Reaching out to improve health outcome and address inequalities in Northamptonshire's Homeless population
PHE ePoster Library. Wightman L. 09/12/19; 274372; 177
Lucy Wightman
Lucy Wightman
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Abstract
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Abstract IntroductionFour local authorities in Northamptonshire have significantly higher number of homeless households in comparison to England and East Midland average. Homeless people experience numerous barriers to accessing healthcare including organisational barriers, attitudinal barriers and social stigma.AimProvide health screening and interventions in community settings for the homeless population of Northamptonshire residing in temporary shelters or sleeping rough using an integrated system wide approach.MethodHealth screening outreach clinics were planned and delivered at 10 voluntary centres offering blood borne viruses (BBV) and latent tuberculosis infection (LTBI) screening; screening for lifestyle induced non-communicable diseases; and vaccinations for Hepatitis B and seasonal flu. People were supported to register with a local GP for continuity of care where unregistered on attendance. This project was based on a collaborative approach and resource pooling by 24 key NHS and non-NHS partners.
Result
127 people received lifestyle screening; 27 were overweight and 20 had high blood pressure. Of the 102 who accepted BBV testing, 5 were Hepatitis-C +ve and 2 were Hepatitis-B +ve. A fifth of those tested for LTBI were positive. 67 Hepatitis-B and 12 seasonal-flu vaccinations were given. 12 people required GP registrations. Referrals were made to specialist treatment centres and primary care.
Conclusion
Following this pilot project, service agreement will now provide wrap around care for homeless people in Northamptonshire. Routine clinics will be offered by clinical services and lifestyle support provided to enable homeless people to engage with health services and find suitable accommodation to maintain their health and wellbeing. External funding details
Abstract IntroductionFour local authorities in Northamptonshire have significantly higher number of homeless households in comparison to England and East Midland average. Homeless people experience numerous barriers to accessing healthcare including organisational barriers, attitudinal barriers and social stigma.AimProvide health screening and interventions in community settings for the homeless population of Northamptonshire residing in temporary shelters or sleeping rough using an integrated system wide approach.MethodHealth screening outreach clinics were planned and delivered at 10 voluntary centres offering blood borne viruses (BBV) and latent tuberculosis infection (LTBI) screening; screening for lifestyle induced non-communicable diseases; and vaccinations for Hepatitis B and seasonal flu. People were supported to register with a local GP for continuity of care where unregistered on attendance. This project was based on a collaborative approach and resource pooling by 24 key NHS and non-NHS partners.
Result
127 people received lifestyle screening; 27 were overweight and 20 had high blood pressure. Of the 102 who accepted BBV testing, 5 were Hepatitis-C +ve and 2 were Hepatitis-B +ve. A fifth of those tested for LTBI were positive. 67 Hepatitis-B and 12 seasonal-flu vaccinations were given. 12 people required GP registrations. Referrals were made to specialist treatment centres and primary care.
Conclusion
Following this pilot project, service agreement will now provide wrap around care for homeless people in Northamptonshire. Routine clinics will be offered by clinical services and lifestyle support provided to enable homeless people to engage with health services and find suitable accommodation to maintain their health and wellbeing. External funding details
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