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Background People experiencing homelessness have a low average life expectancy (men 45 years and women 43 years – Office for National Statistics. Deaths of homeless people in England and Wales. ONS. 2022 [internet]). Two local London boroughs are ranked as experiencing high rates of homelessness (Hart, Pennington. Homelessness in England 2024. Shelter England. 2024 [internet]). Our hospice receives referrals from primary or secondary care which are historically unreliable referral routes for people experiencing homelessness (Shulman, Hudson, Low, et al. Palliat Med. 2017;32(1):36–45), resulting in missed opportunities to support good palliative care.Aim To better support people with a palliative care need who are experiencing homelessness in two local London boroughs.Method A grant from the Masonic Charitable Foundation, managed by Hospice UK, was secured and links established with a local London-based homelessness charity. A multiprofessional team (MPT) consisting of nursing, social work, medical and homelessness charity keyworkers was created. Clients in need of specialist palliative care were identified by the homelessness charity using agreed criteria and ‘identifying clients of concern’ tools (www.homelesspalliativecare.com). Consent was gained before a formal referral was made but anybody of concern was discussed anonymously to support the homelessness charity where needed.Results Aligning processes for inter-organisational MPT meetings was time intensive and complex. We held 10 meetings over one year with 13 clients presented resulting in three people currently being supported by the hospice and one person matched with a Compassionate Neighbour. Two clients died during this period, one person achieving their preferred place of death. A keyworker said, ‘ He died peacefully… thanks to your advocacy, he died somewhere…safe and warm…unlike the environment he was used to after years of rough sleeping.’ Conclusion Establishing an inter-organisational MPT has involved flexibility, collaboration and perseverance but the approach is ‘opening the door’ to hospice care for people experiencing homelessness. There is more to explore including how to support people with unresolved bereavement need, a trigger for becoming homeless, and to develop a community of practice with local stakeholders, to identify and support patients who are vulnerably housed or homeless.