The quality-of-life cost per quality-adjusted life-year was £26,000. The Pathway approach doesn't alter length of stay but improves quality of life and reduces street homelessness.

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Chronic homelessness is a red flag symptom, marking a significantly increased risk of ill-health and premature death. For too long the NHS has dismissed homelessness as simply an issue of housing and social care, but there is a growing body of evidence that long-term homelessness is fundamentally an issue of health.A recent study of homeless patients (including hostel-dwellers) admitted to hospital in Glasgow with drug-related problems found that they are seven times more likely to die over the next five years than housed patients with the same drugrelated reason for admission.1 Research from Canada shows that a 25-year-old man living in a shelter or rooming house has only a 1 in 3 chance of surviving to 75 years, compared to 2 in 3 for all 25-year-old Canadian men.2 The average age of death for homeless patients in the UK is between 40 and 44 years old.