People experiencing homelessness are among the most vulnerable and isolated in our society, with the poorest health outcomes. Traditional systems of health and care often struggle to meet their needs. Consequently, they are more likely to die young, with an average age of death of 45 for men and 43 for women (ONS, 2019).
Healthy London Partnership works with our regional partners with the aim of improving access to healthcare and the capacity and capability of the system to respond to the needs of people who are homeless, to improve their health and reduce their hospital admissions.
Browse this playlist of podcast episodes exploring homelessness and health, produced by the Healthy London Partnership Homeless Health programme team.
Personality disorders have been called the most misunderstood mental health condition. They have a legacy of confusion and controversy around diagnosis, language, what it means and how it impacts on individuals, even what they should be called.
Yet it is estimated that worldwide, around 8% of the general population report having complex emotional needs These figures rise to around 25% of people accessing primary care services and 50% accessing community mental health services will experience symptoms or behaviours related to the formally diagnosed.
This podcast series talks to people living with them – aiming to raise hope and understanding.
Good Thinking supports Londoners to look after their mental health and wellbeing in a way that works for them. Since its launch in 2017, more than half a million people have used our digital service to tackle anxiety, stress, low mood, sleep problems and other concerns.
Their podcast series captures the thoughts, feelings, and experiences of Londoners directly or indirectly affected by coronavirus. They ask them about the approaches they are taking to stay mentally well and share with you top tips on what you can do to stay mentally healthy.
Personality disorders have been called the most misunderstood mental health condition. Now a team of people who have mental health and social difficulties commonly associated with a diagnosis of personality disorder, supported by Healthy London Partnership, is launching a campaign on Wednesday 25 May 2022 to raise awareness of a condition which affects an estimated 10-13% of the population, but which can result in rejection and stigma, rather than support.
The campaign centres on a series of podcasts, devised, produced and led by those with lived experience of personality disorder, to increase awareness and understanding, and raise hope regarding support and treatment options. In the first podcast, available from Wednesday 25th, three people diagnosed with personality disorders discuss what it is like to live with the condition.
On this page is a campaign toolkit including an article for your own publications/websites, a shorter article for websites and social media assets. The assets link to a web page which hosts the podcast and more information about personality disorders.
We hope you can use the resources on your own social media pages – using #UnderstandPersonalityDisorders – and with your own contacts and networks.
See below to meet our fantastic team, find out their experience and strengths, and how to contact them.
The information is arranged in order of the main projects or programmes that people work on, however in reality our team is multi-faceted, and our work is linked, meaning that everyone does more than what they are listed under!
Briony is leading the Health and Care in the Community programme, overseeing a range of improvement programmes supporting the national Ageing Well programme including enhanced health in care home, urgent community response and anticipatory care, alongside reducing in-hospital length of stay and a range of digital transformation initiatives for community services and social care. A nurse by background, Briony has extensive experience of senior operational leadership in emergency care, quality improvement methodology and delivering whole system transformation programmes. She is on secondment from the London Ambulance Service where she has been Deputy Director of Nursing and Quality since 2014.
Phil has been in the NHS and DHSC for over 35 years, working primarily has an analyst. He has worked at local, regional and national levels including spells at the CQC and a health consultancy. Phil helped develop the national RightCare programme which aims to improve patient pathways, and health outcomes, whilst optimising the use of taxpayer’s money. He currently supports the Urgent Community Response programme and provides analytical advice to the rest of the team.
Pauline is the London regional lead for Community Services, working with the National Aging Well Team and London Integrated Care System partners to enhance and improve the safe delivery of high-quality community services across London. Currently the significant focus is on the development and delivery on the Urgent Community 2-hour Crisis Response service. Pauline is a registered nurse/district nurse and has worked in the NHS for 34 years with a wealth of experience in senior Clinical. Operational and Strategic roles.
Lorraine leads, with Dan Heller, PMO activities for the programme; and supports the Community Services and Urgent Community Response & Restoration; and Digital Community Health workstreams. Lorraine has over 30 years experience working in the NHS. She also managed the Operations teams at Healthy London Partnership and was deputy lead for the Adult Mental Health programme. Previously, Lorraine worked at NICE, leading various guideline programmes, the corporate office and commissioning and managing social care and public guideline activities.
Isabel del Arbol Stewart – Digital Community Health Services Programme Lead
Isabel is the London lead for the Digital Community Health Services Programme. Her role sits across the London Health and Care in the Community Cell and the Regional Digital Team. Working closely with ICS Digital, Community and Transformation leads, Isabel supports systems to bring Community Health Services up to the same level of transformation that Acute and Primary Care services have seen. Prior to this role, she worked in the national Communities and Ageing Well team and the London Digital Programme.
Ravi supports the Community Services and Urgent Community Response & Restoration. Ravi also leads on the SEL UCR accelerator Programme. At present Ravi works with London Region UEC team for two days a week as an Operations Manager to ensure the delivery of safe and quality oriented UEC services to patients across the region. Ravi’s substantive role is Contracts and Performance Manager, Specialised Commissioning, London Region.
Qura is a Project Support Officer on the Digital Community Health Services Programme. Qura previously worked as a Governance Facilitator in the Patient Safety Team at Barnet, Enfield & Haringey Mental Health Trust, where she was responsible for incident and risk management, Serious Incident and Board Level Panel Investigations. She also provided support to the Trust’s corporate division on data analysis and reporting. Her past roles include working with patients who have mental health difficulties to support with providing CBT therapy and care coordination.
Corinne has been in the NHS for over 30 years, primarily in a commissioning role. She has worked all that time in South East London and has a background in Continuing Health Care – developing policy and implementation, also Personal Health Budgets and End of Life Care. Corinne led the commissioning and quality assurance of Domiciliary Care Providers in the Borough of Lewisham. Her role in the Team will be to Lead the Enhanced Health in Care Homes Programme.
Sophia is the regional lead for Discharge and Length of Stay programme. She has a variety of experience working in different healthcare settings including provider, community and CCG, leading on complex large scale strategic transformation programmes in cardiovascular, respiratory and same day emergency care across the system. Sophia has a clinical background and has also worked as an operations lead in community. Improving patient care is a priority in her programmes with a clear commitment to innovation, learning and improvement.
Seena is a project improvement support manager for Length of Stay & Discharge and Care Homes. Seena has worked with a range of organisations such as Acute, Community, Specialist and Ambulance Trusts to drive values, improve patient care and reduce variation. She has provided strategy planning, coordination and oversight activities support to several programmes in North West London ICS which includes Outpatients Transformation Programme, MSK Clinical Network, Out of Hospital (Local Care) Programme.
Harpreet Shergill – Health & Care Digital Programme Lead
Harpreet is a pharmacist with a background in community pharmacy. He has expertise on change transformation in Health using digital as an enabler to deliver change. He has delivered programmes across Community Pharmacy, Clinical Homecare, Community Diagnostics, GP practices, Outpatients and Community Services. He is working on enabling out of hospital digital pathways in the community and to increase the digital maturity of health and care organisations across London.
Jennifer has worked in the NHS for over 12 years and has a rich portfolio of both clinical and operational experience. Her time spent working as midwife grew her passion for ensuring high standards of care for patients and a positive working environment for staff. She has worked at both regional and national level and also has experience from NHS Supply Chain. Jennifer has ample experience of project management and is working on the Digital Social Care programme.
Tyler Smith – Improvement Support Manager
Tyler is a Digital Improvement Support Manager currently project managing the implementation of the Proxy Ordering of Repeat Medications in Care Homes project, as well as supporting the implementation of other regional Digital Social Care Programmes and the London COVID Remote Monitoring Programme. Tyler has a background in health, having trained as a Dietitian and has previously worked in management consulting on various health, ageing and human services projects across the Australian Federal Government.
Sarah currently works in the Health and Care in the Community Cell as a Digital Improvement Support Manager for the DSPT Programme. Sarah has extensive experience in a range of settings including primary care, Trustees, charities, CCGs, and non-departmental public bodies in healthcare. Consequently, she has a comprehensive understanding of multiple systems. Sara’s expertise in stakeholder management and facilitation enables system partners to resolve issues together.
Dan is the regional lead for Anticipatory Care, part of the national Ageing Well programme. He is also one of the team’s PMO leads. Dan has worked on several programmes within the team, and still supports our care homes and domiciliary care workstreams. Dan has performed operational and strategic roles in the NHS, working with a range of non-NHS partners such as local authorities, schools and the voluntary sector, so has a broad understanding of systems. His stakeholder management and facilitation skills enable system partners to address issues together.
Yasir is a Project Support Officer working on Anticipatory Care, Catheter Pathways and vaccination information for Care Homes and Domiciliary Care providers, as well as PMO for the team. Yasir previously worked at St George’s Hospital for 5 years within Oncology, Breast and Cardiology in service management.
Andre leads on London region’s Better Care Fund (BCF) Programme, which runs in partnership with HLP’s UEC Improvement team, as well as London ADASS, and other regional programmes. The BCF supports integration between health and social care at local level. Andre worked with Surrey Council in Adult Social Care and Public Health. Prior to this he’s worked as a researcher at Greenpeace, a monitor for African conflict, and fleet operations at Streetcar in its early days (now Zipcar). He’ll happily talk you at length about health and care integration.
Nicole Valenzuela-Sotomayor – Better Care Fund Support Manager
Nicole is one of London’s Better Care Fund Managers. With 14 years health and care design thinking and service transformation experience at borough, HWB and regional level. Having worked on programmes across health and care integration, Emergency Planning, mental health (prevention through to acute), 3rd Sector development, estates refit/ relocations, community services development and system upgrades. She continues to be a strong advocate for staff and system empowerment, enjoys bringing colleagues together to harness the energy and skills that exist within, to develop sustainable changes for the benefit of both those that use and deliver services. She is also a Mental Health First Aider.
Fast-Track Cities is an international initiative to end new cases of HIV by 2030. Over 200 cities across the world are part of this movement to get to zero new cases of HIV, zero preventable deaths, zero stigma and discrimination and a better quality of life for people living with HIV.
London has already made great strides towards achieving the United Nations (UN) targets for the Fast-Track Cities initiative. In 2016, for the first time in London, all the UN’s 90:90:90 targets were met. London is only the third city to achieve this target so far – joining Amsterdam and Melbourne. We have now reached:
95% of people living with HIV infection diagnosed
98% of people diagnosed receiving treatment
97% of people receiving treatment being virally suppressed.
Why is this initiative important?
HIV remains an important problem in London, with the infection impacting on Londoners more than any other part of the UK.
In 2020, there were 955 new cases of HIV, with an estimated 35,966 people living with HIV in London – almost 40 per cent of all those in the UK. Of these new cases, 349 of new diagnoses were reported among gay and bisexual and other men who have sex with men, 324 cases were among men and women who reported heterosexual sex as their probable route of infection, 14 cases were among people who inject drugs, 257 cases were among people with an undetermined exposure group and the remaining 11 were through pregnancy.
Recently, London has seen a significant fall in people newly diagnosed HIV positive, particularly in men who have sex with men. However, this fall is neither uniform across all population groups nor in all areas of the city, and rates of late diagnosis, although showing improvement, remain stubbornly high at 35 per cent. Late diagnosis significantly impacts people who are who are disproportionately affected by HIV like African, Afro-Caribbean and migrant women, trans women, gay men living with HIV who are also migrant men, men of colour and men who don’t have English as a first language.
People diagnosed late are at increased risk of developing an AIDS-defining illness and continue to have a more than 7-fold increased risk of death in the year following their diagnosis. The rate of one year mortality was 31 per 1,000 among those diagnosed late compared to 4 per 1,000 among those diagnosed promptly.
What are the challenges?
For many Londoners HIV remains a stigmatising condition that negatively impacts on quality of life. Late and undiagnosed infection rates in London remain unacceptably high (34 per cent and 10 per cent respectively) and with considerable geographical variability across the city. Prevalence varies by ethnicity and by place of residence, with disproportionately high rates among black and ethnic minority (BAME) communities in poorer areas of the city.
The Mayor and representatives from NHS England, UK Health Security Agency and Office for Health Improvement and Disparities (formerly Public Health England) and London Councils, have committed to work with partners to:
Continue work to exceed the UN’s 90:90:90 HIV targets (90 per cent of people living with HIV knowing their status, 90 per cent of people with diagnosed HIV on treatment, 90 per cent of people on treatment with suppressed viral loads)
End new HIV infections in the capital by 2030
Put a stop to HIV-related stigma and discrimination
Stop preventable deaths from HIV-related causes
Work to improve the health, quality of life and well-being of people living with HIV across the capital
The next steps for the capital include delivering the action plan developed with all the partners and the HIV community, working with the support of the Fast-Track Cities London leadership group. The action plan is a roadmap, which outlines how London will reach the Fast-Track City targets.
London also has a Fast-Track Cities dashboard through which all cities report their progress against the initiative’s targets as well as locally set objectives and goals.
The Mayor has made tackling the stigma attached to living with HIV a key priority in his Health Inequalities Strategy. Not only is it important to ensure those living with HIV can live their lives without discrimination, but the fear of stigma can be a barrier to early diagnosis, which in turn negatively impacts the quality of life of those living with the condition.
Signing up to the Fast-Track Cities initiative will bring together all those already working to tackle HIV across the capital. More joint working will help to ensure that communities affected by HIV can access the prevention, testing, treatment and support they need.