Successfully reported this slideshow.
Your SlideShare is downloading. ×

Data Matching: Understanding the Impact of Homelessness on Health Services

Ad

Presentation Title
Speaker’s name
Presentation title
Speaker’s
name
Data matching:
understanding the
impact of homelessnes...

Ad

Multiple Exclusion Homelessness is the
visible, deeply damaged and vulnerable tip of
the health inequality iceberg.
Below ...

Ad

2 pay cheques away from
homelessness
Approaching
homelessness
Prevent 1
Statutory
homeless HL1
Sofa
Surfers
Housed but
hom...

Ad

Ad

Ad

Ad

Ad

Ad

Ad

Ad

Ad

Ad

Ad

Ad

Ad

Loading in …3
×

Check these out next

1 of 16 Ad
1 of 16 Ad

Data Matching: Understanding the Impact of Homelessness on Health Services

Download to read offline

Neil Hamlet's presentation in the "Effective Health Interventions for Homeless People - Building Bridges Across Sectors" workshop at the FEANTSA Annual European Policy Conference on the 10th of June 2016

Neil Hamlet's presentation in the "Effective Health Interventions for Homeless People - Building Bridges Across Sectors" workshop at the FEANTSA Annual European Policy Conference on the 10th of June 2016

Advertisement
Advertisement

More Related Content

Viewers also liked (20)

Similar to Data Matching: Understanding the Impact of Homelessness on Health Services (20)

Advertisement

More from FEANTSA (20)

Advertisement

Data Matching: Understanding the Impact of Homelessness on Health Services

  1. 1. Presentation Title Speaker’s name Presentation title Speaker’s name Data matching: understanding the impact of homelessness on health services Neil Hamlet – Consultant, Public Health Medicine, NHS Fife - Lead for Homelessness, NHS Health Scotland neil.hamlet@nhs.net @Neil_Hamlet
  2. 2. Multiple Exclusion Homelessness is the visible, deeply damaged and vulnerable tip of the health inequality iceberg. Below the waterline lie all the social, environmental and behavioural drivers and transition points for prevention and early intervention. The Inequality Iceberg
  3. 3. 2 pay cheques away from homelessness Approaching homelessness Prevent 1 Statutory homeless HL1 Sofa Surfers Housed but homeless HL3 Hidden Homeless Rough Sleepers
  4. 4. Together warming the water Silo-based chipping away “Statutory” Homeless Mental Distress Childhood Trauma AddictionCriminal Justice Relational Breakdown
  5. 5. HousingVoluntary Sector NHS Social Care Data – sharing across agencies
  6. 6. - 200 400 600 800 1,000 1,200 1,400 2006 2007 2008 2009 2010 2011 2012 2013 2006 2007 2008 2009 2010 2011 2012 2013 HL1 Fife (Aged 15 - 64) A&E Attendance Rate per 1,000 Population Attendances at two Fife Acute Hospitals Male Female The impact of homelessness on health care – proving the case ‘Insecurely Housed’ ‘Securely Housed’
  7. 7. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% HL1Fife(Aged15-64) Referral From Distribution of A&E Attendances; 2013 Source who referred patient to A&E department Emergency Services GP Other Hospital Self Referral NHS24 Abuse ? Pragmatic ? £££
  8. 8. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% HL1Fife Age Distribution of A&E Attendances; 2013 Age of patients attending A&E Under 15 15 to 19 20 to 29 30 to 39 40 to 49 50 to 64 65+ Over 50% are under 30 yrs Over 80% are under 40 yrs
  9. 9. - 50 100 150 200 250 300 2006 2007 2008 2009 2010 2011 2012 2013 2006 2007 2008 2009 2010 2011 2012 2013 HL1 Fife (Aged 15 - 64) Emergency Admission Rate per 1,000 Population Patients admitted to hospital as an emergency
  10. 10. - 50 100 150 200 250 2006 2007 2008 2009 2010 2011 2012 2013 2006 2007 2008 2009 2010 2011 2012 2013 HL1 Fife (Aged 15 - 64) Patient Multiple Attendance Rate per 1,000 Population Patients who have attended A&E more than once within specified year Male Female ‘Insecurely Housed’ ‘Securely Housed’ The Frequent FliersCriers
  11. 11. - 5 10 15 20 25 30 35 40 2006 2007 2008 2009 2010 2011 2012 2013 2006 2007 2008 2009 2010 2011 2012 2013 HL1 Fife (Aged 15 - 64) Multiple Emergency Admission Rate per 1,000 Population Patients who have been admitted as an emergency more than once in specified year Revolving Hospital Door effect
  12. 12. 0% 5% 10% 15% 20% 25% 30% - 15 30 45 60 75 90 2006 2007 2008 2009 2010 2011 2012 2013 2006 2007 2008 2009 2010 2011 2012 2013 HL1 Fife (Aged 15 - 64) %ofAdmissions Rateper1,000Population Alcohol-related Admissions rate per 1,000 and % of Admissions Admissions with diagnosis related to alcohol based on ISD definition % Rate 10 fold difference
  13. 13. 0% 5% 10% 15% 20% 25% 30% 35% 40% 2006 2007 2008 2009 2010 2011 2012 2013 2006 2007 2008 2009 2010 2011 2012 2013 HL1 Fife (Aged 15 - 64) % New Outpatient Appointments DNA New appointments who Did Not Attend (excludes cancellations by hospital or patient) •Changed address •Fearful to open official mail •Appointment too early •No money for the bus •It won’t do any good’ Access / Expectation
  14. 14. Chief Statistician funded pilot to test Fife approach nationally
  15. 15. A&E Outpatients Inpatients Day cases Deaths Prescribing Age/gender CHI Linked File SPARRA Social Care SIMD Linked Health and Social care file at an individual service user level (Aggregated Activity & Costs) Integrated Data: Health & Social Care Integration and Information Platform £costed Community Housing & Homelessness data
  16. 16. www.housingandwellbeing.org http://www.scotphn.net/projects/previous _projects/homelessness_guidance_for_ public_health

×