westminster homeless health coordination annual report ...5)/hhcp... · westminster homeless health...

Westminster Homeless Health Coordination Project Annual Report 2018-2019

Author Anna Midgley

Westminster Homeless Health Coordinator August 2019

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Contents

Acknowledgements .................................................................................................... 3

Abbreviations and acronyms ...................................................................................... 3

Executive report ......................................................................................................... 4

Positive outcomes and highlights of the past year: ................................................. 4

HHCP Model .............................................................................................................. 6

HHCP in numbers ...................................................................................................... 8

Statistics ..................................................................................................................... 9

Ambulance call outs & subsequent conveyance ..................................................... 9

Escorted health appointments via Groundswell ...................................................... 9

Number of drug and alcohol related deaths ............................................................ 9

HHCP training for service users ............................................................................. 9

HHCP training for staff ............................................................................................ 9

Service User Health event ........................................................................................ 10

Health Action Group meetings ................................................................................. 13

HHCP Volunteers Programme ................................................................................. 14

Website .................................................................................................................... 15

Tool kits and information sheets ............................................................................... 15

Conclusions and recommendations ......................................................................... 16

APPENDIX 1 ............................................................................................................ 17

APPENDIX 2 ............................................................................................................ 19

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Acknowledgements

This past year has seen an improved focus on the health and wellbeing for service users

across the borough, via an extended staff training programme. At the same time, health

professionals and service providers have been working in partnership to improve the health

and wellbeing of service users in the borough. The activities and events are testament to the

joint working efforts of health and housing services Westminster and the achievements of the

HHCP would not have been possible without the efforts of the following;

Victoria Aseervatham (Rough Sleeping Commissioning Manager) for her

continued support of the HHCP and dedication to the health and wellbeing of

service users in Westminster.

Lauretta O’Sullivan, the 13 Market Lane team and the H&F Health and

Homelessness Project.

The health and wellbeing services who have participated in delivering training,

health screening and attending the service user health event to improve service

user health.

The health and housing providers who regularly attend and contribute to the

Health Action Group meetings.

The supported housing managers and staff for promoting and coordinating

events within their projects and supporting service users to attend HHCP health

events.

Pret A Manger for generously providing refreshments and food at the HHCP

health event.

The service users and their commitment to improve their health and wellbeing.

All photographs featured in this report were taken with consent.

Abbreviations and acronyms BBV Blood-borne viruses

CCG Clinical Commissioning Group

CHAT Common Health Assessment Tool

CLCH Central London Community Healthcare

CNWL Central and North West London NHS Foundation Trust

CSTM Connections at St Martin's

EASL Enabling Assessment Service London

HAG Health Action Group

HHPA Homeless Health Peer Advocacy

MHU Mobile Health Unit (Find and Treat)

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Executive report

Homeless and temporarily housed people experience some of the poorest health outcomes.

Often, service users experience multiple complex health needs (physical, mental and

substance misuse). The ever changing landscape of the healthcare system, housing service

providers and staffing teams means it is important to maintain a high standard of joint

working to ensure service users receive the best health outcomes. It is important for the

Health and Homelessness Coordination Project to continue to work in partnership with health

services and housing service providers to ensure that service users continue to address their

health issues and improve their health and wellbeing.

The Health and Homelessness Project (HHCP) commenced at the end of June 2015 and

supports 19 services across Westminster to improve health access and decrease health

inequalities of those in supported housing projects and rough sleepers. The Community

Health Assessment Tool (CHAT) used to assess the needs of service users in supported

accommodation projects was put on hold due to the legal changes in collection and

processing of personal information. The health assessment tool will be reviewed and

improved when it is re-launched in the future.

Based on the most recent statistics the HHCP determined that key areas of focus were to;

source training to increase staff knowledge on working with suicidal service users, create tool

kits to support staff working with suicidal and autistic clients, strengthen and develop new

relationships with external health services, increase the amount of in-reach Hep-C screening

in services, deliver health and wellbeing training to staff and services, and promoting the

HHCP.

I have also had the opportunity to support services around complex case work; reviewing

referrals to social services and providing ad hoc advice as required. Alongside this I have

been involved in supporting a review on service user deaths within the pathway to enable

learning and best practice.

Positive outcomes and highlights of the past year:

822 staff members attended health training.

128 service users attended health awareness sessions.

77 attendees at the Service user Health event, where 60 service users attended a

health information session and 30 received a health test.

319 escorted health visits via Groundswell HHPA service.

The HHCP website was visited 1,215 times.

A total of 116 attendees at six Health Action Group meetings.

11 volunteers supporting the HHCP – either running health sessions, writing tool kit

or updating the website.

Tool kits were produced to support frontline staff around autism, responding to

deaths and what to expect around involvement with coroners and subsequent

inquests.

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Anna Midgley, HHCP Coordinator (right)

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HHCP Model

The HHCP model was developed to demonstrate how the HHCP works to coordinate the

work of health and housing providers across Westminster to improve the health for service

users. The HHCP works in partnership with 19 homeless services and numerous primary,

secondary and community health and wellbeing services.

Table 1: The HHCP model

Through health action group meetings, annual events, training, health directories, online

resource, health statistics and working with health and wellbeing services the HHCP works to

ensure that;

Housing staff are:

Knowledgeable of what health and wellbeing services are available in their area.

Knowledgeable of where to refer and sign post service users.

Westminster Rough Sleeping Commissioning team

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Monitoring and identifying service user health needs and supporting service users to

address these needs.

Networking with health and wellbeing services.

Sharing examples of best practice with other services.

Service users are:

Assessed for health needs and given the appropriate support and advice.

Made aware of available health services and treatments they provide.

Feel empowered to acknowledge health needs, access local support services and

make decisions regarding their health.

Encouraged to attend HHCP annual events and supported to make positive changes to

their health and wellbeing.

Experiencing improved health outcomes.

The annual Service User Health event provided a structured and valuable networking

opportunity for both staff and service users. Staff and service users are given the opportunity

to network with health and wellbeing services as well as other housing providers. Joint

working further informs knowledge on health and treatment services in the borough,

specifically addressing our service user health needs. Health service providers are given the

opportunity to meet with staff and service users on the day and promote their projects and

services. Feedback from the event has been positive and has been very useful in regards to

planning consecutive events and influencing the delivery of the HHCP.

The commitment and dedication of borough-wide health and wellbeing services in attending

these events and providing training to staff and service users has been instrumental in

service development, implementation and feedback. The continued engagement and

feedback from housing service providers has also been instrumental in service

implementation and delivery.

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HHCP in numbers

30 service users have taken part in health

screening

77 service users and staff

attended the annual health

event

128 service users have attended

health training

822 staff members

have attended

training

100 tubes of toothpaste and toothbrushes

condoms distributed to

service users

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Statistics The data collected during 2018-2019 changed; both due to GDPR and a different data set being collected from supported housing services. These changes occurred midway through the financial year, therefore, the following statistics can only provide a snap shot of the health of service users.

Ambulance call outs & subsequent conveyance

A total of 554 ambulance call outs were made by services during 2018-2019, and 57.5% of

these were conveyed to hospital. This illustrates a 6% increase in the amount of ambulance

call outs and a 19% decrease in the amount conveyed to hospital. It is suspected that this

increase is due to a large number of service users utilising the synthetic cannabinoid (Spice)

and the heat wave.

Escorted health appointments via Groundswell

A total of 319 health appointments were facilitated by the Groundswell HHPA service,

illustrating a 16% decrease in appointments escorted in 2017-2018 (total of 383). This

reduction is due to a lower than normal amount of referrals by services in Q1 2017-2018.

Number of drug and alcohol related deaths

There were a total 31 deaths across the pathway and a dedicated piece of work led by WCC

and the HHCP is being completed to share any learning from these deaths.

HHCP training for service users

The benefits to services users of the training offered by the HHCP are; increased awareness

of the importance of looking after your health, an opportunity to informally discuss health

issues, and feel more confident to attend future health appointments.

A total of 128 service users attended 19 training sessions, during 2018-2019, illustrating a

23% decrease compared to 2017-2018. This decrease occurred due to; services reporting

they did not have the capacity for volunteers at their service (and therefore not able to host

volunteers when recruited), volunteers finishing their placement, and a reduction in the

numbers of volunteers recruited. Please see Appendix 1 (page 17) for a full list of training

sessions provided to service users.

HHCP training for staff

Staff members are consulted prior to courses on subject matter they would like to receive

further training. Training is provided by local health and community services. Training

sessions are offered free of charge to any health and housing staff in Westminster and held

at various venues across the borough. Additionally, the HHCP Coordinator will organise

training when needed and will advertise existing training and events on behalf of health and

wellbeing organisations. The benefits of the training offered by the HHCP are; staff feel more

confident to give clients key health messages, staff have the opportunity to network with

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health services and other organisations, and staff have the opportunity to improve/refresh

their existing knowledge.

A total of 822 staff members attended training co-ordinated by the HHCP during 2018-2019,

illustrating a 17% increase compared to 2017-2018. It is predicted the number of staff

receiving training will reduce in 2019-2020, as the HHCP plans to spread efforts to other

areas, such as client training.

Please see Appendix 2 (page 19) for the full list of training provided.

Service User Health event

‘’Ways to improve my health in 2019’ 29th May 2019 Edward Alsop Court

Agenda:

Morning = 9.30am-12.30pm First aid demonstrations – Grant Hoyle, British Red

Cross Healthy Eating information – Herve, One You Service

Morning = 9.30am-12.30pm Oral health assessments – Harish CLCH dentist

9.30am-2.30pm Health information stands – oral health, diabetes, brain

injury, stop smoking

9.30am-3pm Homeless Health team – health checks and health

information

9.30am-3pm DAWs - Hepatitis C checks and information stand

10.30am-2.30pm Hand massages

9.30am-2.30pm

Acupuncture – Adam Bulewski

12pm-2pm LUNCH

Afternoon = 12.30-2.30pm Westminster Unusual beliefs group

2.30pm Raffle draw

Attendees: 77

The Homeless Health Coordination Project facilitated the annual Service Health Event on

29th May 2019 at Edward Alsop Court. The theme of the event was ‘Ways to improve my

‘Excellent session for new staff – really useful overview of the services/

support available in Westminster.’ ‘This should be mandatory training for

DWO’s!’

Mind blowing, really opened my mind to

dementia

Absolutely love the training offered by the

HHCP, Anna will always try to source the

training we request!

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health in 2019’ and therefore attendees were encouraged to think about their own health

and wellbeing and consider what areas they would like to improve. Individual invitations

were sent out to staff and service users with details about the event and a fantastic 77

service users and staff attended on the day.

The day was a huge success and included first aid demonstrations from British Red Cross,

alongside oral health assessments by CLCH team, health checks via the Homeless Health

Team and Hep C checks via DAWs. Health information was provided on Healthy eating a)

and stopping smoking (One you Service), diabetes and brain injury (Change

Communication). At the same time we had a masseuse providing hand massages and

acupuncture sessions. Breakfast was offered to attendees and consisted of croissants

(donated by Greggs), cookies and a platter of fruit.

First aid demonstrations from British Red Cross

Oral health checks by CLCH and Health checks via Homeless Health Team

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Acupuncture sessions

During lunch time services users were provided with sandwiches and crisps (donated by

Pret a Manger) and fresh fruit.

A service user enjoying lunch and a cup of tea with a member of staff

Table 2 (page 13) provides the numbers of service users either having a health test, or

receiving health information. As you can see the event was a huge success!

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Health testing/ information Numbers screened/ given

information

First aid demonstrations 8

Hep C testing (DAWs) 23

Health checks (Homeless Health team) 15

Oral Health assessments

Dentist appointments organised

10

5

Hand massages 15

Acupuncture 7

Healthy eating/ stop smoking information 40

Diabetes information 10

Brain injury information 25

TOTAL HEALTH SESSIONS 158

Table 2: Number of service users screened or given information on the day

The day concluded with a raffle where 5 guests won prizes that had been donated by Lush,

DAWs (£10 Tesco voucher) and 2 x £20 Sainsbury’s vouchers sourced by the HHCP.

Feedback from the day was positive and the evaluation forms illustrated that guests found

the health event very useful. 70% of attendees reported they found the health event to be

‘very useful’ and 85% of attendees agreed the event had increased their confidence to

attend health appointments in the future.

Many thanks to the Groundswell Peers, the HHCP volunteers, St Mungo’s Centre Team

and H&F HHP that helped out on the day. Many thanks to Greggs and Pret Foundation for

their donations of food, and LUSH for their donation for the raffle.

Health Action Group meetings

The HHCP Coordinator organises bi-monthly Health Action Group (HAG) meetings held in

Francis Street. Health and housing service providers attend the Health Action Group

meetings to discuss health events, activities’, training and pertinent client health issues. The

HHCP Coordinator will also use the HAG meeting to update services on the progress of the

HHCP, gather feedback from services and run through the quarterly and annual statistics to

highlight areas of concern. Guest speakers from health services are invited to present about

their projects/organisation. The meetings are a valuable networking opportunity for housing

service providers to make links with health service providers in Westminster.

During 2018 to 2019 there were a total of 116 attendees at 6 Health Action Group meetings.

Past Meetings 2018-2019:

Below is a list of presenters represented from June 2018 - June 2019;

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Presenters / subjects Presenters / subjects

CNWL London CCG Enhanced vulnerability forum

SLAM Abbey Community Centre

Mayday Trust Turning Point Hep C mentors

St Mungo’s Move on St Giles Trust

CLCH Community Dental Services CNWL Diabetes Programmes

Groundswell Brain Injury – Change Communication

Homeless Frequent attenders meeting Self-care for staff

Reflection on deaths in pathway Street buddies

PIE St Mungo’s Lifeworks

St Mungo’s Outside In NHAS

St Mungo’s SOS team

HHCP Volunteers Programme

To enable the HHCP to progress and develop the Coordinator recruited a team of 11

volunteers. The volunteers are broken down into the following teams;

In-Reach Volunteers

Florence In reach health promotion Shroton Street

Francesca In reach health promotion Shroton Street

Anika In reach health promotion Harrow Road

Sunya In reach health promotion Harrow Road

Anthony In reach health promotion EAC

Research and Resource Development Volunteers

Colin Website

Grace Website

Evie Proof reading

Jonathan Research and proof reading Autism Tool kit

Lucy Fundraising

Phoebe Autism Tool kit

In-Reach Volunteers: The in-reach volunteers were recruited to assist the hostels to

organise and run monthly health and wellbeing sessions. The volunteers research, plan and

run a monthly health and wellbeing session to engage and educate hostel residents on a

particular health and wellbeing subject.

Research and Resource Development Volunteers: These volunteers were recruited to

maintain the website, help with fundraising, proof reading, and putting together the

Homelessness and Autism tool kit.

I have volunteered with the HHCP for nearly 3 years - I’m sad to leave, but my time as a volunteer for St Mungo’s has been incredibly interesting. Flo Sumner, Health Promotion Volunteer

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Website

During 2018-2019 the HHCP website (www.westminsterhhcp.org.uk) has been accessed

1,215 times, indicating a 33% increase compared 2017-2018. The website provides

convenient access to various resources ranging from training presentations or specialist tool

kits to provide guidance to staff.

The following resources have been provided for staff via the website:

Heath Action Group

minutes and HHCP

reports

Health summary move

on form

Mental Health Services directory

Social services tool kit Case conference tool kit Substance use services directory

Minutes to the Complex

Personalities Network

A&E Client information

sheet

Health services directory

Homelessness and

Autism Tool kit

Coroners and inquest

information sheet

Memory pathway tool kit

Gambling support

services

Domestic and sexual

abuse services

Hostel directory

Self-care for frontline

workers tool kit

GP registration sheet Female rough sleeping services

Trauma tool kit Supporting staff when a

client dies tool kit

Supporting suicidal clients tool

kit

Brain injury tool kit Autism support services

directory

Smooth transitions guidance

Tool kits and information sheets

Tool kits are produced following feedback from staff on which topics they require additional

support. Consequently tool kits have been developed on; responding to clients who have

suffered trauma, Homelessness and Autism, supporting staff when a client dies, and a

coroners and inquest information sheet. The benefits to staff of the tool kits created by the

HHCP are: easy to digest relevant information and increasing staff confidence to support

clients.

http://www.westminsterhhcp.org.uk/

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Conclusions and recommendations

The focus of the HHCP for 2019-2020 is based on feedback from accommodation providers

and their residents, as well as feedback from the health & wellbeing organisations linked to

the HHCP.

The future focus of the HHCP includes:

Continuation of training for staff and service users, incorporating feedback from the

HHCP’s annual staff training needs analysis.

Review the health assessment tool and collect data from March 2020 to October

2020.

Continuation of the annual Service user event.

Continuation of the bi-monthly Health Action Group meetings.

Embedding the presence of the HHCP within the Westminster Community.

Building new partnerships, improving and maintaining existing partnerships.

Strengthening relationships with the CCG.

Review deaths within the pathway and contribute to thematic analysis.

Continue running monthly health promotion sessions in services and increase the

amount of HHCP health promotion volunteers. It has been suggested that monthly

health promotion sessions are compulsory to ensure these are run consistently.

Increase the amount of in-reach Hep C screening in services.

Continue updating the HHCP website. Reviewing the online resource and

directories.

Develop a ‘post-vention’ support tool kit for staff after a client death by suicide

Create a six month review of the Occupational Therapy service via EASL.

Continue to identify methods to reduce the reliance of clients on emergency services

and source training to increase staff knowledge on when it is necessary to call an

ambulance.

Continue to support staff around complex cases and feedback on social services

referrals.

Support the development of the business case to provide peripatetic nursing

in hostels.

Expand the remit of the HHCP. This could include client involvement in projects

and increasing service user engagement and consultation in service delivery.

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APPENDIX 1 Summary of service user training

Training offered

Presenters Service # of service users attended

Session on health issues, 12th June 2018

HHCP health promotion volunteers Harrow Road 1

First aid training, 11th July Grant Hoyle, British Red Cross Edward Alsop court 4

First aid training, 17th July Grant Hoyle, British Red Cross Harrow Road 5

Spice awareness training, 29th August

Ezra Yisrael, Turning point Edward Alsop court 5

First aid training, 7th September Edward Alsop court Hopkinson House 3

Hand hygiene, 7th September Health promotion volunteer Shroton street 5

Flu awareness session, 26th October

HHCP health promotion volunteers Shroton Street 5

Spice awareness training, 8th November

Ezra Yisrael, Turning point King George’s 4

Benefits of exercise, 22nd November


Ways of staying well over Christmas, 21st December.


First aid training, 17th January Grant Hoyle, British Red Cross Edward Alsop Court 5

Spice awareness training,

17th January

Ezra Yisrael, Turning point Connections- St. Martins 16

Yoga, mindfulness and kinetic therapy, 18th January

HHCP health promotion volunteer Shroton street 3

Oral health session

February

HHCP health promotion volunteer Shroton Street 8

Oral health session CLCH Oral health, Alison Fraser Passage Resource Centre 9

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Training offered

Presenters Service # of service users attended

February

Spice awareness training,

8th February

Ezra Yisrael, Turning point MORs 2

Oral Health session

22 March

Alison Fraser, CLCH Oral health Passage Resource Centre 18

Smoking cessation

29th March

HHCP health promotion volunteer Shroton Street 3

Oral Health session

18 April

Alison Fraser, CLCH Oral health CSTM 19

Oral health session

May HHCP health promotion volunteers Shroton Street 6

Total number of clients receiving training

128

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APPENDIX 2 Summary of staff training

Training offered Presenter Services Numbers attended

Feedback

Diabetes awareness, 6th June

Martin Jones WLM, Lookahead, CGL, SHP, St. Mung

10 How useful did you find the information given to you today? Very useful – 3 Useful –4 Other feedback: Diet and weight can be main causes for diabetes, well presented, quite informative.

Mental health advice sessions, 13th June

Jen Foster Westbourne House, Centre point

2 N/A

Universal credit training, 18th June

Clare Cross Thames Reach, St. Mungo’s, Passage, Wytham Hall, Lookahead, Church Army, SHP, Mayday trust, BWWmind

16 How useful did you find the information given to you today? Very useful – 6 Useful –7 Other feedback: Good training, very informative and well presented.

First aid training, 21st June Grant Hoyle Riverside, St. Mungo’s, WLM, SHP, Lookahead

5 How useful did you find the information given to you today? Very useful – 5 Other feedback: It was very helpful and informative. Very fun and interactive.

Occupational therapy OT Drop In, 26th June

Nicola-ESAL SHP, St. Mungo’s 2 N/A

Metallisation training, 27th June

Dr Emma Williamson & Dr Jen Foster

Montfort House, St. Mungo’s, CSTM, Mayday trust, BWWmind, WLM, Lookahead, SHP,

24 How useful did you find the information given to you today? Very useful – 15 Useful –9 Other feedback: The explanations and examples were given were useful and informative, being

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Feedback

Waterloo project, Montfort house

made aware of the difference between empathy and sympathy were useful.

Metallisation training, 5th July

Dr Emma Williamson & Dr Jen Foster

Passage, WCC, Montfort House, St. Mungo’s, CSTM, Mayday trust, BWWmind, WLM, Lookahead, SHP, Waterloo project, Montfort house

23 How useful did you find the information given to you today? Very useful – 14 Useful –9 Other feedback: I found all relevant to my work, very informative, I found role play, handouts and techniques very helpful.

Challenging behaviour, 12th July

Brett Grellier Passage, Lookahead, Mayday trust, CSTM, St. Mungo’s, Church army, Depaul charity,

24 How useful did you find the information given to you today? Very useful: 10 Useful: 10 Other feedback: The content was interesting and useful, it was well structured. I feel my knowledge and skills increased through this training.

General drug and alcohol awareness training, 17th July

Ezra Israel- Turning point

Lookahead, Street Buddies, CSTM, Marylebone project, Passage, Riverside, Mayday Trust, One housing, St. Mungo’s

15 How useful did you find the information given to you today? Very useful: 12 Useful: 3 Other feedback: All information were useful, class participations and group work were encouraged by the trainer which was very good.

Novel psychoactive substance including Spice training, 19th July

Peter Burleigh-Turning point

Lookahead, CSTM, Advance, DAWS, SUT-TB, CEN, Westminster substance use team, St. Mungo’s, Street Buddies, WLM, NHS,

18 How useful did you find the information given to you today? Very useful: 11 Useful: 7 Other feedback: The trainer was very engaging and knowledgeable and I learned a lot about spice and its effects, Group exercises on how to support spice user were good.

Occupational therapy OT Drop In,

Nicola-ESAL Montfort house 2 N/A

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Feedback

24th July

Mental health advice sessions, 26th July

Dr Jen Foster- psychologist

Hopkinson house 4 N/A

Tree of life training, 27th July

Dr James Peddie Specialist Clinical Psychologist

Passage, Lookahead, St. Mungo’s, Riverside, BWWMind, WCC, Church, SHP, Thames reach, Dr Hicky surgery

20 How useful did you find the information given to you today? Very useful: 17 Useful: 3 Other feedback: N/A

Stroke awareness training/workshop, 31st July

Barry Coppock from Stroke association

WLM, WYTHAM, Passage, Riverside, NHS

8 How useful did you find the information given to you today? Very useful: 5 Useful: 3 Other feedback: It was informative workshop.

Key working and motivating clients, 3rd August


BWWMind, Thames reach, Cardinal Hume, Turning point, WLM, Lookahead, Central London health care, Wythame hall, Hestia, DAWS

15 How useful did you find the information given to you today? Very useful: 14 Useful: 1 Other feedback: It very informative and the trainer was knowledgeable, All was great, I liked the group exercises, I really enjoyed the whole programme.

General drug and alcohol awareness training, 16th August


Lookahead, Clement James, Turning point, BRAC, CSTM, Hammersmith and Fulham, WLM, WCC

19 How useful did you find the information given to you today? Very useful: 12 Useful: 7 Other feedback: It very informative and the trainer was knowledgeable, I found the cycle of change very useful and applicable to clients with drug issues. I liked the group discussions and group exercises useful.

OT drop in sessions, 1st August

Nicola- EASL St. Mungo’s, Passage 2 N/A

Brain injury clinic Leigh Andrews N/A

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Feedback

drop in clinic, 21st August

Domestic Violence training, 22nd August

Louisa Steel- Housing first coordinator

CSTM, St. Mungo’s, WLM, WCC, Church army, NHS

15 How useful did you find the information given to you today? Very useful: 10 Useful: 5 Other feedback: I found useful the Risk assessment tools and raising DV issues with clients, it was great and informative training.

Stress management, 23rd August

Guy Klein, IAPT SHP, St. Mungo’s, CSTM, Passage, Centre point, Church army, Thames reach

7 How useful did you find the information given to you today? Very useful: 4 Useful: 3 Other feedback: Not to worry about things I cannot control, all the practical solutions.

Dual diagnosis, 30th August

Kathryn Andrews, JHT

St. Mungo’s, Passage, EAC, WWMIND, WCC, One housing, WLM

16 How useful did you find the information given to you today? Very useful: Useful: Other feedback:

Mental health advice sessions, 30th August

Dr Jen Foster- psychologist

St. Mungo’s, Lookahead 4 N/A

Time management training, 6th September

Guy Klein, IAPT St. Mungo’s, Church army, SHP

5 N/A

KIT Intuitive training 12th September

Zack Haider St. Mungo’s, Harrow Road

15 N/A

Novel psychoactive substance including Spice training, 13th September

Peter Burleigh Turning point

SHP, CLH, Riverside, EAC, NHS

13 N/A.

Mental health advice sessions, 17th September

Jen Foster Lookahead, WWMIind 2 N/A

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Feedback

Psychological and practical impacts of move on for clients training 18th September

Simon Richardson, St. Mungo’s

Riverside, Church army, St. Mungo’s, CSTM, Passage, Lookahead

13 How useful did you find the information given to you today? Very useful: 8 Useful: 5 Other feedback: I got understanding about reasons clients may find move on difficult. Learned about some tools to use for move on sessions with clients.

Brain injury clinic, 18th September

Leigh Andrews Montfort house, Riverside

2 N/A

Everyday first aid training, 20th September

Grant Hoyle, British Red Cross

Wytham hall, EAC, Lookahead, St. Mungo’s

9 N/A

The Young Persons pathway, 20th September

Dr Emma Williamson & Dr Brett Gallagher

Westminster young adult services, rough sleeping services, mental health services, WCC Prevention Commissioning Team

27 How useful did you find the information given to you today? Very useful: 17 Useful: 5 Other feedback: The knowledge of trainers, group work, feedback and all group participation in all practice groups were great.

OT drop in sessions, 21st September

Nicola- EASL St. Mungo’s 2 N/A.

Brain injury training, 25th September

Leigh Andrews St. Mungo’s, Riverside, Lookahead,

9 N/A

Complex Trauma and Stabilisation, 28th September

Brett Grellier St. Mungo’s, Lookahead, SHP, Passage, Riverside

12 How useful did you find the information given to you today? Very useful: 10 Useful: 2

Trauma drop in clinic, 11th October

Catherin Cox, Survivor UK

St. Mungo’s 4 N/A

Hoarding and neglecting, 12th October

Nicola, EASL St. Mungo’s, Riverside, NHS, CLH

9 How useful did you find the information given to you today? Very useful: 8 Useful: 1

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Feedback

Other feedback: Relationship is the key element in working with clients around this issue and their engagement with support services.

General drug and alcohol awareness training, 18th October


St Mungo’s, NHS, Turning point, SHP,

13 N/A

Brain injury clinic, 23rd October

Leigh Andrews St. Mungo’s, 3 N/A

OT drop in sessions, 30th October

Nicola- EASL St. Mungo’s, 2 N/A

Autistic spectrum drop in session, 1st November

Dr Catherine Cheung

Thames reach 1 N/A

Mental health drop in session, 5th November

Jen Foster Lookahead 3 N/A

Trauma drop in clinic, 8th November

Catherin Cox, Survivor UK

Lookahead 2 N/A

Metallisation training, 14th November

Dr Emma Williamson, Slam

Depaul, St. Mungo’s, Lookahead, Centre point, Benlock Street, Marylebone road, Passage, SLAM, SHP, Westminster council

30 N/A

Novel psychoactive substance including Spice training, 15th November

Peter Burleigh, Turning point

St. Mungos, Centre point, SHP, Loookahead,

15 N/A

Brain injury clinic, 20th November

Leigh Andrews None attended.

OT drop in sessions, 27th November

Nicola, ESAL Lookahead 1 N/A

The ABC of Trauma training,

Katherine Cox, SurvivorsUK

St. Mungo’s, Riverside, Church army,

21 How useful did you find the information given to you today?

25


Feedback

29th November Lookahead, CGL, Mayday trust, Wythamhall, Passage, Seymour place, West London mission

Very useful: 7 Useful: 11 Other feedback: I learned about ways to handle and understand trauma and tools as they can be adapted to different circumstances/settings. How to respond when you are in contact with traumatised people.

Working creatively and courageously with clients who are at risk of suicide.

Katherine Cox, SurvivorsUK.

Edward Alsop Court, St Mungo’s Recovery College, CGL, Church Army, RBKC Lookahead, Street Buddies

13 How useful did you find the information given to you today? Very useful: 10 Useful: 3 Other feedback: Katherine is a very good teacher/ lecturer/ workshop host. She made the event informative, practical and thought provoking.

Brain injury clinic 11th December

Leigh Andrews Lookahead 1 N/A

OT drop in sessions, 11th December

Nicola, ESAL St. Mungo’s 3 N/A

Brain injury training, 12th December

Leigh Andrews St Mungo’s, CSTM, Passage, The Green Rooms

7 How useful did you find the information given to you today? Very useful: 5 Useful: 1 Other feedback: Training was very interesting and Leigh was very engaging. I found ways of communication with clients with ABI and screening tools. I liked cases of brain injury.

Substance use training, 13th December

Ezra, DAWs Tri-borough training 13 How useful did you find the information given to you today? Very useful: 12 Useful: 1 Other feedback: Really enjoyed this training session and learning about SPICE.s

26


Feedback

Universal credit training, 18th December

Clare Hugh Cross, St. Mungo’s

Passage, Lookahead, CSTM, St. Mungo’s, WLM, SHP, Riverside

20 How useful did you find the information given to you today? Very useful: 18 Useful: 2 Other feedback: It was very informative and well presented.

Trauma clinic 20th December

Katherine Cox, Survivor UK

CSTM, Lookahead 3 N/A

Trauma clinic, 10th January

Katherine Cox, Survivor UK

1 N/A

NPS training 17th January

Peter Burleigh, Turning Point

Tri-borough staff 15 N/A

Animal welfare training 21st January

Michelle Clark St. Mungo’s, Riverside, CSTM

7 N/A

Hoarding and self-neglect training, 25th January

Nicola and Andy, EASL

MORs, Church Army, Harrow Road, ICM, WLM, CLH

10 How useful did you find the information given to you today? Very useful: 6 Useful:3 Slightly useful:1 Other feedback: To be aware of how important the relationship is

OT drop in session, January 2019

Nicola, EASL Hopkinson House 3 2 clients were seen and provided feedback and this was communicated to their key worker, Jo Price

Trauma clinic, 7th February 2019

Katherine Cox, Survivors UK

OT drop in session February 2019

Nicola, EASL Edward Alsop Court 3 3 clients discussed and equipment ordered for 1 client

Drug and alcohol awareness training, 14th February 2019

Ezra, DAWs Tri-borough training 15 N/A

Autism and homelessness, 18th February 2019

Dr Catherine Cheung,

SOS, CSTM, WLM, Street Buddies, TGR, SHP, Harrow Road

18 How useful did you find the information given to you today? Very useful: 12

27


Feedback

Westminster Autism Service

Useful:6 Other feedback: lots of case discussion examples, answered lots of questions.

ABC of Trauma, 21st February 2019


SOS, Church Army, WLM, CSTM, TGR

14 How useful did you find the information given to you today? Very useful: 13 Useful:3

Brain injury clinic, 28th February 2019

Leigh Andrews, Change Communication

1 N/A

Mental Health Act training, 6th March 2019

Kathryn Andrews, JHT

SOS, Housing First, CSTM, WLM, Bruce House, Women’s Project

13 How useful did you find the information given to you today? Very useful: 11 Useful:1 Other feedback: I have greater understanding of the different sections, how we can best support people we have concerns about.

Trauma clinic, 7th March 2019


Edward Alsop Court 3 Feedback from staff around the clinic was extremely positive and staff found Katherine’s support and advice extremely beneficial.

OT drop in session, 12th March 2019

Nicola, EASL Harrow Road 4 Two members of staff supported and two cases discussed with staff

NPS training, 14th March 2019

Peter Burleigh, Turning Point

Tri-borough staff 15 N/A

Brain injury training, 19th March 2019

Leigh Andrews, Change Communication

Shelter Westminster, SOS, EAC, WLM, CGL, Marylebone Project, Thames Reach

16 How useful did you find the information given to you today? Very useful: 11 Useful: 3 Other feedback: Found it very useful to consider that individuals with a brain injury have similar symptoms to mental health and substance use clients.

Behaviours that challenge, 20th March 2019

Jake Camp, SLAM Housing First, MORS, CSTM, Hopkinson

16 How useful did you find the information given to you today?

28


Feedback

House, SOS team, Women’s project, Harrow Road, EAC

Very useful: 8 Useful: 9 Other feedback: Useful to learn that I can be more pro-active, rather than reactive, around challenging behaviour.

Brain injury clinic, 28th March

Leigh Andrews 2 N/A

Insider’s guide to trauma, 4th April 2019

Sophie Dent Compass Team, Women’s Project, WLM, CSTM, SOS, Passage, Marylebone Project, MORs, Homeless Wise, Wytham Hall

13 How useful did you find the information given to you today? Very useful: 5 Useful: 6 Slightly useful: 1 Other feedback: It was useful to learn about the 3 R’s – recognise, release, recalibrate

Trauma clinic, 4th April 2019


King George’s 4 N/A

Dementia training, 10th April 2019

Terezie, Westminster Dementia Service

Temporary accommodation services, Edward Alsop Court, Street Buddies

21 How useful did you find the information given to you today? Very useful: 19 Useful: 2 Other feedback: Mind blowing, really opened my mind to dementia.

Drug and alcohol awareness training, 11th April 2019

Ezra, DAWs Tri-borough training 18 N/A

Suicide training, 2nd May 2019


WLM, Street Buddies, Women’s Project, CSTM, Wytham Hall, Harrow Road, Montford House, MORs

16 How useful did you find the information given to you today? Very useful: 10 Useful: 5 Other feedback: ‘Katherine is wonderful, her style is great!’. ‘Look at suicide as communication even when it is said is a way that had previously been perceived as manipulation.’

29


Feedback

Westminster Rough Sleeping Induction Training, 8th May 2019

Various presenters throughout the pathway

MET Police, Wytham Hall, Harrow Road, WWP, SET, Westminster SOS, Westminster Adult Safeguarding, MORS, LAS, SLAM

23 How useful did you find the information given to you today? Very useful: 12 Useful: 6 Other feedback: ‘Excellent session for new staff – really useful overview of the services/ support available in Westminster.’ ‘This should be mandatory training for DWO’s!’

Trauma Clinic, 9th May 2019


Montford House 3

Occupational Therapy Clinic 10th May 2019

Nicola, EASL Westminster MORs 2 1 member of staff, 1 service user

Novel psychoactive substance including Spice training, 16th May 2019

Peter Burleigh, DAWs

12 N/A

First Aid training, 22nd May 2019

Grant Hoyle, British Red Cross

Street Buddies, WWP, SOS, Marylebone Project, SET

10 How useful did you find the information given to you today? Very useful: 10 Other feedback: ‘very useful refresher, the trainer went through examples in detail and this was very useful to me.’

Understanding Trauma, 30th May 2019

Brett Grellier SHP, CSTM, Housing First, St. Mungo’s

20 How useful did you find the information given to you today? Very useful: 18 Other feedback: “Highly recommend”

Total 899

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