+44 (0) 207 437 9360 | clccg.gcs@nhs.net

How we work

1. Offering an integrated model of care with a full multi-disciplinary team. This includes, GP, nursing, psychiatry, substance use, dentistry, counselling and social care services.

2. Opportunistic engagement: Being able to inter-refer within the team. Multiple needs can be addressed in this way.

3. Having a no appointment system, to obtain engagement and promote compliance with treatment. Appointments are offered to those who want or need longer consultations.

4. Having a harm Minimisation Philosophy eg: inoculation with flu vaccine, pneumonia and hepatitis B vaccines and screening for hepatitis C and HIV.

5. Co-ordinating with voluntary and statutory services.

6. Pro-active approach towards hard to reach and patients presenting with chaotic and multiple need problems. Case management of complex needs patients to coordinate care and promote the most effective use of resources.

7. Patient centred service: we design services around the needs of the patients. Our hybrid nature: medical care and social care, allows us to go beyond the very essential interventions in medical care. For example, we can escort patients to services for specialist interventions; we facilitate them with clothing or a shower. We are a very flexible service adapted to a very complex client group.  

8. Offering referrals and liaison into specialist services including Wytham Hall http://www.wythamhall.co.uk/ Supported Housing (fast track referral route), outreach BBS Services, Westminster Alcohol Service, (WAS), Joint Homeless Team (JHT), Westminster Drug Project, The Hungerford Drug Project, Westminster Drug Treatment Centre and Central & North West London Mental Health Services – i.e. the Assessment Team at the Gordon Hospital. We have very close working relationship with Dr. Hickey Surgery and the Homeless Health Team.

9. A non-judgemental attitude.

10. Practice MDT (Multidisciplinary Team Meetings) – Every Tuesday we hold practice meetings where we discuss complex cases. External agencies who may be involved with the case list are invited to attend.

11. Intermediate Care Network (ICN) – Health response service for rough sleepers who otherwise are likely to use A&E and be admitted to hospital. The service provides brief respite and support in hostel accommodation whilst meeting their complex needs.

Dr. Hickey Surgery

Homeless Health Team