{"id":315,"date":"2023-07-13T09:54:02","date_gmt":"2023-07-13T09:54:02","guid":{"rendered":"https:\/\/hub.salford.ac.uk\/applied-health-research\/?page_id=315"},"modified":"2024-07-17T15:01:23","modified_gmt":"2024-07-17T15:01:23","slug":"evaluation-of-the-out-of-hospital-care-models-programme-for-people-experiencing-homelessness","status":"publish","type":"page","link":"https:\/\/hub.salford.ac.uk\/applied-health-research\/equity-inequalities-and-inclusivity\/evaluation-of-the-out-of-hospital-care-models-programme-for-people-experiencing-homelessness\/","title":{"rendered":"Evaluation of the Out-of-Hospital Care Models Programme for People Experiencing Homelessness"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\">Final report<\/h4>\n\n\n\n<p>Cornes, M., Tinelli, M., Clark, M., Coombes, J., Harris, J., Burridge, S., Robinson, J., &amp; Wittenberg, R. (2024) <a href=\"https:\/\/doi.org\/10.18742\/pub01-178\"><em>Evaluation of the Out-of-Hospital Care Models Programme for People Experiencing Homelessness<\/em><\/a>. London: NIHR Policy Research Unit in Health and Social Care Workforce, The Policy Institute, King&#8217;s College London. (Summary also available.)<\/p>\n\n\n\n<p><em>Launched at King&#8217;s College London, 30 April 2024, with over 100 people attending.<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/youtu.be\/DIMOZPwK1Tg\">Video of the launch event<\/a>&nbsp;(1hr 20min, YouTube).<\/li>\n\n\n\n<li><a href=\"http:\/\/www.kcl.ac.uk\/hscwru\/assets\/research-projects\/homelessness\/oohcm-evaluation\/oohcm-launch-event-at-kcl-30-apr-24.pdf\">Presentation slides from the launch event<\/a>.<\/li>\n\n\n\n<li><a href=\"https:\/\/www.lse.ac.uk\/cpec\/news\/out-of-hospital-care-models\">See the LSE page on this event and for onward links<\/a>.<\/li>\n<\/ul>\n\n\n\n<p><strong>About the study<\/strong><\/p>\n\n\n\n<p>The Joint Principal Investigators of this project are <a href=\"https:\/\/salford-repository.worktribe.com\/person\/1178689\/michelle-cornes\">Michelle Cornes<\/a> (NIHR Policy Research Unit in Health and Social Care Workforce at King&#8217;s and University of Salford) and <a href=\"https:\/\/www.lse.ac.uk\/cpec\/people\/michela-tinelli\">Michela Tinelli<\/a> (LSE).<\/p>\n\n\n\n<p><strong>Aims<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>The overall aim of the evaluation is to capture the learning from test sites from the OOHCM programme and to evidence the outcomes that are being achieved.<\/li>\n\n\n\n<li>Provide an understanding of the most effective way of implementing(scaling) out-of-hospital care across a wider range of areas \u2013 including how to shift to this position and the conditions needed to maximise the effectiveness and sustainability of the services.<\/li>\n\n\n\n<li>Describe how models are being integrated into the evolving health, housing and social care system, supporting D2A (the new NHS hospital discharge operating model), the NHS Long-Term Plan and Covid Care\/recovery.<\/li>\n\n\n\n<li>Identify the challenges that remain to systems and service delivery that require changes outside the direct control of organisations in the locality.<\/li>\n\n\n\n<li>Further test the key components of effective and cost-effective models especially where they have not previously been brought together into a single system.<\/li>\n<\/ol>\n\n\n\n<p><strong>Background<\/strong><\/p>\n\n\n\n<p>Research suggests that out-of-hospital care is effective and cost effective in supporting safe, timely transfers of care for patients who are homeless (Cornes et al., 2019 &amp; 2021). At present, access to out-of-hospital care is limited or non-existent for people experiencing homelessness. In 2020, the Department of Health and Social Care, Ministry&nbsp;of&nbsp;Housing, Communities &amp;&nbsp;Local Government and Ministry of Justice allocated \u00a316 million through the shared outcomes fund to \u201croll-out\u201d and robustly evaluate the Out-of-Hospital Care Model (OOHCM) for people who are homeless. In the same year, a new hospital discharge operating model Discharge to Assess (D2A) was implemented across England to meet the demands of the pandemic and increase in hospitalisations. A key objective of the OOHCM programme is aimed at exploring how support for homeless patients can be integrated as part of the new D2A operating model.<\/p>\n\n\n\n<p><strong>Methods<\/strong><\/p>\n\n\n\n<p><strong>A mixed methods approach comprising four work packages:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>WP1: Basic Audit<\/li>\n\n\n\n<li>WP2: Study of Positive Practice<\/li>\n\n\n\n<li>WP3: Full Economic Evaluation<\/li>\n\n\n\n<li>WP4: Discrete Choice Experiment User Preference<\/li>\n<\/ul>\n\n\n\n<p>People with lived experience week will be actively involved in all aspects of the evaluation as specialist advisors and peer researchers. <\/p>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"293\" src=\"http:\/\/hub.salford.ac.uk\/applied-health-research\/wp-content\/uploads\/sites\/228\/2023\/07\/homelessness-e1689239754698-1024x293.jpg\" alt=\"Members of the research team. \" class=\"wp-image-316\" srcset=\"https:\/\/hub.salford.ac.uk\/applied-health-research\/wp-content\/uploads\/sites\/228\/2023\/07\/homelessness-e1689239754698-1024x293.jpg 1024w, https:\/\/hub.salford.ac.uk\/applied-health-research\/wp-content\/uploads\/sites\/228\/2023\/07\/homelessness-e1689239754698-300x86.jpg 300w, https:\/\/hub.salford.ac.uk\/applied-health-research\/wp-content\/uploads\/sites\/228\/2023\/07\/homelessness-e1689239754698-768x220.jpg 768w, https:\/\/hub.salford.ac.uk\/applied-health-research\/wp-content\/uploads\/sites\/228\/2023\/07\/homelessness-e1689239754698.jpg 1049w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\"><em>Members of the research team at the first project meeting, 21 October 2021, at the Virginia Woolf Building, King&#8217;s College London. From left: Michela Tinelli, Jo Coombes, Michelle Cornes, Lizzie Biswell, Stan Burridge<\/em><\/figcaption><\/figure>\n\n\n\n<p><strong>Timescale<\/strong><\/p>\n\n\n\n<p>September 2021 \u2013 August 2023<\/p>\n\n\n\n<p><strong>Further reading<\/strong><\/p>\n\n\n\n<p>Read the guidance published by the King&#8217;s Team and partners for the LGA and ADASS on <a href=\"https:\/\/www.local.gov.uk\/publications\/home-first-discharge-assess-and-homelessness\">Home First: Discharge to Assess and Homelessness<\/a> (March 2023).<\/p>\n\n\n\n<p>Our research has been cited (p. 26) in the NHS England guidance: <a href=\"https:\/\/www.england.nhs.uk\/publication\/intermediate-care-framework-for-rehabilitation-reablement-and-recovery-following-hospital-discharge\/\">Intermediate care framework for rehabilitation, reablement and recovery following hospital discharge<\/a>&nbsp;(September 2023).<\/p>\n\n\n\n<p>And see: <a href=\"https:\/\/www.england.nhs.uk\/long-read\/a-national-framework-for-nhs-action-on-inclusion-health\/\">National framework for NHS \u2013 action on inclusion health<\/a> (October 2023).<\/p>\n\n\n\n<p><strong>Further information<\/strong><\/p>\n\n\n\n<p>The page for <a href=\"https:\/\/www.lse.ac.uk\/cpec\/research\/OOHCM\">this project on the LSE website<\/a> carries much more information and access to <a href=\"https:\/\/www.lse.ac.uk\/cpec\/research\/OOHCM\/integrated-management-dashboards\/Access-the-dashboards\">the beta dashboards<\/a>. And see this <a href=\"https:\/\/www.sscr.nihr.ac.uk\/data-driven-decision-making-in-homelessness-services\/\">blog by Michela Tinelli<\/a> on the NIHR School for Social Care Research website (14 Dec 2023) and <a href=\"https:\/\/www.kcl.ac.uk\/news\/a-data-driven-approach-to-homelessness-services\">the news item about Michela&#8217;s webinar<\/a> (14 Dec 2023) for the King&#8217;s <a href=\"https:\/\/www.kcl.ac.uk\/events\/series\/homelessness-series\">Homelessness series<\/a>, a recording of which is available.<\/p>\n\n\n\n<p><strong>Funding<\/strong><\/p>\n\n\n\n<p>Department of Health and Social Care<\/p>\n\n\n\n<p><strong>Team<\/strong><\/p>\n\n\n\n<p>Elizabeth Biswell<\/p>\n\n\n\n<p>Stan Burridge<\/p>\n\n\n\n<p>Dr Michael Clark<\/p>\n\n\n\n<p>Jo Coombes<\/p>\n\n\n\n<p><a href=\"https:\/\/salford-repository.worktribe.com\/person\/1178689\/michelle-cornes\">Professor Michelle Cornes<\/a><\/p>\n\n\n\n<p>Janet Robinson AKC<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Final report Cornes, M., Tinelli, M., Clark, M., Coombes, J., Harris, J., Burridge, S., Robinson, J., &amp; Wittenberg, R. (2024) Evaluation of the Out-of-Hospital Care Models Programme for People Experiencing Homelessness. London: NIHR Policy Research Unit in Health and Social Care Workforce, The Policy Institute, King&#8217;s College London. (Summary also available.) Launched at King&#8217;s College [&hellip;]<\/p>\n","protected":false},"author":379,"featured_media":0,"parent":58,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-315","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Evaluation of the Out-of-Hospital Care Models Programme for People Experiencing Homelessness - Centre for Applied Health Research<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/hub.salford.ac.uk\/applied-health-research\/equity-inequalities-and-inclusivity\/evaluation-of-the-out-of-hospital-care-models-programme-for-people-experiencing-homelessness\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Evaluation of the Out-of-Hospital Care Models Programme for People Experiencing Homelessness - Centre for Applied Health Research\" \/>\n<meta property=\"og:description\" content=\"Final report Cornes, M., Tinelli, M., Clark, M., Coombes, J., Harris, J., Burridge, S., Robinson, J., &amp; Wittenberg, R. 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