Pathway has developed a model of integrated healthcare for single homeless people and rough sleepers. A Pathway hospital team puts the patient at the centre of their own care and works to transform health outcomes for one of the most vulnerable and deprived groups in our society. We believe that our model of healthcare, developed for and with homeless people, will also help other multiply excluded groups get better health services. We have established Pathway as a charity in order to share our models of service, train and support new cohorts of homeless healthcare practitioners and care navigators, and to challenge the health service to deliver better quality healthcare to the most excluded.

Pathway is based on a set of fundamental values. Pathway believes generosity, kindness, and compassion combined with a passionate commitment to professional quality should be the defining characteristics of health services for rough sleepers and single homeless people.

Pathway’s initial focus has been to improve healthcare for homeless people admitted to hospital, although this has led us to develop models that follow up patients long after they have been discharged and to think about intermediate care centres for chronically sick homeless patients – click on the medical respite link on this page for more information.

Pathway core services:

Acute hospital ward rounds

A Pathway ward round is provided by an accredited Pathway GP, supported by a specialist homeless health nurse practitioner, visiting every homeless patient admitted to the hospital to co-ordinate all aspects of care and make plans with the patient for discharge. We have developed a training and support package for hospitals wishing to adopt our model, including sample job descriptions, training materials, and a wide range of operational resources for Pathway teams. All this material is available on a CD for hospitals wanting to work with us.

Homeless health nurse practitioners

Work full time in the hospital supporting the ward round, liaising with medical staff across the hospital and with all other agencies involved, and providing daily support to homeless patients. They work with our patients to plan for life after hospital. Pathway works with hospitals to recruit and select a homeless health nurse, and we will then train and support each Pathway nurse in practice.

Care Navigators

With a personal experience of homelessness, Pathway Care Navigators befriend, support, challenge and mentor homeless patients in the hospital, helping them navigate the hospital environment, and supporting our homeless health nurse practitioners. They will help us follow-up patients post discharge. Pathway is setting up a training and development programme for Care Navigators

Needs assessment and start-up support

Before establishing a Pathway service in a hospital it is important to understand current practice, assess local levels of need, and shape a service that will fit local circumstances. Pathway can provide a bespoke development service to guide local health service staff to establish a service that meets our standards, and delivers the right outcomes for patients.

Post discharge support

We are now developing and testing the capacity of our hospital teams to support recently discharged homeless patients in community settings, to esnure that planned links made for patients with community based services actually happen in the first few days after leaving hospital.

Accreditation, professional support and training

In partnership with the Faculty for Homeless and Inclusion Health we are developing a set of clinical standards, a support network for homeless health specialists, and accreditation to ensure that new London Pathway services incorporate our value and ethos.

Research and service development support

Pathway has developed a network of experienced NHS clinicians who can advise colleagues on health service provision for the most excluded. We have also developed our capacity to carry out our own research projects with a particular focus on service user involvement and helping services engage with and listen to their service users. For more information on how we might be able to help you, email us at


Service User Involvement

Pathway are committed to involving those with lived experience in the work we do. For more about our work with current and former service users please email

Homelessness and Palliative Care

Homelessness and End of Life Care from Pathway and FHIH on Vimeo. Homelessness and end of life care  People who are homeless often face severe health problems and early deaths – on average 30 years younger than people who are housed. Deaths are often... Read More

Acute Trusts

A Pathway team transforms the quality of healthcare received by homeless people admitted to an acute hospital. The team... Read More

Mental Health and Homelessness Guidance

Do you work with people sleeping rough? Many homeless patients seen by Pathway hospital teams face mental health problems,... Read More

Primary Care

Pathway works to bridge the gap between primary and secondary care for homeless people. Our specialist team in a... Read More

Medical Respite Care

On behalf of the Inclusion Health Team in the Department of Health, Pathway produced a service specification for specialist... Read More