We have been coordinating the London COVID-19 Homeless Health Response Cell, as a multi-agency approach to managing the health needs and minimising the transmission of COVID-19 within the homeless population in London. Please see a range of resources, information and further contacts below.
Covid Vaccination toolkit for homeless health
Covid-19 vaccines for London Homelessness Care and Support workers and volunteers
Frontline homelessness care and support workers, including volunteers, are a priority group for COVID-19 vaccination.
- The pan-London response: A podcast and a written case study on ‘Homeless health in London – the response to Covid-19’, covering the period March to early June 2020 have been created. For the podcast, click here and the written case study, click here. (both published June 2020)
- North West London CCGs response to ‘Everyone In’ – read the report (published October 2020)
New Covid variant information
With a new and more infectious Covid-19 variant putting infection prevention and control into event sharper focus, on 22 December 2020, HLP ran the ‘Homeless Health Covid Variant IPC’ webinar with experts Professor Andrew Hayward and Dr Al Story. Aimed at front line workers supporting those experiencing homelessness, the session analysed the new variant and its impacts and outlined effective prevention, infection and control solutions.
Below you can find a recording of the session, the presenters’ slide pack, a written log of answers to questions we did not have time to answer on the webinar, and also news Tier-specific leaflets from Groundswell.
- HLP Homeless Health Covid Variant IPC webinar
- Webinar presentation slides
- Answers to questions asked at webinar
- Tier-specific leaflets from Groundswell (Dec 20)
Updated FAQs and Guidance (Dec 2020 – Jan 2021)
- COVID Vaccination information
- COVID-isolation referral process
- COVID Isolation referral form
- COVID-19: management of staff and exposed patients or residents in health and social care settings
- Frequently Asked Questions (FAQs) for hostels, and homeless hotels when dealing with COVID-19
- Management of Homeless Adults on discharge from Hospital
- CHORUS Referral form
Homelessness care and support workers, including volunteers, providing care and support in London this year can get the free flu vaccination from either your local pharmacy or your own GP. Find out how to get your Flu vaccine for free.
Groundswell Flu vaccination guidance resources
NHS England Mental Health and Primary Care guidance
Guidance for commissioners
Moving on from hotels
Groundswell leaflets for registering with a GP and GP preventative care:
An information leaflet on Safer Sex and Contraception
Information about the NHS App to help clients check symptoms, book appointments, order repeat prescriptions and view their summary care record.
London NHS commitments to former rough sleepers being resettled in London.
Information for hotels
Hotel Frequently Asked Questions and guidance on adapting facilities and procedures during the coronavirus (COVID-19) pandemic
COVID symptoms notice for hotels. To be edited with local details, printed out and put under everyone’s door when they come in
Homeless Hotel poster (this can also be used in hostels)
Managing Covid hotels interview: Sam Dorney Smith, Senior Nursing Fellow at Pathway, has shared her valuable insight to meeting this challenge with us. Watch the video to learn about the process of setting them up, the challenges and guidance for other sites (YouTube).
Information for hostels
Mini CHRISP Plus guidance tool – Quickly identify those at increased risk to COVID-19 who need to be shielded in appropriate accommodation
COVID-19 Risk Assessment – Screening tool to support non clinical outreach workers
Hostel Frequently Asked Questions and guidance on adapting facilities and procedures during the coronavirus (COVID-19) pandemic
Health needs assessment multi-disciplinary team guidance, based on CHRISP assessments.
Referrals for testing
If you have a resident showing COVID-19 symptoms, please refer to the Find and Treat Team
From Monday 20th July 2020 – if any residents have symptoms of COVID-19, please contact the Find and Treat Team by email: haltTeam.email@example.com
Please complete this referral form available here
For further information about what action hostels should take if they have a symptomatic case please see the frequently asked questions
Referrals to hotels and hostels
If you are referring from an Outreach Team please contact the COVID CARE team directly. All outreach referrals to CARE need to take place only with the agreement that if the client tests negative the referring team maintains responsibility.
If you are referring from a residential setting for the homeless, please call COVID CARE on 07895751370 or email Covidcare.firstname.lastname@example.org. Once the referral has been accepted, please complete the transfer form for people accepted into COVID CARE from hotel or hostel
For people who develop symptoms or have tested positive for COVID-19 and are unable to effectively self-isolate in their current accommodation or because they are sleeping rough.
COVID Isolation referral form. Referrals will be processed daily between 8am and 7pm
Management of Homeless Patients on discharge from hospital; hospital discharge to COVID CARE pathway, COVID CARE process map from hostels and hotels and COVID CARE referral form for hospital discharge
Please refer any homeless clients who attends a site directly to StreetLink London or contact your local Homeless Outreach team.
Information for primary and community care
Webinar series: Homeless health, primary care and Covid
In June 2020, this HLP series featured experts with lived experience and specialist GPs:
- Webinar 1: Homeless health background, overview and London’s Covid response, with Dr Caroline Shulman and Dr Zana Khan – 8 June 2020. Watch again here.
- Webinar 2: Homeless health, Covid and the patient journey through general practice, with Groundswell’s Sharon Clint and Dr Jasmin Malik – 11 June 2020. Watch again here.
- Webinar 3: Homeless health, Covid and safer surgeries, with Doctors of the World – 12-1pm, 18 June 2020. Slides here.
- Webinar 4: Next steps for London: health needs assessments and the importance of MDTs, with Dr Binta Sultan, Dr Caroline Shulman, and guests from HDAS, Haringey, Kingston and Hackney. Watch again here.
Recommended PPE for primary, outpatient and community care by setting, NHS and independent sector. Need to wear face and eye protection to see symptomatic patients (would include visors) and surgical masks when seeing asymptomatic ‘extremely vulnerable’ patients (COVID PROTECT).
British Medical Journal visual summary for COVID-19 remote consultations. A quick guide to assessing patients by video or voice calls
Pragmatic guidance from the Primary Care Respiratory Society (PCRS), for the routine and crisis management of patients with asthma and chronic obstructive pulmonary disease (COPD) during the COVID-19 epidemic. Nebulisers should, where possible, be avoided for acute attacks due to the increased risk of disseminating COVID-19 (to other patients AND to physicians, nurses and other personnel)
Drug and alcohol guidance
PHE and Department of Health and Social Care (DHSC) COVID-19 guidance for commissioners and providers of services for people who use drugs or alcohol
Launch of Homeless Hotels Drug and Alcohol Support Service (HDAS London) and additional resources; smoking and COVID-19 guide for residents and smoking cessation product user guides for residents including JUUL e-cigarette, Vype ePen, nicotine mouth spray and pouch and Voke nicotine inhalator
HDAS London link to training video for tobacco harm reduction and e-cigarettes
Mental health guidance
If staff and clients are unsure where to get crisis guidance from, they are advised to call 111 and ask for the local mental health crisis line
Monitoring mental health clients one pager
Palliative and End of life care
A collated list of National, Regional and North West London local good practice resources for community practitioners to use to support anticipatory care planning and palliative care during COVID-19 crisis
Google drive link to guidance related to COVID19, homelessness and palliative care (open access)
For more information contact the team at email@example.com