References

Deloitte. Healthcare for the Homeless. Homelessness is Bad for your Health. 2012. https//tinyurl.com/y9c6xu9v (accessed 26 January 2019)

Gallagher J Homelessness Reduction Act 2017. Housing Matters. 2017; 119:4-5

Homeless Link. Health Needs Audit – explore the data. 2016. https//tinyurl.com/y8fz5mhc (accessed 26 January 2019)

Homelessness Reduction Act. 2017. https//tinyurl.com/y8r3y5vm (accessed 26 January 2019)

Ministry of Housing, Community and Local Government. A guide to the duty to refer. 2018. https//tinyurl.com/ydxysjgk (accessed 26 January 2019)

Ministry of Housing, Community and Local Government. Homelessness statistics. 2018. https//tinyurl.com/q9utptw (accessed 26 January 2019)

Public Health England. Evidence review: Adults with complex needs (with a particular focus on street begging and street sleeping). 2018. https//tinyurl.com/y9b8xsav (accessed 26 January 2019)

Delivering Health Care to Homeless People: An Effectiveness Review. 2003. https//tinyurl.com/y7tgdbmv (accessed 26 January 2019)

Thomas B Homelessness kills: An analysis of the mortality of homeless people in early twenty-first century England.London: Crisis; 2012

Homelessness: implications for paramedic practice

02 February 2019
Volume 11 · Issue 2

Homeless people often access health care only when a crisis arises (Martins, 2008). According to Deloitte (2012), the lack of a permanent address is one of the barriers for homeless people accessing community-based health care and primary care services. In addition, it has been reported that they often feel they negatively stand out, are not welcome, and are not treated equally to the general population in certain healthcare settings (Quilgars and Pleace, 2003). As a result, paramedics working in urgent and emergency care settings may well be the first and only health professionals accessed by homeless people. It must be recognised therefore that this healthcare encounter could be the key opportunity to improve the life course for this person.

This comment provides information on homelessness for paramedics to consider when treating this vulnerable population. It describes the challenges present in the healthcare system in providing adequate care, and outlines the implications of the relatively recent Homelessness Reduction Act 2017 for paramedic practice.

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