Metadata

Name Homelessness
Type Lifestyle Risk Factor
Group Lifestyle Risk Factor
Data Sources

Clinical Terminologies ICD-10
Codelists
Valid Event Data Range
Sex Female
Male
Authors Luchenski S
Agreement Date 20 May 2019
Version (UUID) 1 (euGPKyQD9uAWWzUPmB7gV5)

Primary care

Specialist centres or GP practices

Practice or centre Practice Code_2019 Date Opened Date Closed Type
Anchor Centre, Coventry Y00060 01/04/2003 Exclusively Specialist GP
Arch Healthcare, Brighton G81689 01/04/1998 Exclusively Specialist GP
Bevan House Primary Care Centre, Bradford B83657 01/04/1994 Exclusively Specialist GP
Cambridge Access Surgery, Cambridge Y00056 01/04/2003 Exclusively Specialist GP
Camden Health Improvement Practice, London Y02674 01/04/2009 Exclusively Specialist GP
City Reach Health Services, Norwich D82641 15/05/2002 Exclusively Specialist GP
Clock Tower Surgery, Exeter L83673 27/03/2000 Exclusively Specialist GP
Great Chapel Street Medical Centre, Central London E87772 01/10/2002 Exclusively Specialist GP
Health Central Surgery, Worthing H82642 01/01/1998 Exclusively Specialist GP
Health E1, East London F84733 01/04/1997 Exclusively Specialist GP
Health Inclusion Matters, Watford G6715360 01/10/2011 Exclusively Specialist GP
Homeless Healthcare Team, Gloucester Y00054 01/04/2003 Exclusively Specialist GP
Homeless Healthcare Team, Southampton J82217 01/04/2000 Exclusively Specialist GP
Inclusion Healthcare, Leicester C82670 25/03/2000 Exclusively Specialist GP
Julian House Medical Practice for the Homeless, Bath Y04543 01/04/2014 Exclusively Specialist GP
Luther Street Medical Centre, Oxford K84066 01/04/1974 Exclusively Specialist GP
Newham Transitional Practice, East London F84740 04/09/2000 Exclusively Specialist GP
St Werburgh’s Practice for the Homeless, Chester N81655 01/03/2002 Exclusively Specialist GP
The Gate Surgery, Rotherham NRV04 01/10/2010 Exclusively Specialist GP
The Greenhouse, East London F84632 01/04/1974 Exclusively Specialist GP
The Health Xchange (Primary Care Services for the Homeless), Birmingham Y01057 25/04/2005 Exclusively Specialist GP
The Homeless Health Service, Bristol L81662 01/04/1995 Exclusively Specialist GP
The Homeless Health Team, Croydon Y00182 01/10/2003 Exclusively Specialist GP
The Whitehouse Centre, Huddersfield B85659 01/08/2001 Exclusively Specialist GP
York Street Health Practice, Leeds B86669 12/10/1992 Exclusively Specialist GP
Homeless Action in Barnet E83666 01/04/1998 Potential Additional Homeless Practice
CORNWALL HEALTH FOR HOMELESS Y00049 02/06/2003 Potential Additional Homeless Practice
GP FOR HOMELESS & ROOTLESS Y00282 01/11/2003 Potential Additional Homeless Practice
HOMELESS AND VIOLENT PATIENT SERVICE Y04629 27/05/2014 Potential Additional Homeless Practice
NOTTINGHAM HOMELESS TEAM Y00481 01/04/2004 Potential Additional Homeless Practice
CRICKLEWOOD HOMELESS CONCERN E84712 01/05/2002 30/09/2012 Potential Additional Homeless Practice
GTPCT HOMELESS HV CLINICS Y02444 24/11/2008 30/09/2012 Potential Additional Homeless Practice
HOMELESS ACTION IN ENFIELD PCT F85709 01/12/2001 31/03/2013 Potential Additional Homeless Practice
HOMELESS AND ROOTLESS CLINIC G82811 01/10/2000 30/09/2012 Potential Additional Homeless Practice
HOMELESS FAMILIES HEALTH VISITORS Y00256 01/11/2003 30/09/2018 Potential Additional Homeless Practice
Homeless Health Service L81662 01/04/1995 30/09/2012 Potential Additional Homeless Practice
HOMELESS HEALTHCARE TEAM L81661 01/04/1995 30/09/2012 Potential Additional Homeless Practice
HOMELESS HEALTHCARE TEAM NURSING Y04047 01/04/2013 31/12/2015 Potential Additional Homeless Practice
HOMELESS PATIENTS E84711 01/03/2002 30/09/2012 Potential Additional Homeless Practice
HOMELESS PATIENTS G85731 01/04/2002 31/03/2013 Potential Additional Homeless Practice
HOMELESS PATIENTS G85733 01/04/2002 31/03/2013 Potential Additional Homeless Practice
HOMELESS TEAM E85753 01/10/2001 30/09/2012 Potential Additional Homeless Practice
NURSING FOR THE HOMELESS E82666 01/05/2001 30/09/2012 Potential Additional Homeless Practice
PARSONS GREEN CENTRE, HOMELESS TEAM E85752 01/10/2001 31/03/2013 Potential Additional Homeless Practice
REFUGEES & HOMELESS Y00083 01/05/2003 30/09/2015 Potential Additional Homeless Practice
SALFORD HOMELESS PROJECT P87662 01/06/2000 30/09/2012 Potential Additional Homeless Practice
WIRRAL HOMELESS (SCH) N85646 01/02/2001 31/10/2013 Potential Additional Homeless Practice
WIRRAL HOMELESS SERVICE (LEASOWE PCC) Y00143 01/07/2003 31/07/2013 Potential Additional Homeless Practice
HEALTH INCLUSION TEAM Y00264 01/11/2003 Potential Additional Homeless Practice

Secondary care

icd10code icd10term
Z59.0 Homelessness

Implementation

Homelessness is not routinely recorded in hospital care records. We consulted people with lived experience of homelessness and clinical collaborators to produce a set of homeless identifiers including:

- Those whose address is recorded as ‘no fixed abode’, (NFA)
- Those who are registered at a known homeless GP practice that exclusively serves those with homelessness problems
- Those who have a diagnosis that includes the ICD-10 code for homelessness (Z59.0)

Although HES data has undergone cleaning prior to its release by NHS Digital, additional cleaning is necessary to produce a sample ready for analysis. We applied University of York Centre for Health Economics rules for cleaning including:

1. Drop poorly coded observations        
    a. Missing on:
        i. HESID (unique identifier)
        ii. Epiend (episode end date)
        iii. Epidur (episode duration)

2. Drop duplicates – any duplicates across the following variables
    a. HESID (unique identifier), epistart (episode start date), epiorder (episode order), epiend (episode end date), and transit (a variable I derived using the University of York’s code to account for transfers in and out of hospitals that are part of the same admission)

We also applied cleaning rules adapted from the Department of Health report for analysing ‘No Fixed Abode’ (NFA) data:

3. Drop if age is less than 16yrs for whole cohort 
4. Drop all neonatal diagnoses
5. Drop pregnancy termination if patient is only coded with NFA and not coded with HGP or Z59.0 

We also dropped any FCEs included in the data extract if they were not homeless as per the inclusion criteria (i.e. not NFA, HGP, or Z59.0).