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20 Palliative care for people in the UK experiencing homeless who have no recourse to public funds
  1. Briony Hudson1,2,3,
  2. Elizabeth Dzeng4,5,
  3. Angela Burnett6 and
  4. Caroline Shulman2,3
  1. 1Marie Curie
  2. 2Marie Curie Palliative Care Research Department, Division of Psychiatry, UCL
  3. 3Pathway
  4. 4University of California, San Francisco (UCSF)
  5. 5Cicely Saunders Institute, King’s College London
  6. 6Freedom from Torture


Introduction People experiencing homelessness rarely access palliative care. Options for place of care are extremely limited meaning many people with poor health living in homeless hostels remain toward the end of life. Hostel staff are key in advocating for care. Previous research focuses on people residing in homeless hostels. There is very little evidence regarding access to palliative care for people who are homeless and have no recourse to public funds, meaning they cannot stay in homeless hostels or receive some NHS care.

Aims To explore the experiences of people with advanced ill health who are experiencing homelessness and have no recourse to public funds, and those that support them.

Method This project has three parts; a survey for hospice staff, focus groups with inclusion health staff and Interviews with people experiencing homelessness who have no recourse to public funds. Qualitative data will be analysed using thematic analysis with triangulation to explore different perspectives and experiences of the three groups and generate recommendations for improving support for this group.

Results This research will provide new insights into an under-researched group. Challenges that are specific to this group and challenges that health and social care staff face in providing support will be explored and considered.

Conclusion Understanding the experiences of people with no recourse to public funds, who are experiencing homelessness and whose health is poor, and those of the people that support them represents a crucial first step in ensuring that inequities in access to care for this group are ecognized and acted upon.

Impact This project will provide insights into the experiences of people who are homeless, with palliative care needs and unsettled immigration status. A group for whom no research in this area has been conducted. As such as will identify potential targets for advocacy work and service change and redesign.

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