Changing the conversation about health

Pathway homeless service

CoM Tags:

homeless, beacon sites, hospital, UCLH, College of Medicine, London Pathway

The London Pathway is a model of integrated healthcare for single homeless people and rough sleepers.

Pathway is an independent charity. They have developed a model of integrated healthcare for single homeless people and rough sleepers admitted to hospital. More broadly Pathway works to transform health outcomes for the most vulnerable and deprived groups in our society. They believe that our initial model of healthcare developed for and with homeless people, could also help other multiply excluded groups.

Year established
Number of staff
Paid Staff (FT equivalent) 3.4, Volunteers 1
Number of users
Is there a charge to users?
Service available without charge to homeless patients who have been admitted as an emergency to UCH
What makes your project sustainable?
We aim to move to 100% NHS Funding
Generally in line with homeless population, around 80% male, age range 18-80, median age group 35-45
Project now well established and well regarded as a quality improvement initiative which may bring cost efficiencies. Won Health Service Journal 2012 national award for patient centred care.Pathway Charity now supporting Pathway teams following the same model at Royal London, Royal Free, Brighton and Sussex University Hospital, Guys and St Thomas’, King College Hospital, Bradford Royal Infirmary, Leeds Infirmary and Manchester Royal Infirmary. Each new project now entirely NHS funded, some provide small fee to Pathway Charity for ongoing training and support. Randomised controlled trial of the approach recently completed, with plans for publication in 2014. Link to videos about the Pathway’s work

Patient-Centred, whole person preventative approach
Pathway is based on a set of fundamental values. The teams combine generosity, kindness, and compassion with a passionate commitment to professional quality, to become the defining characteristics of health services for rough sleepers and single homeless people.Pathway looks at ways to help improve homeless people’s access to healthcare though mainstream service provision. One way they do this is by gathering and representing the views of homeless people, using their experience to help improve the way health services are designed and delivered across the United Kingdom. Research shows that when users feel more in control of their own care and become involved in how that care is delivered, their health improves
Evidence informed practice/audit and evaluation
See website for evaluations including BMJ publication. are also asked to do patient satisfaction surveys as part of the evaluation of service so that patients of a particular service can feedback how it is meeting their needs.

Results of randomized controlled trial expected in 2014

Multi-disciplinary collaboration, and professional communication
A weekly multidisciplinary care coordination meeting is central to the Pathway approach, and reproduced in each hospital in which we support a service.
Contact details
Pathway Homeless Service
5th Floor East
250 Euston Road
London NW1 2PGt: 0203 447 9351