Breaking down barriers to support for people at the hard edges will create a more equal Scotland

No Wrong Door Scotland partnership launched to create a blueprint for joined-up services that address multiple disadvantage

A major new test of change has been launched to explore how to break down barriers to support faced by tens of thousands of people in Scotland who face multiple disadvantages – with their experience made worse by unequal access to help. 

No Wrong Door Scotland will draw on a wide range of professional, academic and lived experience to explore how to better serve people who are dealing simultaneously with issues such as homelessness, poverty, addiction, offending and mental ill health. 

Experts in the action learning partnership will address the mismatch of services that focus on a single issue and the overlapping challenges many people face – often as a result of adverse life experiences going back to childhood. 

This fragmented model forces people to repeat their story and often relive traumatic events when they go round the different ‘doors’ in the system in search of help. 

A National Learning Set of experts who will oversee and contribute to the programme met for the first time in Edinburgh on Monday 16 September. 

The two-year programme will wrap a learning cycle around existing services at local level to understand how to deliver No Wrong Door in different geographical and service contexts.  

Evidence gathered from the services run by Aberdeen Foyer, Cyrenians, Penumbra and Turning Point Scotland will feed into the National Learning Set, who will develop a National Framework for creating cross-sector and integrated service delivery. 

They will share evidence gathered from the test-of-change with the Scottish Government’s Ministerial Oversight Group on Homelessness, to influence a new model of service design. Homeless Network Scotland is the learning partner in No Wrong Door Scotland. 

No Wrong Door Scotland is made up of third sector innovators, lived experience experts, policy makers and leading public figures. They include former Scottish Labour leader Kezia Dugdale, now associate director at the Centre for Public Policy at the University of Glasgow; Karyn McCluskey, who helped create the groundbreaking Violence Reduction Unit and is now chief executive of Community Justice Scotland; and leading international scholar on homelessness Professor Suzanne Fitzpatrick. 

The partnership builds on findings in the Hard Edges Scotland research co-authored by Prof Fitzpatrick, director of Heriot-Watt University’s Institute for Social Policy, Housing and Equalities Research (I-SPHERE). 

That report set out how people who have suffered experiences such as trauma, violence and poverty are much more likely to face multiple and overlapping disadvantage.

But they are also less likely to be able to get the support they need because of services operating in ‘silos’ – fuelling a vicious cycle of disadvantage and inequality.

The Hard Edges research revealed that 5,700 adults experience three ‘core’ forms of severe and multiple disadvantage (homelessness, offending and substance dependency), while 28,800 experience two out of these three.

The four test-of-change services are based in Aberdeen, Dundee, Edinburgh and Fife

Aberdeen Foyer’s service focuses on upstream work in schools to ensure young people don’t face barriers to support, while Cyrenians’ Hospital In-reach Service supports patients who are at risk of or experiencing homelessness.

Penumbra’s Hope Point is a 24-hour wellbeing centre that supports people in emotional distress. Turning Point Scotland’s Fife Support Service marries a Housing First model with an innovative Whole System Approach to prevent and respond to homelessness.

Maggie Brunjes, chief executive of Homeless Network Scotland said: “It is well established that the way services are paid for and provided does not work for people who, on top of traumatic life experiences, are also dealing with issues including physical and mental ill health, substance use, homelessness, poverty and offending. 

“The current model doesn’t work for anyone. It makes navigating the system difficult for people, it widens disadvantage and inequality, makes key workers’ jobs harder and it mounts pressure on public spend. 

“The Scottish Government is already committed to using a No Wrong Door approach across a range of social policy, but we need a shared definition of what this looks like and a national framework to inspire local and national action.  

“By using evidence of what is working locally, and what needs to change, we can firmly challenge the status quo and demonstrate that a better way is possible.” 

➡ For more information, visit nowrongdoor.scot.

Health body launches tools to boost equalities data

Public Health Scotland has launched a suite of information resources to improve collection of equalities data, including reports, leaflets and a new learning hub.

The launch comes after a collaboration between PHS, University of Strathclyde and Homeless Network Scotland, that investigated the key barriers to gathering equalities data, which historically has been poorly recorded. 

Equalities data relates to patient information on protected characteristics under The Equality Act 2010, including age, disability, race or ethnicity, religion, sex, and sexual orientation.

Improving data quality will allow NHS services in Scotland to monitor and understand which groups of people experiencing disadvantages when it comes to health – who is or isn’t using services – and design services to meet patient needs.

An online survey of NHS Scotland staff with a duty to ask for equality data from patients as part of their usual healthcare role was also carried out.

Public Health Scotland said the engagement process found that barriers to patients providing information included information-sharing environments not feeling safe, secure or accessible, and experiences were not always free from racism or discrimination.

Healthcare staff highlighted they did not feel confident asking for equalities data and felt they did not have best practice guidance on how to do this.

Read more and find links to the resources here.

August Network Briefing

This month’s Network Briefing shares details of booking and sponsorship opportunities for Scotland’s annual homelessness conference in October, themed ‘Right here, right now’, spanning 2 days for the first time and delivered this year in partnership with Salvation Army.  

Early bird tickets are open until the end of the month, offering a 20% discount – there’s a range of packages available, including residential options for maximum convenience. Got something to promote? Check out this year’s expanded sponsorship options.

We also announce a brilliant celebrity addition to the speaker line-up… who could it be ❓

And we bring news of the Supported Housing Task and Finish Group, which published its final report and recommendations with a launch at Queens Cross Housing Association’s impressive Wellbeing for Young People service, attended by Housing Minister Paul McLennan.

Elsewhere in the briefing you’ll find news of a great new appointment to HNS, themes for the next All in for Glasgow design session, and a great success story from Salvation Army’s Eva Burrows Centre in Cambuslang.

As ever there’s a wide range of news, research and coverage across a range of sectors. And we’re pleased to bring you details of upcoming training opportunities in our Learning Lounge. Enjoy.

May Network Briefing

This month you’ll find analysis of ways to deliver more affordable homes, a raft of research and reports on the linked issues of health, housing and homelessness, a Covid-19 Inquiry invitation, commentary on recent political upheaval, news of All in For Glasgow, and much more.

Change at top must not derail homelessness fight

The collapse of the Bute House agreement, Humza Yousaf’s abrupt resignation as First Minister and the following period of renewal and change in government are drawing attention and energy away from the urgent task of addressing the housing crisis and ending homelessness. Homeless Network Scotland’s Jamie Milne sets out what needs to happen once the dust settles.

All change then. After little more than a year in the top job Humza Yousaf resigned as First Minister and we’re in another period of uncertainty – a new FM, return to minority government, new faces around the Cabinet table making decisions that affect our lives. 

That’s politics. But these things eat up time and energy while the housing crisis deepens.  

What has not changed is rising homelessness, the 10,000 children living in temporary accommodation, the mental toll on people waiting for social or affordable homes, the desperate lives of people trapped in difficult or dangerous situations because there’s nowhere else to go. 

Politics will dominate the news in weeks to come. But beyond the headlines we have a potentially game-changing Housing Bill in the early stages of the process towards becoming law.  

Progress towards this point must not be unravelled by politics. Once the dust settles, all parties must sharpen their focus on protecting the proposals in the Bill – not least the Ask and Act measures to prevent homelessness earlier, which will stand or fall on how they are resourced. 

Reversing the £200million cut to affordable homes in the Budget must also be at the top of the new First Minister’s in-tray.  

What better way to signal a new direction than to make it easier for people to find a decent home so they can build the foundations of a life? What better way to ease housing pressures on local authorities doing their best for people in urban and rural areas? 

The cost-of-living crisis, global events and the pandemic have played their part in stoking housing pressures, but we are not powerless to solve this, as 25 years of devolution shows. 

The new First Minister can re-energise our collective effort to end homelessness by explicitly making this his top priority.  

By finding common ground and working together, all parties at Holyrood can make the Scottish Government’s ambitious plans to end homelessness and destitution a reality – and ensure this period of uncertainty does not make things worse.