DCLG collects information on the number of households with or expecting dependent children, who are, at the end of each quarter, in any of the following types of temporary accommodation: • Bed and Breakfast (B&B) - typically involves the use of privately managed hotels where households share at least some facilities and meals are provided; • Annexe accommodation - is also generally paid on a nightly basis, privately managed but may not be part of a B&B hotel and may not involve shared facilities. A distinction is made on the basis of whether at least some facilities are shared or there is exclusive use of all facilities; • Hostel accommodation - hostels assumes shared accommodation, owned or leased and managed by either a local authority, housing association or non-profit making organisation; includes reception centres and emergency units; • Private sector accommodation - dwellings may be leased from the private sector, either directly, or by a local authority or a Registered Social Landlord; • Other - includes mobile homes, such as caravans, ‘demountables’, ‘portacabins’ and ‘transposables.’ The last 20 years have seen a rapid increase in homelessness, with the numbers of officially homeless families peaking in the early 1990s. In 1997 102,000 were statutory homeless, i.e. they met the definition of homelessness laid down in the 1977 Housing (Homeless Persons) Act. Other homeless people included rough sleepers - those without any accommodation at all - and hostel users. In 1997, fifty eight per cent of statutory homeless households had dependent children, and a further 10 per cent had a pregnant household member, compared to 51% and 10% respectively in 2003. Poor housing environments contribute to ill health through poor amenities, shared facilities and overcrowding, inadequate heating or energy inefficiency. The highest risks to health in housing are attached to cold, damp and mouldy conditions. In addition, those in very poor housing, such as homeless hostels and bedsits, are more likely to suffer from poor mental and physical health than those whose housing is of higher quality. People living in temporary accommodation of the bed and breakfast kind have high rates of some infections and skin conditions and children have high rates of accidents. Living in such conditions engenders stress in the parents and impairs normal child development through lack of space for safe play and exploration. Whilst cause and effect are hard to determine, at the very least homelessness prevents the resolution of associated health problems. Legacy unique identifier: P01088

Details of participants recruited into the project.

Activities that were developed to enable a foot health collaboration in the Happy Feet program.

HPP nurse reason for podiatry referral (n = 52) and podiatrist documented reason for participant attendance (n = 25).