Given the high levels of morbidity and mortality in this group, it is likely that the homeless person attending ED has ongoing health conditions which require treatment, even if they do not state that this is their priority (18). In parallel to managing the presenting complaint, attempts should be made to address psychosocial issues and refer to the appropriate services if the patient agrees. Rather than being judgemental or dismissive, staff must be understanding of the social determinants of health and the role of the ED in population health (2).