeless hostel staff conceptualise their work
Mandeep Kallu, Clinical Psychologist and Research Associate NIHR Health Inclusion Pathway Plymouth

HHIT or miss? Integrated working – Andy’s story
Rebekah Besford, Clinical Lead Nurse HHIT, Paramedic Street Outreach, LCH, Bevan

Discussion Group: Under-represented AHPs in inclusion health

Led by Ghislaine Swinburn, Research Dietitian; Pathway Fellow

With contributions from:

Jo Dawes, Physiotherapist
Judy Caseley, Dental Hygienist
Jimmy Frankland, Homeless Outreach Paramedic – Bevan Healthcare CIC

14.00 – 15.00 CONCURRENT SESSIONS STREAM FOUR

STREAM A4: DEMONSTRATING NEED AND COMMISSIONING

Shifting the power
Lisa Byrne, Changing Futures Programme Lead – Multiple Disadvantage and Jamie Poole, Lived Experience Project Manager, Surrey County Council

A partnership approach to improving access to healthcare for people who experience multiple disadvantage shaped by the voice of lived experience
Dr Andrew Foster, Deputy Clinical Director, Nottingham City Place Based Partnership, Nottingham City General Practice Alliance

Break the cycle: understanding multiple unmet needs in Hull
Dr Alexandra MacNamara, Public Health Registrar, Hull City Council and Amanda Hailes, Co-founder, An Untold Story – Voices

Our approach to inclusion health through Primary Care in Wales – The national programme
Dr Kerry Bailey, Consultant in Public Health, Primary Care Transformation, Public Health Wales

STREAM B4: RACISM, STIGMA AND DISCRIMINATION

The differing experiences of epilepsy-related quality of life and stigma in people with epilepsy who are housed or experiencing homelessness: a mixed-methods study
Dr Ciara Anderson, Doctor (SHO), St James Hospital, Dublin and Dr Hannah Lucey, Psychiatry Registrar, Dublin Hospital

Trauma during homelessness and how it shapes mental health (substance use): results from seaside towns and an urban setting in North East England using narrative illustrations
Emma Adams, NIHR Doctoral Fellow, Newcastle University, Haley Paxton and Jamesy Dillon, Experts by Experience

STREAM C4: MAINSTREAMING ADDICTION TREATMENT

Providing continuity and equivalence of care to imprisoned women with opiate addiction
Dr Emma Mastrocola, Lead GP, HMP Eastwood Park

Substance use services – everyone’s business
Ben Jameson, Clinical Lead, Health Inclusion Pathway, Plymouth; Adelaide St Surgery/HIPP

Utilising delivery of OST to improve treatment outcomes for people in hostel accommodation
Dr Ryan Young, GP in Inclusion Health, Brownlow Health

STREAM D4: LEADING THE WAY ON CO-PRODUCTION

How to train GPs to work in areas of deprivation
Dr Laura Neilson, Shared Health Foundation

From major trauma to trauma informed – educating student paramedics in homeless and inclusion health to improve the patient experience and health
Dominic Maddocks, Inclusion Health Paramedic, Bevan Health CIC

Co-producing healthcare professional teaching with people who have experienced homelessness. Reflections on a teaching collaboration in Brighton
Dr Kate Pitt, GP and Lecturer in Medical Education, Brighton and Hove Common Ambition, Justlife, Arch, Brighton and Sussex Medical School and Sara Emerson, Health Engagement Team Leader, Justlife

15.00 – 15.20 REFRESHMENT BREAK

15.20 – 16.45 PLENARY SESSION FIVE: A MAINSTREAM FUTURE FOR INCLUSION HEALTH

Chair’s opening remarks
Dr Chris Sargeant

From the margins to the mainstream – reflections on 10 years as Chair of Pathway
Leslie Morphy OBE, Chair, Pathway

Hostile to health, UK immigration policy and the health, wellbeing and service use of migrants
Professor Beth Watts-Cobbe, Professor, Heriot-Watt University and Annika Joy, Programme Director for Ending Destitution, Simon Community Scotland

Chair’s closing remarks

Close of Day 2 of the Symposium

Day 1 - 12/03/2025

10.00 – 11.15 PLENARY SESSION ONE

WHY ARE WE HERE?

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

A patient we cannot forget
Elizabeth Keat, Homeless Integration Lead, Leeds Community Healthcare

Keynote Address: How should we respond to violence?
Professor Martin Griffiths CBE, Clinical Director, Violence Reduction, NHS London

Women’s experiences of severe and multiple disadvantage: a call to action
Professor Sarah Johnsen, Chair in Homelessness and Inclusion Health, University of Edinburgh

Panel discussion and Q&A

Above speakers plus Gareth Davis and Ross Mayo, Pathway Lived Experience Group Members

11.15 – 11.45 REFRESHMENT BREAK

11.45 – 13.15 BREAKOUT SESSIONS STREAM 1

STREAM A1: WOMEN AND FAMILIES IN INCLUSION HEALTH

Women’s experiences of homelessness in high income contexts: Evidence from a meta-ethnographic systematic review
Maxine Radcliffe, Service Director, Health Service Executive

Reducing health inequalities for families experiencing homelessness
Angie Ouattara, Maternal Health Lead, Shared Health Foundation

Exploring Maternity Experiences and Perinatal Mortality in the Gypsy Traveller Community: Insights from Art Based Research Project
Barbara Czyznikowska, Community Engagement and Inclusion Manager, Centre for Ethnic Health Research, University of Leicester and Elisabeth Naylor, Artist and Sculptor

“The best decision I’ve made in years!” Putting women experiencing homelessness at the heart of a women’s health hub
Liz Thomas, Homeless Health Nurse, Urban Village Medical Practice

STREAM B1: LEARNING FROM AROUND THE GLOBE

The Better Health and Housing Program
Claire Doherty, Senior Research and Evaluation Officer, St Vincent’s Hospital Melbourne

Preventing and reducing homelessness among people with acquired brain injury: a first step in the search for solutions
William Jubinville, Occupational Therapist and PhD Student, Université de Montréal

Ericare pathways to stability: from lived experience to youth homelessness solutions
Erica Moseley, Homeless Problem Solver/ Community Developer

Burden of disease of the people experiencing homelessness in Chile
Miguel Harfagar, Director, Fundación Salud Calle, Santiago, Chile

STREAM C1: SPECIALIST PSYCHOLOGY IN INCLUSION HEALTH

Learning from the co-designed HOME (Homeless, older and experiencing memory problems) intervention
Dr Penny Rapaport, Principal Research Fellow and Honorary Clinical Psychologist, Division of Psychiatry, University College London and Charlie Beeson, Research Assistant, University College London

Understanding healthcare exclusion: a meta-ethnography of homeless individuals’ healthcare experiences
Elizabeth Scott, Trainee Clinical Psychologist and Teaching Fellow, OutcomeHome and University of Southampton

Safe space psychotherapy – a new approach to gender and trauma informed talking therapy
Kate John, Women’s Recovery Co-ordinator, St Mungo’s

Centring lived experience voices and experiential expertise in the evaluation of the psychology offer in Crisis’ homelessness services
Raj Hazzard, Senior Researcher, McPin Foundation; Andrew Ashley, Nicholas Couchman and Thomas Inman, Experience Co Researchers, Crisis

STREAM D1: CO-PRODUCED PODCAST: JOURNEYS IN DUAL DIAGNOSIS AND HOMELESSNESS

The podcast explores personal journeys from a non-medical and medical lived experience perspective, in the hope of encouraging conversations around these issues, aiming for better outcomes for everyone affected.
Mandy Pattinson, Lived Experience Programme Manager, Pathway, Mark Banyan and Ross Mayo, Pathway Lived Experience Group Members

STREAM E1: EXTENSIVE CARE: COULD INTEGRATED COMMUNITY TEAMS PROMOTE INCLUSION HEALTH?

Extensive care: could integrated community teams promote inclusion health?
Neil Singh
, Senior General Practice Teaching Fellow, University of Brighton

12.45 – 14.00 LUNCH BREAK

13.15 – 13.45 LUNCH AND LEARN

13.00 – 13.20 LUNCH AND LEARN

Tackling homelessness – a perspective from California
Professor Margot Kushel, Professor of Medicine and Division Chief at Division of Health Equity and Society, Zuckerberg San Franscisco General Hospital
(Video presentation and Q&A)

The best for baby film (20 min video)
Introduced by Dr Ryan Young, GP in Inclusion Health, Brownlow Health

The Best for Baby Revolution film tells the story of having a baby while in the UK asylum system. The film has been written by and stars, Creative Influencers, a group of mothers with lived experience of having a baby whilst seeking asylum. The film has been made as part of a training resource for midwives, with the hope it can inform training and policy on a wider scale. It is an important and hard-hitting piece, informed by personal narrative as well as national research and policy, while also managing to inspire and promote a message of hope.

14.00 – 15.00 BREAKOUT SESSIONS STREAM 2

STREAM A2: BRINGING DATA INTO THE MAINSTREAM

Deaths of people experiencing homelessness: A mixed-methods analysis of death reviews in Oxfordshire 2018-2023
Dr Riley Botelle, Resident Doctor, Wexham Park Hospital, Frimley Health NHS Foundation Trust

MASST – Multi Agency Safeguarding and Support Team
Kerry Gilbert, Matron, Portsmouth Hospitals University NHS Trust

Inception of an inclusion health service at Tallaght University Hospital, Dublin – a needs analysis
Dr Kaitlyn O’Brien, Medical Senior House Officer, Tallaght University Hospital Dublin, Ireland

STREAM B2: IMPROVING PRACTICE

It’s OK to ask sensitive questions but….
Dr Amy Stevens, Public Health Lead, Bevan CIC

Working together to remove barriers
Dr Fiona Meth, Director of Practice, School of Healthcare, Faculty of Medicine and Health, University of Leeds

Bridging gaps: co-producing service change in primary care for and with people with severe and multiple disadvantage
Dr Lucy Potter, GP Academic, Bristol University

STREAM C2: MAINSTREAMING SPECIALIST WORKING

Introducing a working model and then bringing it to life
Anthony Pickup, Involvement and Inclusion Manager, MEAM

How can we best support peer workers to enable them to support those experiencing homelessness and problem substance use? Insights from the SHARPS study
Dr Jen Boyd, Research Fellow, University of Stirling

STREAM D2: DELIVERING HOUSING AND ENDING HOMELESSNESS

How do we join ambitions around delivering housing and ending homelessness? The role of inclusion health
Sarah Finnegan
, Head of Policy, National Housing Federation
Jasmine Basran
, Head of Policy and Campaigns), Crisis

15.00 – 15.30 REFRESHMENT BREAK

15.30 – 17.00 PLENARY SESSION TWO

MAKING THE INVISIBLE VISIBLE: NEW NATIONAL RESEARCH ON INEQUITIES IN HEALTHCARE ACCESS ACROSS ENGLAND

Chair’s introduction
Jo Dawes, NIHR Doctoral Research Fellow

Introduction to the UCL Collaborative Centre for Inclusion Health
Dr Serena Luchenski, Clinical Associate Professor & Honorary Public Health Consultant; Co-Director, UCL Online Master of Public Health; Director, UCL Collaborative Centre for Inclusion Health

Estimating the scale of hospital admissions for people experiencing homelessness
Dr Serena Luchenski, Clinical Associate Professor & Honorary Public Health Consultant; Co-Director, UCL Online Master of Public Health; Director, UCL Collaborative Centre for Inclusion Health

Measuring the unmet healthcare needs of refugees
Dr Rachel Burns, Senior Research Fellow, Collaborative Centre for Inclusion Health

Prioritising equitable access to blood-borne virus treatment for inclusion health groups
Dr Binta Sultan, Inclusion Health Consultant and Clinical Research Fellow, Collaborative Centre for Inclusion Health

Panel discussion/questions to include the above speakers plus:
Pete Bull and Manzoor Bhuiyan, Pathway Lived Experience Group Members

Q&A

16.45 – 17.30 AWARDS AND CELEBRATION

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

Award of Honorary Fellowships to the Faculty

Hosted by: Chris Sargeant and Leslie Murphy OBE

Stephanie O’Leary, Director, Healthy Living, Healthy Lives CIC
Tracy Pollard, our Advanced Clinical Practitioner, Inclusion Healthcare
Jane Cook, Complex Case Manager, Groundswell

Announcement of poster competition winners

Performance by the Sing for Freedom Choir

Close of Day 1 of the Symposium

Day 2 - 13/03/2025

08.30 – 09.30 BREAKFAST PECHA KUCHA PRESENTATIONS

 

Pecha Kucha Presentations

Chairs: Alex Bax, Chief Executive, Pathway and Dr Chris Sargeant, Pathway Medical Director; Secretary to the Faculty for Homeless & Inclusion Health

A sustainable dental service for people experiencing homelessness in Bristol, North Somerset & South Gloucestershire
Judy Caesley, Dental Hygienist, BrisDoc Homeless Health Service

The impact of shelter activities and social dynamics on substance use among people who use homelessness shelters
Sotiria Kyriakidou, PhD Candidate, University of Manchester

Embedding multiple disadvantage specialist practitioners in statutory services as a vehicle for system change and promoting multi-disciplinary working in Nottingham City
Amelia Draper, Evaluation Lead, Changing Futures Nottingham

Establishing a Student Inclusion Health Society focused on flourishing
Jeyapragash Jeyapala, Internal Medicine Trainee, North West and Central London NHS Trusts

Working together to reduce secondary care appointment DNAs
Wayne Henderson, Mental Health Nurse and Director of Nursing and Specialist Services at Inclusion Healthcare and Jigisha Patel, Service Manager, UHL

09.40 – 10.25 PLENARY SESSION THREE: PATHWAY’S ANNUAL REFLECTIONS AND LAUNCH OF THE 2025 BAROMETER REPORT

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

Pathway Annual Reflections

Launch of 2025 Barometer Report and Policy Updates

Francesca Albanese, Executive Director of Policy & Social Change, Crisis and Theo Jackson, Research and Data Lead, Pathway

Dr Jenny Drife, Consultant Psychiatrist, START homeless outreach team

Dr Aaminah Verity, Senior Clinical Research Fellow, Queen Mary’s University of London

09.40 – 10.25 PLENARY SESSION FOUR: GETTING SUPPORT RIGHT: PERSPECTIVES FROM CANADA AND THE UK

Chair’s opening remarks

Getting the support right in housing, a perspective from Canada
Steven Rolfe, Clinical Director, Indwell, Canada and Professor Abe Oudshoorn, Associate Professor and Acting Associate Dean Research (Faculty of Health Sciences), The Arthur Labatt Family School of Nursing, Western University; the Arthur Labatt Family Chair in Nursing Leadership in Health Equity, Canada

Diabetes and homelessness – what’s to be done?
Sam Dorney-Smith, Senior Nursing Fellow, Pathway; Clinical Research Lead, UCL and Lynne Wooff, Diabetes Specialist Nurse, NMP, Bolton NHS Foundation Trust/Integrated Services Division

Panel discussion/questions to include the above speakers plus:
Pete Bull and Gareth Murphy, Pathway Lived Experience Group Members

11.25 – 11.55 REFRESHMENT BREAK

11.55 – 13.25 CONCURRENT SESSIONS STREAM THREE

STREAM A3: PRIMARY CARE PERSPECTIVES

GP access for inclusion health groups: perspectives and recommendations
Dr Aaminah Verity, Senior Clinical Research Fellow, Queen Mary’s University of London

The STaR project – reaching out. An outreach, low threshold, multidisciplinary approach to substance use disorders and homelessness
Dr Sam Cole, GP Specialist Substance Misuse, Inclusion Health Devon – Clock Tower Surgery

Interventions to address missingness in primary care- what matters for inclusion health?
Andrea Williamson, Professor of General Practice & Inclusion Health, and Calum Lindsay, Research Associate, School of Health and Wellbeing, University of Glasgow

STREAM B3: ASSESSING AND MEETING HIDDEN NEEDS

An investigation into the scale and impact of physical disability in people experiencing homelessness in Ireland
Julie Broderick, Head & Assistant Professor of Discipline of Physiotherapy, TCD and Dr Rikke Siersbaek, Post-Doctoral Research Fellow, Centre for Global Health, Trinity College Dublin

Prevalence of frailty in people experiencing homelessness: secondary analysis of a cross-sectional survey
Joanna Dawes, Physiotherapist and NIHR Doctoral Research Fellow, UCL

Impact of the LEAP-W (Low-threshold Exercise and Protein supplementation programme-for Women) Trial
Fiona Kennedy, PhD Candidate, Trinity College, The University of Dublin, Ireland

STREAM C3: DIABETES AND HOMELESSNESS – FOLLOW UP AND DISCUSSION

Don’t tell us off: Examining ways to improve the health care of people experiencing homelessness with Diabetes
Maggie Kirk, Medical Director, Health bus
Dr Ryan Young, GP in Inclusion Health, Brownlow Health
Rebekah Besford, Clinical Lead Nurse HHIT, Leeds Community Healthcare Trust

STREAM D3: DEVELOPMENTS FROM THE MENTAL HEALTH SUB-GROUP – DISCUSSION SESSION

As the network continues to expand, this is an opportunity to meet in-person to reflect on shared challenges and look to the future for the network.  We hope to explore how we can continue to learn together as well as harness the expertise within the group to make systemic change.

STREAM E3: IMPROVING NUTRITION IN INCLUSION HEALTH

Nutritional support project for people experiencing homelessness and drugs and alcohol misuse
Neal McArdle, Head of Learning & Training Services, Providence Row

Work of the Pathway Nutrition Committee
Ghislaine Swinburn, Research Dietitian; Pathway Fellow

12:55 – 14:00 LUNCH BREAK

13:25 – 13:55 LUNCH AND LEARN

13:15 – 13:45 LUNCH AND LEARN

Pecha Kucha Presentations

Interventions to improve inclusion health groups’ access to primary care in England
Dr Elspeth Carruthers, IMT2 Doctor, Whittington Health NHS Trust

How homeless hostel staff conceptualise their work
Mandeep Kallu, Clinical Psychologist and Research Associate NIHR Health Inclusion Pathway Plymouth

HHIT or miss? Integrated working – Andy’s story
Rebekah Besford, Clinical Lead Nurse HHIT, Paramedic Street Outreach, LCH, Bevan

Discussion Group: Under-represented AHPs in inclusion health

Led by Ghislaine Swinburn, Research Dietitian; Pathway Fellow

With contributions from:

Jo Dawes, Physiotherapist
Judy Caseley, Dental Hygienist
Jimmy Frankland, Homeless Outreach Paramedic – Bevan Healthcare CIC

14.00 – 15.00 CONCURRENT SESSIONS STREAM FOUR

STREAM A4: DEMONSTRATING NEED AND COMMISSIONING

Shifting the power
Lisa Byrne, Changing Futures Programme Lead – Multiple Disadvantage and Jamie Poole, Lived Experience Project Manager, Surrey County Council

A partnership approach to improving access to healthcare for people who experience multiple disadvantage shaped by the voice of lived experience
Dr Andrew Foster, Deputy Clinical Director, Nottingham City Place Based Partnership, Nottingham City General Practice Alliance

Break the cycle: understanding multiple unmet needs in Hull
Dr Alexandra MacNamara, Public Health Registrar, Hull City Council and Amanda Hailes, Co-founder, An Untold Story – Voices

Our approach to inclusion health through Primary Care in Wales – The national programme
Dr Kerry Bailey, Consultant in Public Health, Primary Care Transformation, Public Health Wales

STREAM B4: RACISM, STIGMA AND DISCRIMINATION

The differing experiences of epilepsy-related quality of life and stigma in people with epilepsy who are housed or experiencing homelessness: a mixed-methods study
Dr Ciara Anderson, Doctor (SHO), St James Hospital, Dublin and Dr Hannah Lucey, Psychiatry Registrar, Dublin Hospital

Trauma during homelessness and how it shapes mental health (substance use): results from seaside towns and an urban setting in North East England using narrative illustrations
Emma Adams, NIHR Doctoral Fellow, Newcastle University, Haley Paxton and Jamesy Dillon, Experts by Experience

STREAM C4: MAINSTREAMING ADDICTION TREATMENT

Providing continuity and equivalence of care to imprisoned women with opiate addiction
Dr Emma Mastrocola, Lead GP, HMP Eastwood Park

Substance use services – everyone’s business
Ben Jameson, Clinical Lead, Health Inclusion Pathway, Plymouth; Adelaide St Surgery/HIPP

Utilising delivery of OST to improve treatment outcomes for people in hostel accommodation
Dr Ryan Young, GP in Inclusion Health, Brownlow Health

STREAM D4: LEADING THE WAY ON CO-PRODUCTION

How to train GPs to work in areas of deprivation
Dr Laura Neilson, Shared Health Foundation

From major trauma to trauma informed – educating student paramedics in homeless and inclusion health to improve the patient experience and health
Dominic Maddocks, Inclusion Health Paramedic, Bevan Health CIC

Co-producing healthcare professional teaching with people who have experienced homelessness. Reflections on a teaching collaboration in Brighton
Dr Kate Pitt, GP and Lecturer in Medical Education, Brighton and Hove Common Ambition, Justlife, Arch, Brighton and Sussex Medical School and Sara Emerson, Health Engagement Team Leader, Justlife

15.00 – 15.20 REFRESHMENT BREAK

15.20 – 16.45 PLENARY SESSION FIVE: A MAINSTREAM FUTURE FOR INCLUSION HEALTH

Chair’s opening remarks
Dr Chris Sargeant

From the margins to the mainstream – reflections on 10 years as Chair of Pathway
Leslie Morphy OBE, Chair, Pathway

Hostile to health, UK immigration policy and the health, wellbeing and service use of migrants
Professor Beth Watts-Cobbe, Professor, Heriot-Watt University and Annika Joy, Programme Director for Ending Destitution, Simon Community Scotland

Chair’s closing remarks

Close of Day 2 of the Symposium

RESOURCES

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