Here, Samantha Dorney-Smith, homeless health programme lead, Queen’s Nursing Institute (QNI); nursing fellow, Pathway; outreach nurse, Doctors of the World; secretary, London Network of Nurses and Midwives Homelessness Groups, looks at inclusion health, the groups and numbers involved, morbidity within those groups and the lack of access to services. She also explores the impact that the pandemic has had on health inequalities and introduces some nurse-led interventions which have enabled better access to services during Covid-19.