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An innovative residential centre in west London during 1997-1998 helped older rough sleepers leave the streets and resettle in conventional homes. Many clients presented with multiple physical illnesses complicated by chronicity and poor management. The centre initially experienced difficulties in obtaining health care for the residents, briefly relied on an A&amp;E department for treatment of serious and minor ailments, and latterly was served by a GP practice supported by special funding.

Primary health care services for single homeless people: defects and opportunities