Route to Roots Tower Hamlets’ Innovative Hospital Dis ischarge charge Scheme heme fo for r Ou Out-of of- Borou rough gh Ho Homeles meless s Pat atients ients Presenters: Riad Akbur, HOST, LB Tower Hamlets Pam Orchard Providence Row
What is it? Service for homeless hospital patients with a non-Tower Hamlets local connection Voluntary assistance with casework support, advocacy and person-centered support to access housing options in their home borough where it is safe to do so UK-wide and international reconnection Housing Options= mediated prevention, tenancy rescue, care home/supported placement, Pt. 7
How it came about? RLH MDT multi-agency established 2011 Accommodation pathway for Tower Hamlets residents First R2R nurse-led attempt in 2012 LBTH Floating Support Providence Row commissioned in 2013
The Project in Practice 2014-15 74 referrals 9 verified rough sleepers 51 local connection to a London borough 11 from the neighbouring boroughs 6 out of London 13 East Europeans 2015-16 Q1-Q3 61 referrals
Outcomes and costs Outcomes 2014-15 36 housing outcomes 11 TA placements 1 perm Council; 1 sheltered; 1 residential care 1 PRS; 2 hostels; 4 international reconnections, 10 options and preventions, etc. Outcomes 2015-16 Q1-Q3 41 housing outcomes Costs and savings £750 per service user £55k per annum (£35k LBTH; £20k hospital charity)
Business case - Savings Staffing costs of undertaking homelessness prevention and sourcing housing options staffing costs of processing investigations of priority need, intentional homelessness, and making s198 inter- borough referrals, including reviews and costs of legal challenges emergency TA, including housing management and eviction costs Housing benefit for temporary accommodation TA rent write-offs Social services care packages Residential care placements Delayed hospital discharge, unplanned local hospital re- admissions and repeat use of local A&E Hospital funding of emergency B&B and PRS Local rough sleeping services.
Learning, Replication, Innovation Learning and success criteria Scope for Replication R2R Phase 2 Inter-borough working Pre-admission upstreaming Oak investment
Oak Foundation Investment 3 year funding for Providence Row Increase in case load by 28 a year Emphasis on chaotic clients accessing emergency health services and treatment when in crisis Use of personalised budgets and volunteer health navigators Resources to develop strategic links with the NHS and a more detailed and costed business case for the approach
F urther information … R2R Official Report – ‘Preventing homeless out -of- borough patients from rough sleeping’ http://www.towerhamlets.gov.uk/News_events/News/september_2015/routes_to_roots_for_homeless.aspx Contact for further details: Riad Akbur Housing Options LB of Tower Hamlets 0207 364 1780 riad.akbur@towerhamlets.gov.uk
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