Sophie Grinnell BEng Hons, MSc

1
Sophie GrinnellBEng (Hons), MSc

• HIA Officer/Researcher
• IMPACT (University of Liverpool)
• Liverpool City Council
• Liverpool PCT

2
What is health?

• Health is a state of complete physical, mental
  and social well-being not just the absence of
  disease or infirmity (WHO 1946)

3
Social Model of Care
4
What is Health Impact Assessment (HIA)

• Health Impact Assessment (HIA) is a combination
  of procedures, methods and tools by which a
  policy, a program or project may be judged as to
  its potential effects on the health of a
  population and the distribution of effects within
  the population (European Centre for Health
  Policy 1999)

5
Why do HIA

• HIA aims to inform and influence decision-making
  to enhance the positive impacts of any decision
  and reduce (or eliminate) any negative impacts.
  (IMPACT 2005)

6
A Generic Model of HIA
7
Homelessness Strategy HIA 1

• Introduction
• Summary
• Policy Analysis
• Created a profile
• Evidence (anecdotal)
• Impact Analysis (findings)
• Recommendations

8
Homelessness Strategy 2Profile

• Set the local context
• Total populations
• Full population count, nos of males/females age
  ranges, ethnic groups, unemployment levels and
  housing figures.
• Homeless populations
• Homeless decisions, reasons for homelessness
• Lifestyle
• Oral health, smoking data, alcohol admission
  rates, diet nutrition

9
Homelessness Strategy 3 Evidence

• Secondary literature
• Search terms health and homelessness,
  overcrowding, access, nutrition and physical
  activity, finance and homelessness
• Evidence search WHO, European Observatory on
  Homelessness and Homeless Link
• Definition and data collection
• Housing and health
• Barriers to enable access to care and hospital
  Admissions

10
Homelessness Strategy 4Impact Analysis - findings

• Definition and data collection
• Lack of distinction of terminology
• Statutory non statutory homeless
• Composition of households
• Housing and health
• Focus on built environment
• Barriers to enable access to care and hospital
  Admissions
• Primarily focussed on single homeless people
• Known health aspects of homelessness
• Reasons barriers
• Discharge from hospital

11
Homelessness Strategy 5 Recommendations /Next
steps

• Definition and data collection
• Create a data map
• Housing and health
• Health check list within supporting policies eg
  housing
• First point of contact
• Barriers to enable access to care and hospital
  Admissions
• Ensure wider aspects of health are included
  within discharge policies
• Other services
• Ensure partnership working between PCT GPs
  identify other services not accessed presently

12
Homelessness Strategy 6

• Next steps