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Huge rise in patients discharged from hospital with nowhere to go

The number of homeless people discharged from hospital with nowhere to go has increased by nearly 300 per cent since the SNP came to power, it has emerged.

New figures have revealed that 582 people were told they were free to go from hospital last year, despite having “no fixed abode”.

That compares to 148 in 2007, a statistic which has risen steadily in the years since.

The Scottish Conservatives said more needs to be done to ensure vulnerable people who have required hospital care then have some kind of safety net rather than returning to live on the streets.

Shadow health secretary Miles Briggs said while he accepted hospitals couldn’t be used as accommodation, a government initiative was required to make sure individuals who’ve just recovered from illness aren’t put back out on the street.

He added that many of these people will be vulnerable drug users, and face immediate risks to their health from sleeping rough.

Last month it was confirmed that more people die from drug-related causes in Scotland than anywhere else in the developed world.

Today’s data was released following a Parliamentary Question by Mr Briggs. In her response, health secretary Jeane Freeman pointed out some of those included in the statistics could be people with a “mobile lifestyle” such as travellers and those with multiple residences.

Scottish Conservative shadow health secretary Miles Briggs said:

“Something is clearly going wrong in the system for there to be such an increase in people discharged from hospital straight back out onto the street.

“It’s not like this mirrors a trend in overall homelessness – there’s been a very specific change and we need to work out what that is.

“The SNP is in sole charge of health and housing and, on its watch, this figure has risen threefold.

“It now needs to explain why that is, and take some responsibility when it comes to addressing it.

“We know Scotland is now the drugs deaths capital of the developed world.

“Many of these individuals will be vulnerable drug users, and once released from hospital are in immediate danger of overdosing again.

“If we want to reduce the mortality numbers, solving this particular problem would be a good place to start.

“The Scottish Conservatives have been calling for some time on SNP ministers to develop new housing initiatives to make sure vulnerable individuals are supported into assisted living and local support services.”

 

Ends

 

Notes to editors:

 

Below is the Parliamentary Question from shadow health secretary Miles Briggs, and the response from his counterpart Jeane Freeman:

 

30 July 2019

Index Heading: Health and Social Care

Miles Briggs (Lothian) (Scottish Conservatives and Unionist Party): To ask the Scottish Government what information it has on how many people without a fixed abode have been discharged from hospital in each year since 2007.

S5W-24181


Jeane Freeman: No-fixed abode also includes individuals with a mobile lifestyle, such as travellers, and people with multiple residences, or those living temporarily with friends or family.

Analysis is based on the number of discharges. Individual patients may appear a number of times in a calendar year and in more than one year.

In 2012 a review of SMR01 data quality, only 67% of the discharge/transfer to code was found to be correct at a Scotland Level, therefore this data should be treated with caution (See https://www.isdscotland.org/Health-Topics/Hospital-Care/Publications/2012-05-08/Assessment-of-SMR01Data-2010-2011-ScotlandReport.pdf).

The total number of discharges with a discharge/transfer to code of 'No Fixed Abode' in Scotland each year between 2007 and 2018, reported to NHS Information Services Division is detailed in the following table:

Calendar Year

Number of Discharges

2007

148

2008

154

2009

156

2010

160

2011

258

2012

273

2013

428

2014

424

2015

391

2016

417

2017

533

2018

582

No patient should be discharged into a situation of homelessness. The Health and Homelessness Standards (https://www.gov.scot/publications/health-homelessness-standards/) state that “Admission and discharge procedures should also take account of the patient’s housing status and ensure that no one with a planned discharge leaves to a homeless situation. This holistic approach to combating homelessness means that health workers should be equipped to sign-post homeless people to other appropriate agencies to prevent a continuation of their unsettled lives". However, there will be patients who will choose to discharge themselves into a homeless situation, without accessing any support.

 

 

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