HOMELESS HEALTH SERVICE

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HOMELESS HEALTH SERVICE
April 2008
www.bristolhomelesshealth.co.uk
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People in Bristol.

• Population circa 400,000
• Young population high 25 35 year olds.
• Life expectancy in Bristol is below the national
  average.
• Estimated 3- 5,000 injecting drug users.
• 10,000 dependent alcohol users.

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Health Inequalities.

• HHS is currently located in the most deprived SOA
  in Bristol and in the top 100 in the UK
• Our management practice are based in the 2nd most
  healthy in Bristol
• A distance of about 3.5 miles and about 6 years
  difference in life expectancy.
• (www.communities.gov.uk)?

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Homeless Health service.

• Hash team 2 nurses and 3 sessional GP's.
• Evening outreach service.
• Evening outreach on mobile needle exchange.

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Salvation Army Citadel SMART base

• Smart team.
• Substance misuse team.
• 1 w.t.e nurse, 2 sessional GP's

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Health link _at_ the HUB.

• Health link team 2 health outreach workers.
• Work with people who have health and housing
  needs.
• Assertive outreach for those in extreme health
  need.

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Management Structure
2005 - homeless health care In Bristol was felt
to be fragmented and skewed towards mental
health. Bids were invited from interested
parties to tender for the management of the
service. 2006 - Management of Service passed to
a north Bristol GP practice - 7,000 patients in
an affluent residential area a 3rd sector
national organisation housing work for formerly
homeless people.
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Current Model Of Provision.

• BPCT has commissioned the current management team
  to provide a Locally Enhanced Service providing
  specialist health care for homeless people.
• HHS does not register patients.
• HHS Does not provide out of hours services.

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HHS STREET DRINKERS

• Increasing contact with street drinkers.
• Poly drug use is a common factor.
• Level of clients with Hepatitis C and problematic
  alcohol use.
• HHS part of a pilot project developing wet
  provision.
• Engage with street drinkers, build relationships
• Developing guidelines for nutritional assessment
  and community Pabrinex.

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HHS Street Sex Workers

• Hard to reach vulnerable group.
• HHS clinic for sex workers.
• STI screening.
• Contraception advice
• Hepatitis / HIV screening

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HHS Injecting Drug Use

• We advise re safe injecting.
• Work with BDP at the needle exchange / safe
  injecting work shops.
• HIV / Hepatitis screening
• Hepatitis B immunisation
• Supply dressings Advise people re self care
• Liaise DVT service

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Where Next.

• The Compass centre.
• Multi agency homeless assessment centre.
• Re tendering for contract in 2009.

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How to find uswww.bristolhomelesshealth.co.uk

• Homeless health service, 1 new street, St Judes
• BS2 9DX
• Jaci Monk 07974 735716
• OFFICE 0117 9240060