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HRP studies

Strengthening Pathways Out of Hospital for People who are Homeless

Presentations from the regional events


Duty to Refer: Delivering safe timely transfers for patients who are homelessDr Michelle Cornes & Jess Harris, HSCWRU, King’s College London. Joanne Coombes, Darren O’Shea & Stan Burridge, Experts by Experience Research Advisory Group [Project page]

Refreshing the High Impact Change Model for Managing Transfers for CareFiona Russell, Local Government Association

The Better Care Fund and Housing. Neil Revely, LGA [Newcastle only]

Home First. Challenges and Progress. Gill Leng, MHCLG [Birmingham only]

Delivering Safe, Timely Transfers of Care for All Patients.Victoria Bennett, NHS England



Reducing delayed transfers of care through housing interventionsKevin Snowball & Linda Gudgeon, We Care Home Improvements

Bristol homelessness case studies and future plansDr Mike Taylor & Dr Lucy Harrison, The Homeless Health Service


Gloria House Hospital Discharge Step Down ServiceAlan Ferguson, Peabody

Admission Avoidance & Discharge Service (AADS) For Tower Hamlets residentsFiona Davies, East London Foundation Trust; Sitabile Pswarayi, London Borough of Tower Hamlets


Trusted Assessor pathways in GatesheadStephanie Robinson, Gateshead Foundation Trusts;  Michele Keenan, Gateshead Council

Local case study & discussion: homeless hospital discharge in Newcastle. Suzanne Halliwell, Your Homes Newcastle

Home FirstHelen Nichols & Paula Watson, Newcastle Upon Tyne Hospitals NHS Foundation Trust


Improving transfers of care. Developing a Home First mindset. Ruth Lake, Leicester City Council

Homeless nursing from an acute and primary care setting. Jacqui Conaty, Heart of England NHS Trust; Sarah Eades, NHS

MANCHESTER case studies to follow (Booking open)

Purpose of this project

This project builds on the Unit’s Comparative Study of Hospital Discharge Arrangements for Homeless People in England by accelerating the reach and impact of the study findings. Researchers are working with Pathway, the leading charity in this field, and colleagues from the Department of Health and Social Care (DHSC), Ministry of Housing, Communities and Local Government (MHCLG), NHS England, Public Health England, Local Government Association (LGA) and the Greater London Authority (GLA) to develop and deliver a range of national and regional impact activities. All involve ‘experts by experience’ and are co-produced with project partner Stan Burridge.

Details of the first four regional events.

Wednesday 29 January 2020: Bristol

Thursday 6 February 2020: London

Wednesday 12 February 2020: Newcastle

Thursday 20 February 2020: Birmingham

Friday 1 May 2020: Manchester - Book for this event.

[See also: London Champions event, 28 February 2020]


2019 – 2020

Research team

Michelle Cornes and Jess Harris (HSCWRU); Stan Burridge, PPIE/Peer Researcher


King’s College London ESRC IAA Social Science Impact Fund


Learning Events will be held in four cities across England, in partnership with national and local stakeholder organisations, to bring homelessness focussed evidence to a wider audience of generic hospital discharge commissioners and providers. A series of homelessness day centre visits have used a quiz as an accessible way to discuss issues and gather feedback and stories from people currently homeless. Printed ‘business cards’ being distributed to centre users and staff offer information on rights when faced with discharge to the street. A virtual Improvement Network led by Pathway will take knowledge exchange beyond the life of the project via an online forum.


An overview of the project’s learning and impact will be collated in a brief report. All project materials, including the quiz, case studies, quotes and stories from people who are homeless will be available to download from the project website.


NHS England have responded to the research findings, confirming changes to national policy guidance on delayed transfers of care. Their Head of Safeguarding is working with the project to develop an awareness campaign across the NHS that discharging homeless patients to the street is unacceptable. Policy customers at the DHSC and MHCLG have confirmed the research’s influence on other policy and practice: the Cold Weather Fund has been extended to specialist intermediate care services (Winter Pressures), and the project was instrumental, making this recommendation at high level meetings. Direct work with people who are homeless has helped accelerate awareness of service provision gaps. Working with Pathway, GLA and government partners a Champions Network is being established to drive forward the implementation of intermediate care in London.

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