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The School Clinic Morley Street Brighton BN2 9DH

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All about

Arch Healthcare

Brighton & Hove has had a specialist homeless surgery since 1998 when, in response to rising numbers of people experiencing homelessness in the city, Dr Chris Sargeant opened a pioneering health facility in the School Clinic on Morley Street. Over the years, we have come to occupy a leading role in homeless healthcare and we have been given an “outstanding in all areas” rating by the CQC – offering some of the highest standards of healthcare in the country

Arch Health CIC was set up as a Community Interest Company to address the health needs of people experiencing homelessness and housing insecurity in the city.

In 2016 Arch took over the running of the Morley Street GP surgery and the homeless health engagement service for Brighton & Hove.

Dr Chris Sargeant (Director) says: “Arch Health CIC was founded because we believe that no- one should be denied the highest standards of healthcare, whatever their circumstances.”

Those who make up the Arch Board have first-hand experience as clinicians and managers in providing services for homeless people and those from other marginalised groups such as gypsies and travellers, vulnerable asylum seekers and sex workers. We are determined to provide everyone from these groups a standard of care at least as good as that expected by the general population, and to make the care accessible, restorative, and compassionate.

Arch supports individual patients to access their care on a daily basis but also works with partners to make constant improvements to the excellent support systems which are available in the city.

The surgery service includes:

  1. An in-reach service to Royal Sussex County and Mill View hospitals. The aim of our hospital in-reach team is to improve health outcomes by supporting patients to stay in hospital for the duration of the required treatment (including starting them on substitute prescribing and alcohol detox when admitted), managing the time of their discharge, registering them with a GP if needed, liaising with housing services to ensure no-one is discharged onto the streets, making referrals to services like Adult Social Care, Integrated Nursing Team, Justlife and the substance misuse service who all help support people once they are discharged back to the community.
  2. An engagement service offering non-clinical support to patients . The Justlife Heath Engagement Team work proactively, enabling patients to obtain and maintain suitable accommodation and access health and community services. Their intensive work is vital as they support people to build their confidence, take ownership of their situation, improve their health and engage positively with the wider community
  3. Community Outreach: The Arch clinical team are actively involved in outreach to various contexts across the city including hostels, day centres, temporary accommodation and onto the streets. Outreach services enable our team to provide much needed care to people who seldom access healthcare services.
  4. City Wide Leadership: Arch provides specialist health and clinical input in a variety of strategic areas for the city, working closely with other healthcare providers, third sector partners, the city council and the CCG.

Mahatma Ghandi once said “A nation’s greatness is measured by how it treats its weakest members.” At Arch we believe this measure is also true of a city – our city – Brighton & Hove.

ARCH stands for Accessible Restorative Community Health. The name reflects the belief of the team that primary care should move way beyond the treatment of symptoms into community oriented care which focuses on the whole person and promotes restoration, wellness and resilience.

ACCESSIBLE is not simply about an open door, simple registration and a flexible appointment system, though those are important. It’s about a professional, welcoming and non-judgemental culture amongst our entire team so that people who may struggle to access formal services are able to visit their GP with confidence and receive the treatment which they need.

RESTORATIVE is the recognition that each person is a unique and complex individual and is always more than a presenting health issue. Arch will always seek, as far as is possible, to gain an understanding of the whole person and help them to aim for the best possible physical and mental health outcomes.

COMMUNITY is key to every person’s health and wellbeing. Not every problem can be addressed through a consultation with the doctor or nurse, the prescription pad cannot replace our need for positive interactions with fellow human beings. Arch recognises that many, many local groups, organisations, businesses and people play a critical role in the health of our people.

HEALTH is our business, our aim is improving the health of the poorest fastest through outstanding specialist health care and through proactive engagement with the wider community. We believe that homeless people should have access to healthcare which is at least as good as that which is provided for the rest of the population.

At Arch we want to improve the health of the poorest fastest.

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