The project aims to reduce the demand on secondary care by providing in-hostel care. The team works to stop acute conditions developing, so that clients do not need to visit hospital.

The Three Boroughs Primary Healthcare Team are a nurse led outreach team providing services for homeless and vulnerable groups. The project aims to reduce the demand on secondary care by providing in-hostel care. The team works to stop acute conditions developing, so that clients do not need to visit hospital.

The project began after St Mungo’s identified a need for intermediate care services for homeless people. A steering group was set up to assess how this could be achieved, and funding was secured from the NHS, St Mungo’s, and Guy’s and St Thomas’ Charitable Foundation for a one year pilot scheme at a St Mungo’s hostel in Clapham. The project now has mainstream funding and is based at a Thamesreach hostel in Lambeth, with plans to extend the service to a second hostel.

Kendra Schneller, a Clinical Nurse Specialist, works full time at the hostel providing medical care such as immunisations, medication adherence checks and referrals to other services. A full time Health Social Worker, Substance Misuse Mental Health Workers, project workers and housing re-settlement workers are also provided. In the first year, 34 clients were admitted onto the caseload. Hospital admissions fell by 75% and ambulance call outs were reduced by 50%. Staff also escorted clients to referral appointments and therefore only 11% of appointments were not attended.

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Information

  • Key person
    Kendra Schneller, Clinical Nurse Specialist
  • Location
    London
  • Project date
    Ongoing
  • Key aim
    To reduce the demand on secondary care by providing in-hostel care.