1. Inter-agency working to prevent homelessness on discharge from hospital Helen Taylor Housing Strategy Team

2. Confident Place, Confident People. What’s the problem? Survey with Homeless Link winter 2009-2010: 42% homeless people admitted to hospital in preceding 6 months; average stay 7.2 days. Only 27% has been offered housing help while in hospital 56% reported long term health problems 72% had mental health problems

3. Confident Place, Confident People. Homeless man released from hospital in pyjamas 12 th January 2010 “The nurses tried their best to find me some clothes but all they could find was this pair of pyjama bottoms and some slip-on shoes, but no socks, said Harry Dixon, who was given a taxi fare to the nearest homeless day centre – which was closed” Man ‘banned from using the NHS 3 rd June 2010 “Christopher Dearlove, 41, used more than 70 aliases to trick NHS staff into admitting him to hospital. Staff in Glasgow, Cambridge, south London, Rochdale and Grimsby were among those he tricked, to get accommodation and food.”

4. Confident Place, Confident People. Has anything changed? Homeless Link report May 2012: 70% of homeless people being discharged back onto the streets. The exceptions are where there is a dedicated service or an agreed protocol

5. Confident Place, Confident People. A joint protocol for Wigan Housing Options & Advice Centre The Brick homeless project PCT Homeless & Vulnerable Persons Service Wrightington, Wigan & Leigh hospitals Greater Manchester Framework for cross-borough referrals

6. Confident Place, Confident People. How the protocol works Publicity campaign in WWL hospitals Referral form on staff intranet Prompt reaction to referrals 25 referrals since launch in October 2011 (18 from mental health wards)

7. Confident Place, Confident People. Referrals make a difference Peter was admitted to RAEI with abdominal pain due to liver disease Declined offers of treatment for alcohol abuse & supported accommodation Registered for housing & agreed to stay in touch Mediation enabled a temporary move back to his grandparents Peter now has a Council tenancy and has significantly reduced his drinking.

8. Confident Place, Confident People. Mental Health wards Fortnightly housing surgeries at Leigh Referrals made well before discharge On-going support needs assessed

9. Confident Place, Confident People. What happens to clients? No Second Night Out accommodation Supported accommodation projects Private leased properties Council & housing association tenancies Sheltered accommodation (60+) * Personalised budgets *

10. Confident Place, Confident People. Impact on costs John being homeless for a year costs the taxpayer: £144,298 Criminal damage£1,530 Prison£120,000 Hostel accommodation£5,362 Failed to attend outpatients£864 Inpatient 3 x 5 days£7,425 A&E£378 Hospital nurses£1,771 Hospital doctor£480 Ambulance journeys (3)£2,016 Ambulance crew£120 Police£180 Drug worker (weekly visits)£1,080 Methadone (12 weeks)£1,644 Homelessness service£1,448

11. Confident Place, Confident People. Impact on costs John housed and supported in the public system for a year costs the taxpayer: £14,585 A saving of £129,713 Housing Benefit£4,800 Job Seekers Allowance£3,344 Homelessness services£5,600 GP appointments£480 Support£362

12. Any Questions?