Spotlight Session 1

Glasgow City Health and Social Care Partnership Inter-agency Housing First Development 

Speakers:

Eleanor Lee – Principal Officer, Housing First and Complex Needs, Glasgow City Health and Social Care Partnership

Keith Chalmers – Senior Addictions Worker, Glasgow City Health and Social Care Partnership

Glasgow City Health and Social Care Partnership, with support from The Salvation Army, the Wheatley Group and Social Bite, has rapidly progressed a Housing First project to meet the needs of individuals with complex needs who have experienced repeat homelessness. This is part of a broader national transition that will be happening over the next five years which will support Glasgow Health and Social Care Partnership to move towards ‘Rapid Rehousing’ as the default response to reducing homelessness with Housing First for those with multiple and complex needs. 

The Housing First service offers individual tenancies with bespoke, assertive outreach support packages delivered by The Salvation Army. The Wheatley Group have committed 75 tenancies for this project with financial support for furnishing for all Housing First individuals being provided by Social Bite. Phase one has already progressed with 27 individuals now in their own tenancy with intensive support.

Following on from the delivery of the project, Glasgow is adopting a one approach to Housing First in partnership with The Salvation Army, Glasgow Housing Association, Social Bite Consortium, City Mission and Simon Community Scotland. This will be expanded to include a further 78 Housing First tenancies/packages via the Social Bite Consortium and include additional Registered Social Landlords (RSL) in Glasgow.  

In addition to the 153 Housing First tenancies/packages there are an additional 25 tenancies/packages via the private rented sector. In addition, Glasgow has purchased a Housing First service from Turning Point Glasgow for a number of years with 37 individuals receiving a Housing First tenancy/package since 2010.

The ongoing development and success of the programme will include a roll-out of referral options across all health and social care groups working with the target group, including addictions, mental health and criminal justice. 

The session is an opportunity for delegates to understand the benefits and challenges of the Housing First model and consider how they might work together to improve outcomes for the most complex homeless/rough sleeping clients towards a home and better future. 

A Collective Approach to Enhanced Intermediate Care and Rehabilitation in Ayrshire 

Speakers:

Emma Stirling  Service Manager, Intermediate Care & Rehabilitation Services, North Ayrshire Health and Social Care Partnership

Craig Ross  Service Manager, Authority-wide Community Health and Care Services, East Ayrshire Health and Social Care Partnership

NHS Ayrshire and Arran and three Ayrshire Health and Social Care Partnerships (HSCP) are progressing an ambitious programme of collaborative transformation across community based and acute services. This includes a new Ayrshire-wide model, Enhanced Intermediate Care and Rehabilitation Service which aims to prevent admissions, support early discharge and provide better outcomes for local people.

The session will outline the collaborative journey for developing the new model for enhanced intermediate care and rehabilitation, as part of an overarching Ayrshire-wide programme of new models of care for older people and people with complex needs.

The model was developed to join up and enhance existing component parts of community rehabilitation in each of the HSCPs. It was designed to reduce duplication and silo based working in the traditional system, providing a real alternative to acute hospital admission and improving outcomes for the people of Ayrshire.  

The new model was developed collaboratively by a network of Professional Leads and Senior Managers across the three HSCPs and acute services with a range of professional staff groups, to develop a single model across Ayrshire.

The Enhanced Intermediate Care and Rehabilitation Service in East, North and South Ayrshire provides a single point of access with screening and clinical triage, ensuring the person is seen by the right service, first time. The service operates 09:00 –17:00, seven days per week. Multi-disciplinary teams support people at different stages of their recovery journey and people are linked into existing intermediate care and rehabilitation services. 

The development of this service is aligned to NHS Ayrshire and Arran’s Primary Care Improvement Programme, providing ease of access and confidence in community alternatives to hospital admission. In this session, delegates will hear about:

  • The collaborative approach taken across agencies and stakeholder groups in Ayrshire. 
  • The evidence base that underpins the new model. 
  • Early outcomes (Ayrshire wide start date was November 2018). 
  • Reflections on leading system-wide change, as a result of involvement in this initiative.

Opening New Doors to Keep ‘Equally Safe’

Speakers:

Lynn Waddell – Sexual Assault Service Design Lead (retired April 2019), NHS Forth Valley

This session outlines how NHS Forth Valley is meeting the Healthcare Improvement Scotland Standards published in December 2017 through the design and development of a sexual assault/rape facility within the Forth Valley area The Meadows.

The immediate and long-term physical and psychological consequences of rape, sexual assault or child sexual abuse can be considerable and may include depression, anxiety, post-traumatic stress disorder, substance misuse, self-harm and suicide. 

Significant work has been completed to ensure that The Meadows meets the needs of our diverse communities including our staff who may also have experienced abuse.

The first point of contact where an individual may disclose their experience of sexual assault/rape may not always be via a police route. It could be YOU that they feel comfortable to disclose to. Would you know how to react or what to do in your area of work?

By partners working together we will deliver improved outcomes through the delivery of seamless person-centred care by giving clients informed choice, co-ordinated care and support. 

In the design and location choice, The Meadows has had active involvement of all partners including the South East and Tayside Police/Forensic Medical Healthcare Team, Police, third sector parties, dementia services, learning disability team, survivors etc. The Meadows endeavours to meet people’s needs regardless of protected characteristics or those who may experience inequalities in health.

The Meadows provides:

  • A fully accessible facility/service.
  • A local NHS facility rather than an individual being examined in a Police Station.
  • A specialist area which expressly meets the needs of children including examination and video facility.
  • A facility where staff deliver a co-ordinated response for people who have experienced rape, sexual assault or child sexual abuse, including immediate clinical assessment, forensic examinations.
  • A central point of contact whereby staff support the needs of people experiencing Gender Based Violence.
  • Support to those who have/are experiencing abuse where the third sector can deliver one to one help.
  • A site with the potential for delivering smear testing for survivors with the outcome of enhancing health and wellbeing using timely interventions.

This service has been identified by the Scottish Government as an example of best practice.