We’re grateful that there continues to be a lot of interest in our specialist homeless GP surgery Arch Healthcare:
A letter from Arch CEO to update our friends and supporters about our responses to Covid-19 (updated) – April 2020
I wanted to say a huge thanks to all the friends and supporters of Arch for your kind words of encouragement and thanks to our team as we’ve tried to respond as quickly and effectively as we can to the Covid-19 outbreak. Like us, many of you have been concerned about the impact of the pandemic on people who have nowhere to self isolate because they are sleeping rough or living in accommodation which they share with others.
CHALLENGES FOR PATIENTS
As homeless services across the city have experienced staff shortages, and the government have instructed the closure of all gathering points, those who are without secure and private accommodation face many challenges. Living on the empty streets of Brighton & Hove without access to food, water, sanitation or shelter is very frightening indeed, even without the constant uncertainty and fear of infection.
CITY WIDE RESPONSES AND NEW ACCOMMODATION
Since early March Arch has been working alongside colleagues at Public Health, the City Council, the CCG, and all homeless services in Brighton & Hove to develop appropriate to develop appropriate accommodation for 300-400 homeless people who are either living on the streets or in accommodation with shared facilities which does not allow them to self isolate.
On March 27th the Ministry of Housing, Communities and Local Government (MHCLG) instructed all local authorities to move rough sleepers off the streets within just a few days. This announcement gave rise to a huge effort on behalf of all the partners as we tried to secure the necessary accommodation at break-neck speed. It was not without its challenges but city council have secured several facilities to be used for this purpose.
CITY WIDE RESPONSES AND NEW ACCOMMODATION
The role of the Arch team has been to help design a system of which follows the Pathway Model of:
Triage – Cohort – Protect – Care
This means that, our clinical team are TRIAGING people and checking for symptoms which may be Covid-19. Based on this assessment, patients with no symptoms are allocated to ‘PROTECT’ accommodation where others who have no symptoms are accommodated and grouped again into those who have higher and lower health risks. Those patients who are found have potential Covid-19 symptomatic are being housed in ‘CARE’ accommodation where they are able to self isolate and recover.
All residents, are checked on daily by key workers and clinicians, and monitored for any changes in their condition. Our Arch clinicians are working closely with the St Mungos team, 7 days-a week, to ensure the best possible care is offered to all. Food, medication and specialist supplies are being delivered to residents so they are able to fully self-isolate.
As you’ll imaging this has been a huge amount of work for a large number of people from many organisations. At Arch we are especially proud of our clinical team, who have advised partners, participated in many conference calls and written extensive guidance whilst continuing to provide care to our own patients back at the surgery. The CCG have support the increase of our team to generate the necessary response and we are currently working to do that.
CHANGES AT THE SURGERY
The Arch team have made many adjustments, we have had our fair share of staff sickness and self isolation due to symptoms within families. As a small team that has been extremely difficult to manage but our staff have responded magnificently and gone the extra mile on every occasion. The surgery remains open but the service is far from normal, almost all our consultations are being conducted by telephone and we have provided mobile phones to those patients who don’t have them.
We are currently still seeing patients who need a face-to-face consultation or a dressing but these are very much the exception just now. This is all the total opposite of our usual ethos which is welcoming, friendly, engaging and keen for people to be seen. We all feel rather uneasy encouraging people to stay away but we know it is necessary to keep patients and staff safe.
From very early in this crisis our clinical team have recorded every patient who we know is required to self-isolate due to either symptoms or circumstances, making an assessment of their needs in terms of food, medication and any specialist equipment. Patients on this list have been contacted daily by a GP or Nurse Practitioner in order for symptoms to be monitored and, where possible, the Justlife Health Engagement team have provided support with deliveries and further telephone care.
Our reflection is that so many individuals and services are working incredibly hard and pulling together to respond to this crisis. We believe in the model which which is now being delivered through collaboration and are confident it will be effective in reducing suffering and saving lives.
Thanks again for your kindness and support. We really do appreciate it. Please stay safe.
Gary Bishop, CEO, Arch Health CIC
Annual Remembrance Event – Wednesday 5th February 2020
Over 60 of us gathered at the Friends Meeting House on Wednesday to remember the 36 homeless people who died in Brighton & Hove over the past year.
Dr Tim Worthley spoke for a short-while about the invisibility, lack of dignity, and loneliness in the lives and deaths of our patients. He reassured those present that by gathering together we stand against those three things, and the system which allows them to happen, as well as take some time to acknowledge our own loss. He ended by offering some encouragement, that even though it always feels as if those working on the frontline could do more, simply conferring dignity and humanity to those we care for has profound significance.
We started off the year being featured in this article by The Doctor magazine showcasing our collaborative work with Brighton and Sussex University Hospitals, Sussex Community NHS Foundation Trust and Justlife. We shared some of our thoughts on issues around homelessness, health and collaborative solutions in Brighton and Hove (Pages 18-23)
You are most welcome to join us for our third annual remembrance event marking the lives of the homeless people who died in Brighton & Hove over the past year.
Just before 9am on a chilly Wednesday in November crowds of people were queuing outside the Clarendon Centre on New England Street, Brighton. We had been planning the Homelessness and Health Conference for almost a year and the event had been fully booked almost since the day bookings opened. Delegates were now checking-in in good spirits, setting down in the huge reception area and helping themselves to a complimentary cup of tea or coffee.
This was the second conference of its type, hosted by Arch Health CIC & The Frontline Network. It is a day designed to inspire, connect and equip people who work in homelessness services with lots of practical information about the health needs of homeless people with the ultimate goal of improving health outcomes in this vulnerable community. A total of 134 delegates from over 60 different organisations joined the conference throughout the day, including; GPs, occupational therapists, nurses, support workers, counsellors project workers and the like.
The program included workshops on themes around mental health, physical health and substance misuse as well as opportunities to contribute to the council’s new homelessness strategy and think about self care. Delegates enjoyed input from the Arch team and a wide range of organisations who shared their experience and expertise. Special guest John Conolly, Lead Counsellor from Westminster Homeless Health Service, delivered workshops on ‘Trauma Informed Communication’ and also gave a keynote speech to the whole conference during an afternoon session which also included a Panel Q&A.
This was a free conference sponsored by Arch and the Frontline Network. Delegates also enjoyed a complimentary lunch and refreshments throughout the day which enabled extended networking times and an opportunity for workers from different services to meet each other and build on working relationships as well as meet new colleagues.
The feedback from the day was overwhelmingly positive and we have already begun to plan next years conference. Maybe we’ll see you there.
Our second Annual Report (2018-2019) has now been published. Please download and take a look.
CQC Report – OUTSTANDING IN ALL AREAS – March 2018
On January 28th 2019 Arch Health CIC underwent its first Care Quality Commission (CQC) Inspection at our specialist homeless surgery in Morley Street, Brighton.
These inspections are an extremely demanding and rigorous process which take place at short notice. The three CQC inspectors spent a long day with our team looking at the finer detail of our systems, processes and practices as well as our patient engagement and organisational culture.
The goal of the CQC inspection is to ascertain the extent to which the surgery is:
SAFE, EFFECTIVE, CARING, RESPONSIVE and WELL-LED.
Each area of the inspection is rated as either: Inadequate, Requires Improvement, Good or Outstanding. The surgery is then given an overall rating.
Earlier this week we received the results of our inspection and are delighted to share them with you.
Arch Healthcare was awarded the overall rating of OUTSTANDING, also achieving OUTSTANDING in ALL FIVE areas of inspection.
We are obviously delighted with this result. The full report can be found here.
Forming and launching Arch Health CIC over the last 3 years has required great dedication by all our staff and we are so pleased that their hard work has been recognised by this inspection. We are extremely proud of every member of our team for what they have created and the service which they provide day in and day out.
We are keen to note that Commissioner colleagues at Brighton & Hove CCG, NHS England and BHCC have played a crucial role in the generation of the integrated homeless healthcare model and taken significant risks in order to rethink and redesign services for Brighton & Hove. We are so grateful for this and hope to continue to work in positive partnership to create outstanding services for homeless people in the city.
Our vision at Arch is ‘to explore every opportunity to improve the health and well-being of homeless and vulnerable people’ and we believe that this rating is an important milestone in providing the best possible care to those who are so often marginalised.
We are so happy to share these results with you and we are determined to remain curious about how we can develop and improve our service in months and years to come.
We hope this can become a catalyst for the Brighton & Hove, Multi-Speciality Homeless Health Centre which we dream of establishing.
For more information please see a related article by Brighton & Hove News here.
Annual Remembrance Event – Wednesday 6th February 2019
If you would like to invite others along to this event please click on the image to download an e-invitation.
Introduction to Arch Healthcare Events – January, March, May, July, September, November 2019
Are you interested in learning more about the work of Arch Healthcare? Would you like to meet the team? Would you like to find out more about healthcare for homeless people in the city?
Then you are very welcome to join us at one of our regular Introduction to Arch Healthcare with tea, coffee and cakes!
These sessions are suitable for people working in the homeless sector, and anyone who would like to know a little more about our work. As well as locals we welcome visits from further afield.
Each session will include: a tour of the surgery, a chance to meet our staff, information about our partner organisations and the values and vision of the organisation.
Tuesday 22nd January 2019 11am
Tuesday 26th March 2019 11am
Tuesday 28th May 2019 11am
Tuesday 23rd July 2019 11am
Tuesday 24th September 2019 11am
Tuesday 26th November 2019 11am
Book your place by clicking on the link below.
Health and Homelessness Conference – November 2018
On November 21st 2018 Arch Health CIC and the Brighton and Hove Frontline Network (facilitated by Justlife in partnership with St Martin’s Frontline Network) hosted the very first local Homelessness and Health Conference at the Friends Meeting House. Prior to the event frontline workers from across the city were asked to submit their suggestions for subjects to be covered in the day and the timetable was developed from those suggestions.
The morning was designed for frontline workers with clinicians joining for the afternoon. 91 delegates attended all or part of the day, one third of whom were clinicians.
Conference attendance was free, lunch tea and coffee were also provided free of charge. We believe this made the event very accessible and added to the sense of community which permeated the day.
We received feedback from 30 different delegates. 26 said they would attend future events. Collectively they scored the event /5 as follows:
|Overall||Content||Discussion||Generated new thoughts||Venue/Running|
Overall the Arch Team are very happy with how the day went and will likely be offering more conferences in the future. Please check back on this page for details.
Our first Annual Report (2017-2018) has now been published. Please download and take a look.
Arch Healthcare hosted a time of quiet reflection and remembrance of homeless people who died in Brighton & Hove over the last year.
We were delighted to host Caroline Lucas MP at the Arch Healthcare surgery. After meeting the staff and some patients we were able to share something of the journey we have been on over the last couple of years from carrying the vision for better homeless healthcare in the city, to creating Arch Health CIC and winning the contract to run the surgery and additional services.
We talked at length about our concerns about the rising numbers of homeless people in the city and further afield and also spent time considering vision to to establish an integrated, multidisciplinary team, co-located in a city centre facility to maximise the impact care we can offer our patients.
Caroline was quite taken with our Arch Vision & Values mural which is on the wall in reception and she’s pictured in front of it here with, Dr Worthley, Hannah Bishop (Advanced Nurse Practitioner) and Gary Bishop (CEO).
Arch Healthcare carried out our first patient satisfaction survey this month.
The feedback was really fantastic, there were one or two things to work on but mainly it was really something to celebrate. Here are a few highlights:
Doctors – 3.91
Please find the full results here
Arch Health CIC – Vision & Values
“Arch Health CIC exists to explore every opportunity to improve the health and well-being of homeless and vulnerable people. We are committed to this because periods of homelessness can have a devastating impact on a person’s life and we believe that excellent, caring, primary health care can prevent long term suffering and save lives.“
The Arch Board of Directors met to explore Arch’s Vision & Values.
The Arch Health CIC Board of Directors appointed a new Chair on 2nd May 2017.
Please find an introduction to Dr Anna Hiley on our Directors pagehere.
Excellent marathon related news from one of our subcontractor organisations Justlife.
Click on the photo below for the full article.
Arch Healthcare had our first Patient Participation Group (PPG) meeting this month. This group will meet regularly from now on to consider new and innovative ways of positively influencing the services and facilities offered by Arch Healthcare to patients. If you are interested in getting involved in this PPG please pop into the surgery during opening hours to let our Reception Team know.
Introducing the Arch Healthcare Team
What does your role involve:I try to make all the many different operational systems in the surgery work well for patients and for staff
What do you like doing during your time off: During my time off I like to run and also write
What’s the best thing about working for Arch Healthcare:I like Arch because it’s so friendly
The Arch Healthcare surgery opened on 1st February 2017.
Arch Health CIC CEO Gary Bishop spoke to HEREabout ‘working with purpose’ and how HERE’s start-up fund helped get the surgery off the ground.
Click on the photo below for the full article.
An event to introduce Arch Healthcare took place on the 11th January 2017.
Arch Directors Dr Tim Worthley, Dr Chris Sargeant, Hannah Bishop and Gary Bishop presented the new service to around 80 guests.
Murray King, Head of APMS Procurement, NHS England (SE) introduced the event saying: “Whilst we were going through the process it was disheartening at times, we kept hitting snags, problems kept arising but the thing that kept me motivated was having to literally step over a person or two on my way to work and I kept thinking that person’s life is just as valuable as mine.”
Gary Bishop, CEO Arch Healthcare ended the event saying: “We love the surgery. The love came first and the contract came second. This is a vital service for our city and it is such a privilege and honour for us to be the custodians of it for this next stage. I’m sure we won’t get everything absolutely ‘right’ but we can promise we’ll do everything in our power to make the surgery a service which the whole city can be proud of.”
The Arch board are delighted to announce today that we have been awarded the contract to run Brighton Homeless Healthcare; now named Arch Healthcare.
Over a year ago Dr Tim Worthley, Hannah Bishop (ANP), Dr Chris Sargeant, Geraldine Hoban and Gary Bishop created Arch Health CIC. Our purpose was to create a vehicle not-for-profit vehicle which could bid for, win and run the Morley Street surgery and create an outstanding primary health care service for homeless people.
Since then we have received an overwhelming level of support, kindness and encouragement from a wide variety of people and organisations across the city and we are delighted to announce today that Arch Health CIC has been awarded the contract to run the Morley Street Surgery and the homeless health engagement service for Brighton & Hove for the next 3 years.
The new service includes in-reach services to Royal Sussex County and Mill view hospitals plus an engagement service offering non-clinical support to patients. Our vision also includes developing expertise within a wide range of organisations and heath services across the city to ensure the best health outcomes for patients. We will be working with St John Ambulance and Justlife Foundation who currently provide the Pathway Plus homeless hospital discharge service for Brighton & Hove and we anticipate developing far reaching partnerships through which will make a deep and lasting impact on those who we serve in the city.
Dr Worthley said:
“We are delighted to have been invited to provide the new specialist homeless healthcare service in Brighton and Hove. This new service represents an opportunity to significantly improve the healthcare that homeless people in our city receive. As a not for profit company comprised of local clinicians and professionals we are determined to deliver a service which is accessible, restorative and compassionate, and which treats the homeless women, men and families in Brighton with the utmost respect and dignity. We will work tirelessly with local services and the community to this end.”
Arch will take over the contract from The Practice Group on February 1st 2017 and we look forward to taking the service forward with the help of partners Inclusion Healthcare, who recently received an ‘outstanding’ CQC status for their homeless surgery in Leicester. We are keen, even at this early stage, to be engaging with all our supporters, friends and colleagues in Brighton & Hove who are seeking to improve the health and well-being of homeless people and welcome every opportunity to work with others to build a truly excellent service which we can all be proud of.
Thank you for your interest in this journey thus far, we appreciate that very much and we look forward to working with you to improve the health of the poorest fastest.
The first ever Arch Health CIC Reception took place on the 28th June 2016.
Arch Directors Dr Tim Worthley, Hannah Bishop, Geraldine Hoban and Gary Bishop presented their vision to around 60 guests.
Dr Tim Worthley, GP Morley Street: “In Brighton over the last 3 years 50 Morley Street patients have died. Their average age was mid 40’s. This is why we push every day, we want to make things better, we want to make things different. Pathway Plus and other projects show that if you provide good healthcare to the homeless you can make a real difference. We have a really exciting vision and just need the chance to see it become a reality.”
Dr Anna Hiley, CEO Inclusion Healthcare: “I really wanted to make the effort to come down to tell you why we agreed to be involved and why we want to support this fantastic team to do something we did six years ago and have never looked back. We have come to know this team and heard from so many of you what a great job they’re doing here and believe they are the right people to help take this service forward and continue providing for you for the next decade.”
“Across the country unsung heroes are leading local initiatives that are improving the nation’s health and wellbeing. Such projects have a special place in our public health system and it is only right that we recognise the people who make them a success.” Jane Ellison MP, Minister for Public Health, at the ‘Excellence in public health and wellbeing 2016 a celebration event’.
- Winner: Dr Tim Worthley, Lead GP, Brighton Homeless Healthcare Centre
- Nominator: Caroline Lucas, MP, Brighton Pavilion