Accessing health and care services in Gloucestershire, from marginalized and vulnerable people

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Summary of report content

Between December 2015 and June 2016, Healthwatch gathered the views and experiences of marginalised and vulnerable people across Gloucestershire. This review was in response to the relocation of the Homeless Healthcare Team and closure of the Vaughan Day Care Centre. Staff visited drop-in services and received feedback from 25 service users; volunteers and members of staff. They also invited feedback from other front-line staff working with marginalised and vulnerable people. This provided an insight into what people had valued about the day centre and their experiences of health and social care since its closure. Findings were discussed with the organisations responsible for providing health, social care and housing for vulnerable people. This helped to put the feedback into context and learn about their initiatives. The day centres were valued by visitors and helped to address issues such as social isolation and access to healthcare. Drop-in staff and volunteers needed more information and advice. There needed to be improved communication between agencies to help provide more timely and appropriate support to people. Recommendations include: identifying pathways for mental health support, improved communication between agencies, a review of the support needed for people with a high level of need, a minimum standard of housing for vulnerable people, adequate emergency housing and a wider review of the needs of marginalised and vulnerable people across Gloucestershire. Commissioners and service provider’s formal responses are included.

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General details

Report title 
Accessing health and care services in Gloucestershire, from marginalized and vulnerable people
Local Healthwatch 
Healthwatch Gloucestershire
Date of publication 
Saturday, 9 January, 2016
Date evidence capture began 
Tuesday, 1 December, 2015
Date evidence capture finished 
Thursday, 30 June, 2016
Type of report 
Patient experience
Key themes 
Quality of care
Quality of treatment
Staff attitudes
Staff training
Waiting times and lists for treatment
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
Primary research method used 
Engagement event
How was the information collected? 
Visit to provider

Details of health and care services included in the report

Primary care services 
GP practice
Mental health services 
Community mental health team (CMHT)
Community services 
Community based services for people with mental health needs

Details about conditions and diseases

Types of long term conditions 
Mental health condition

Details of people who shared their views

Number of people who shared their views 
Age group 
Other population characteristics 
Homeless people
Does the information include public's views? 
Does the information include carer's, friend's or relative's views? 
Not known
Does the information include staff's views? 
Types of health and care professionals engaged 
Does the information include other people's views? 
What was the main sentiment of the people who shared their views? 

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Does the information contain a response from a provider? 
Yes action has been taken or promised
Is there evidence of impact in the report? 
Not known
Is there evidence of impact external to the report? 
Not known

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.