Relocating patients from a specialist homeless healthcare centre to general practices: a multi-perspective study

Kathrine Gibson Smith, Vibhu Paudyal (Corresponding Author), Katie MacLure, Katrina Forbes-McKay, Carole Buchanan, Liz Wilson, Joan MacLeod, Ann Smith, Derek Stewart

Research output: Contribution to journalArticlepeer-review

19 Citations (Scopus)


Background The relocation of formerly homeless patients eligible to transfer from a specialist homeless healthcare centre (SHHC) to mainstream general practices is key to patient integration in the local community. Failure to transition patients conferring eligibility for relocation may also negatively impact on SHHC service delivery.

Aim To explore barriers and facilitators of relocation from the perspectives of formerly homeless patients and healthcare staff involved in their care.

Design and setting Qualitative semi-structured face-to-face and telephone interviews conducted in the north east of Scotland.

Method Participants were patients and healthcare staff including GPs, nurses, substance misuse workers, administrative, and local community pharmacy staff recruited from one SHHC, two mainstream general practices, and four community pharmacies. Interview schedules based on the 14 domains of the Theoretical Domains Framework (TDF) were drafted. Transcripts of the interviews were analysed by two independent researchers using a framework approach.

Results Seventeen patients and 19 staff participated. Key barriers and facilitators aligned to TDF domains included: beliefs about consequences regarding relocation; patient intention to relocate; environmental context and resources in relation to the care of the patients and assessing patient eligibility; patient skills in relation to integration; social and professional role and identity of staff and patients; and emotional attachment to the SHHC.

Conclusion Implementation of services, which promote relocation and integration, may optimise patient relocation from SHHCs to mainstream general practices. These include peer support networks for patients, better information provision on the relocation process, and supporting patients in the journey of identifying and adjusting to mainstream practices.
Original languageEnglish
Pages (from-to)e105-e113
Number of pages9
JournalBritish Journal of General Practice
Issue number667
Early online date25 Jan 2018
Publication statusPublished - 28 Feb 2018

Bibliographical note

Thanks to NHS Grampian, the general practices and community pharmacies that were involved in the research, study participants, Caroline McNiff for her part in data collection, and Jeanette Lowe for transcription of audiorecordings.

This study was funded by the Health Improvement Fund, NHS Grampian, 2015.


  • delivery of health care
  • general practice
  • homeless persons
  • primary health care
  • Theoretical Domains Framework


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