Health on the margins: emerging practice in health access for excluded people


27th June



Alison McFadden photo
Dr Alison McFadden
University of Dundee
Sophie Melville
Sophie Melville
LGBT Foundation
Heather Henry
Heather Henry
Unlimited Potential
Natalie Foster
Natalie Forster
Northumbria University
Dr Mary Tilki Headshot 1 Credit Paris Jefferson
Dr Mary Tilki
Irish in Britain
Charlotte Curran
Charlotte Curran
Irish in Britain
Gemma Scire, BASIS
Gemma Sciré
BASIS Sex Work Project
John Walsh updated photo
John Walsh
Leeds Community Healthcare NHS Trust
Helen Jones
Helen Jones
Leeds GATE
Alison Lowe
Alison Lowe
Liz Keat
Liz Keat
Leeds Community Healthcare NHS Trust
Photo - Lucy Arnot
Lucy Arnot
Jon Beech
Jon Beech
Leeds Asylum Seeker Support Network


June 27, 2017 - 10:00 am


June 27, 2017 - 3:50 pm


Thackray Medical Museum, 141 Beckett Street, Leeds, LS9 7LN   View map

Leeds gate gypsy and traveller exchange
Fuse Natalie Forster
Uni of Edinburgh Natalie Forster
Irish in Britain instead of Charlotte Curran photo
Unlimited potential logoJPG
Uni of Dundee
northumbria uni Natalie Forster

This conference aims to connect people working with communities or individuals who are marginalised or excluded, and to draw out common good practice. The sessions will focus upon health and wellbeing in the widest sense, and will highlight the value of collaborative working between a wide range of services to achieve the best outcomes.

Groups which exist on the edges of society are deemed ‘marginalised’ whether through poverty, ethnicity, sexuality, gender, migration status, addiction, victimisation, social class or a rural location.

Traditional approaches to working with marginalised people have focussed on a deficit model.  The deficit is seen to be within the marginalised person or community, resulting in their inability to make good use of state-provided services. The state is seen as inheriting a duty to provide ‘extra’ support to meet the needs of people who do not have the capacity to solve their own problems.

This event provides an opportunity for professionals across health and other sectors to look at marginalisation through a positive and aspirational lens:

  • What are those living at the margins already doing to address their problems?
  • How can professionals avoid hindering self-help efforts?
  • How can individual and public assets and capacity be directed to people on the margins while avoiding patronising and colonising people’s vulnerability?
  • Above all, what can we learn from each other’s practice?

The conference will look at innovations in health, social care and wellbeing services which work with a range of marginalised people, and consider how these involve the service users and how they join up with other services such as housing, education, environmental health, community safety and criminal justice.

We will also examine the power of ‘buzzwords’, how they can support our work, and the ways in which they become tired and meaningless.  We believe there are ‘assets’ among people living with extreme exclusion that can, if recognised, help us to ensure that our work is authentic and effective for the people we want to support.

With a mixture of plenary sessions and workshops, Health on the Margins offers a fantastic opportunity to hear from a range of different initiatives, all of which work with individuals or communities which are in certain respects on the margins of mainstream society.

Leeds GATE (Gypsy & Traveller Exchange) is hosting the event, with the aim of creating a stronger practice framework and better outcomes for service users by opening up to initiatives which are working well with other groups on the margins.


During the day you can hear about and discuss:

  • New plans for a different approach to commissioning
  • Why health mapping can change outcomes for the better
  • Unpicking multiple disadvantage and how this impacts on the way services are delivered
  • How Positive Deviance harnesses the ‘uncommon’ to find better solutions than the mainstream
  • Why outreach nursing can outperform hospital based services

Four workshops (you can choose TWO) will look in more detail at the practice implications of the areas discussed in plenary sessions.

Coffee and lunch breaks will allow for networking and talking one-to-one with speakers.


Agenda (subject to change)

Delegates can choose TWO workshop sessions to attend

9.15 – 10.00

Registration and coffee

10.00 – 10.05

Welcome and introduction from the chair
Alison Lowe, Chief Executive, Touchstone

10.05 – 10.15

Health on the margins: the importance of building alliances

Helen Jones, Chief Executive Officer, Leeds GATE and

Elizabeth Spaven, Member, Leeds GATE Executive Board

10.15 – 10.30

Common ground for groups experiencing multiple disadvantage: an LGBT perspective

Sophie Melville, LGBT Foundtion

10.30 – 10.40

Refugees, asylum seekers: Health and Hope in a “Hostile Environment”

Jon Beech, Director, Leeds Asylum Seeker Support Network

10.40 – 10.50

Reducing stigma in the system : conditions of sex work and improved health of sex working women

Gemma Sciré, Chief Executive, BASIS Yorkshire

10.50 – 11.05

Outreach nursing to the margins – what challenges and opportunities?

John Walsh, Practice Manager, York Street Health Practice,

Liz Keat, Outreach Nurse –  Gypsies and Travellers,

Leeds Community Healthcare NHS Trust

11.05- 11.15

Open forum

11.15 – 11.40


11.40 – 11.45

Introduction to dementia

Ellen Teresa Hanrahan, Leeds GATE volunteer and

Teresa Birtle, Administration & Project Support Assistant,

Leeds GATE

11.45 – 11.55

Forum Theatre in Action

Lucy Arnot, Gypsy & Traveller development worker,  with Michelle Foy and Margaret McMahon

MECOPP (supporting Minority Ethnic Carers)

11.55 – 12.10

Positive deviance: what works in disadvantaged communities?

Heather Henry, New NHS Alliance/Unlimited Potential

Project Manager, Dadly Does it

12.10 – 12.30

Roads, bridges and tunnels: a new concept in mapping health assets and access

Ellie Rogers, Partnership Manager, Leeds GATE

12.30 – 12.45

Open forum

12.45 – 1.35


1.35 – 1.40

Go to first workshop (pre-chosen from list below)

1.40 – 2.35

Workshops – Session 1

2.35 – 2.40

Go to second workshop (pre-chosen from the list below)

2.40 – 3.35

Workshops – Session 2

1.35 – 3.35

Workshop choices (choose 2)

  1. Positive Deviance and Asset mapping – Innovations in people powered health improvement. Heather Henry & Leeds GATE
  1. Basis Sex Work Project: delivering effective healthcare and wellbeing services to sex workers. Gemma Sciré, Chief Executive, BASIS Yorkshire
  1. Trust, Power and Action for Health. Dr Alison McFadden, University of Dundee & Natalie Forster, Northumbria University
  1. Dementia on the margins. Dr Mary Tilki & Charlotte Curran, Irish in Britain; Kim Moloney & Jo Birtwhistle, Leeds   GATE

3.35 – 3.50

Plenary – what’s next for you?

Helen Jones, Leeds GATE


Close of conference

  • Health professionals based in community settings (eg community/outreach nurses, midwives, health visitors, GPs, Gypsy/Traveller/Asylum Seeker Nurses, dementia specialists, Family Nurse Partnerships)
  • Mental health specialists
  • Health advocates
  • Counselling and wellbeing services
  • Services for older people
  • Hospital based health professionals
  • Public health
  • Environmental health
  • Adults’ social workers
  • Children and families’ social workers
  • Early intervention services
  • Family support services
  • Domestic violence services
  • Drug and alcohol professionals
  • Services for women whose children have been taken into care
  • Services for asylum seekers and refugees
  • BME health services
  • School based health services
  • Education welfare
  • Sure Start Children’s Centres and nurseries
  • Social housing services
  • Homeless services
  • LGBT services
  • Professionals supporting sex workers
  • Services working with people who are or have been involved in the criminal justice system
  • Community safety and community police
  • Services based in rural locations

Exhibition Space

Exhibition space is available from £100 + VAT

Please ring Central Conference Consultants to discuss this, 0115 916 3104


 Sponsorship package from £250 + VAT

 Please ring Central Conference Consultants to discuss this, 0115 916 3104

Delegate fee

Standard rate: £135 + VAT

Team deal rate for 5 places – if you book 5 places together, the 5th place is free (£540+VAT)

Reduced rate: £95 + VAT (limited number available only to small community organisations/registered charities with 10 or fewer employees)

Exhibition package – from £100 + VAT – call Central Conference Consultants on 0115 916 3104 for details

Sponsorship package – from £250 + VAT- call Central Conference Consultants on 0115 916 3104 for details

Booking Terms and Conditions

Cancellations received up to and including 6th June 2017 will be refunded in full less an administration fee of 25%. Cancellations received after this date will be liable for payment in full.

Team bookings are non-cancellable but substitute delegates will always be accepted.

The full invoice amount will remain payable if you fail to attend the event, however, substitute delegates will be accepted up until, and including, the day of the event.



Confirmation of booking:

Your booking will be confirmed by email where possible (and by fax or post otherwise), and you will be provided with directions to the venue and details on nearby hotel accommodation. If you do not receive such acknowledgement, please contact Central Conference Consultants Ltd on 0115 916 3104.

This conference is taking place in Leeds at:

Thackray Medical Museum
141 Beckett Street

T: 0113 205 6525

The Thackray Medical Museum is next to St James’s Hospital in Leeds, two miles from the city centre and easily reached by road and public transport.

Map and directions can also be found at this link:

Public Transport

It is approximately 10 minute taxi ride from Leeds Rail Station

Frequent bus services run from Leeds city centre. Numbers 16, 42, 49, 50, and 50A all stop nearby.

Travel by car

If travelling by road via the M621, follow the signs for York (A64) then follow the brown tourist signs.

From the north, take the A58 towards Leeds, and then follow the brown tourist signs.

There is an onsite Pay and Display car park for Museum visitors as well as conference delegates, which has room for 120 cars. The spaces are available on a first come first served basis. Please have the correct change as the machines do not give change and they do not take notes. Alternatively you can pay using your mobile phone & card (admin charge applies) details on the machines. Anyone attending a full day conference/event pays just £4. Please pay as normal at the machine and obtain an extension permit from the car park attendant to display in your vehicle.

There are four parking spaces for Blue Badge holders, which are also allocated on a first come first served basis and are free of charge.

Alternative parking is available at St James’s Hospital multi-storey car park on Beckett Street (5mins walk). In addition, there are also two pay and display car parks within a few minutes walk. However, these car parks have their own charges and hourly rates as they are not associated with the Museum.



Details of nearby accommodation will be provided with confirmation of booking.