Homelessness and access to health services in Worcestershire - preliminary findings

Healthwatch Worcestershire undertook engagement on homeless people's access to healthcare.  They spoke to 55 people.

The research highlights that homeless people experience significantly worse physical and mental health than the general population, with complex needs and a much lower average life expectancy. The work also seeks to understand the impact of service changes, including the closure of a GP walk-in centre in Worcester and the introduction of a limited drop-in “Homeless Health Hub.” 

The methodology combines focus groups and surveys with homeless individuals across hostels, supported accommodation, and day centres. Findings show that the GP walk-in centre had been widely used and valued, but awareness of its closure and replacement services was inconsistent. Many participants were unaware of the new Health Hub, and some felt they had not been consulted on the changes. 

Views on the new Health Hub were mixed. While some respondents supported it, others, particularly hostel residents, said they would not use it due to its location or suitability. The limited availability of the service—only two hours per week—was widely seen as insufficient compared to the previous five-day walk-in provision. 

Most participants were registered with a GP, but some faced barriers such as lack of identification or proof of address, despite this not being a formal requirement. The report identifies a need for clearer guidance to GP practices on registration rules. 

Access to mental health services emerged as a significant concern. Participants reported difficulty accessing services, long waiting times, and a perceived over-reliance on medication rather than talking therapies. Many respondents indicated unmet mental health needs and expressed a desire for more holistic support, including practical help and meaningful activities. 

The report also finds that voluntary and community sector organisations play a crucial role in helping homeless people access and navigate health services, including supporting appointments, medication adherence, and hospital discharge planning. However, funding cuts to these services may negatively affect future access to care. 

Concerns were raised about hospital discharge processes, with a need for better coordination between hospitals and support services to ensure appropriate accommodation and support are in place. 

The report makes several recommendations, including monitoring demand and usage of the Homeless Health Hub, improving communication about available services, ensuring GP practices understand registration requirements, strengthening hospital discharge protocols, and conducting further research—especially with young homeless people. 

Overall, the findings suggest that while some new services have been introduced, gaps in awareness, accessibility, and adequacy remain, and continued monitoring and engagement with homeless individuals are essential to improve health outcomes