Homeless Health Link Service

SPEAR’s Homeless Health Link Service (HHLS) serves current or former rough sleepers in Kingston, Richmond, Sutton and Wandsworth. Originally funded by the Department for Communities and Local Governments’ Help for Single Homeless Fund, it is currently funded by the Big Lottery Fund and the Government’s Next Steps Accommodation Programme.


The Homeless Health Link team includes a Team Leader, Health Link Workers, Peer Advocates, SPEAR volunteers and peer volunteers.

The main goals of the team are to:

  • Safeguard the most vulnerable in society
  • Work closely with all agencies and colleagues in the boroughs
  • Support and give practical assistance to clients attending and understand health appointments and to make choices
  • Support clients to learn information on their health and health agencies and address their health issues
  • Help clients to understand their options, access the healthcare they need and signposting clients to appropriate services
  • Facilitate educational focus groups around good health
  • Build a level of trust by offering a more holistic and tailored Trauma Informed Approach together with a rapid response approach to problems
  • Empower clients and promote independence

The aim of the HHLS service are:

  • Increased registrations with primary and secondary healthcare
  • Reduction in emergency and hospital admissions
  • Reduction in alcohol/drug use
  • Improved physical and mental health for people experiencing homelessness
  • Improved knowledge and understanding of health issues faced by people experiencing homelessness
  • Improved knowledge and understanding of issues homeless people face among health and social care professionals
  • To support significantly more homeless people with severe, complex and unmet health needs. Encouraging them to engage with screening, prevention and treatment services

Without good health, people experiencing homelessness face little prospect of moving on, perpetuating the cycle of homelessness.


The HHLS can help to:

  • Connect rough sleepers with primary and secondary care by registering them with GPs, dentists and podiatrists and referring people into specialist care
  • Advocate for people experiencing homelessness in health care settings to ensure they get the correct diagnosis, understand their treatment and ensure that care for multiple conditions is joined up
  • Help health and social care providers to better understand the needs of people experiencing homelessness, improving how they plan and deliver services to them
  • Refer and support clients to engage with mental health and substance misuse services, primary and secondary care health services, health events (such as TB screenings, Hep C, health checks, HIV tests and flu jabs)
  • Provide person-centred and trauma care approaches
  • Refer clients to holistic therapies, gyms and group activities
  • Peer workers and volunteers support to engage and befriend
  • Break isolation cycles, create community links for most vulnerable rough sleepers, and to get people actively involved in local community groups and health networks
  • Work with community day centres, criminal justice services, DV and other agencies towards clients’ wellbeing stability
  • Create community links for clients, get people actively involved in local community groups
  • Refer and support clients to engage with community peer networks

Read our evaluation report – Download here

Kingston & Richmond Resources Booklet – Download here


Past events

Vaccination programme for clients in Wandsworth 

Focus Group – feedback on NHS services

Anger Management Group

Learning about Nutrition


For more information or if you would like to refer someone to this service please call on; 0208 288 6506  mobile; 07876 899 330 email: HHLS@SpearLondon.org

Alternately fill in this form; Health Link Referral Form and email it back to us.

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