Health access and homelessness in Salford

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Summary of report content

Homeless people are one of Healthwatch Salford’s priority marginalised groups to engage with but are under represented in signposting cases and engagement work. To better understand different experiences of homelessness and access barriers to health and social care, Healthwatch Salford undertook a 3-month survey project with this group beginning in February 2018, at the same time as developing relationships and links with statutory housing providers and commissioners. This was done with a view to Healthwatch Salford undertaking a more focused engagement project later in the year, once survey findings had been analysed, reviewed and reported on to partners and decision makers.

This reports focuses on phase 1 of the project. 122 survey responses were gathered, identifying the barriers, needs and issues of access that homeless people experience. The initial findings in this report were used to drive the focus for phase 2 of the project later in 2018.

There were many access barriers and difficulties mentioned by the respondents, with most having one or more barriers or difficulties of access. There were several large themes identified in the findings: wanting to be understood and listened to; registering and receiving treatments from GP practice; impact of poverty on homelessness; booking systems and other accessibility; use of healthcare services. 

Several recommendations were made in this report, and a service provider response was included. 

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General details

Report title 
Health access and homelessness in Salford
Local Healthwatch 
Healthwatch Salford
Date of publication 
Tuesday, 1 May, 2018
Date evidence capture began 
Thursday, 19 December, 2019
Date evidence capture finished 
Thursday, 19 December, 2019
Type of report 
Key themes 
Booking appointments
Building and facilities
Communication between staff and patients
Continuity of care
Digitalisation of services
Health inequalities
Health promotion
Health protection
Holistic support
Information providing
Lifestyle and wellbeing
Quality of appointment
Quality of care
Quality of patient transport
Quality of staffing
Quality of treatment
Service delivery organisation and staffing
Staff attitudes
Staff levels
Staff training
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
What type of organisation requested the work 
Primary research method used 
How was the information collected? 
If an Enter and View methodology was applied, was the visit announced or unannounced? 

Details of health and care services included in the report

Primary care services 
GP practice

Details of people who shared their views

Number of people who shared their views 
Age group 
Specific ethnicity if known 
Does the information include public's views? 
Does the information include carer's, friend's or relative's views? 
Does the information include staff's views? 
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? 
Is there evidence of impact external to the report? 
What type of impact was determined? 
Implied Impact
Network related impact

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.