The Pathway Partnership Programme helps NHS commissioners and providers improve outcomes for patients experiencing homelessness, reduce pressure on acute services and deliver against national priorities, including ending rough sleeping. 

This latest report on the Programme showcases the impact of the multidisciplinary hospital teams Pathway supports, alongside our Inclusion Health Needs Assessments and consultancy work with NHS Trusts across England and Wales. 

In 2025/26, the teams we supported helped almost 2,000 people experiencing homelessness and severe exclusion. They reduced returns to rough sleeping by 57% and returns to insecure accommodation by 64%, helping some of the NHS’s most vulnerable patients recover safely and rebuild their lives beyond hospital.  

The programme also delivered substantial benefits for the NHS. These teams collectively released 9,000 hospital bed days, generated £6.4 million in net NHS savings and returned £5.39 for every £1 invested. 

These results come at a time when the need for action has never been stronger. Rising levels of homelessness are driving increasing demand on acute care, while the NHS continues to face intense operational and financial pressures.  

This report demonstrates why specialist inclusion health services must be part of the solution. They help NHS organisations reduce health inequalities, improve patient flow, strengthen neighbourhood health and deliver better value for commissioners, while playing a critical role in ending rough sleeping.  

It also highlights the opportunity to expand this proven model to more hospitals across the country, with the potential to save over £50 million each year while improving outcomes for thousands more patients experiencing homelessness. 

Read the report here or download below.