An editorial in the British Journal of Hospital Medicine, written by Pathway’s Medical Director Dr Nigel Hewett, Chairman, Professor Aidan Halligan, and Chief Executive, Alex Bax. The editorial suggests that the care of homeless people in hospital is an acid test for the whole system. Homeless patients often have multiple health problems that challenge clinical boundaries, and almost by definition they will bring a whole collection of social problems with them to hospital. Pathway’s model of dedicated homeless teams based in hospitals brings integration to secondary care.