Investigating GP Support for Homeless People

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Summary of report content

Healthwatch Enfield undertook research on access to GPs for homeless people because it was an issue in their feedback.  Between July and August 2025, they undertook mystery shopping with local GPs and spoke to 12 homeless people.

Key findings

  • Many homeless individuals are unaware they can register without ID or address.
  • Practices often fail to follow NHS guidance; some reject homeless patients.
  • Experiences include:
    • Long gaps without GP care (up to 7 years).
    • Fear of rejection and stigma.
    • Breaches of confidentiality during registration.
    • Discharge from hospital back to streets without support.
  • Language barriers and lack of advocacy worsen access.

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General details

Local Healthwatch
Healthwatch Enfield
Publication date
Date evidence capture began
Date evidence capture finished
Key themes
Access to services
Health inequality
Service organisation, delivery, change and closure
Staffing - levels and training
Triage and admissions

Methodology and approach

Was the work undertaken in partnership with another organisation?
No
Primary research method used
Interviews
Mystery shopping
If an Enter and View methodology was applied, was the visit announced or unannounced?
N/A

Details of health and care services included in the report

Details of health and care services included in the report
General Practice (GP)

Details of people who shared their views

Number of people who shared their views
12
Seldom heard groups
Homeless people
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