This comprehensive Needs Assessment of people experiencing homelessness’ secondary care usage across Guy’s and St Thomas, Kings College and South London and the Maudsley NHS Trusts was finalised in autumn 2013. Written by Dr Nigel Hewett and Nurse Practitioner Samantha Dorney-Smith it includes data on homeless admissions and A&E attendances. It also contains data from other hospitals Pathway has worked with, and detailed proposals for the design of an integrated Pathway team to serve homeless patients in the three hospitals.