Accept Cookies

Cookies: We use cookies on our website to make it clear, useful and reliable. This includes storing a small amount of data about you. By navigating to other sections of our website, you are consenting to information being stored. Find out more here.

Service finder
Service finder
Service finder
Service finder

Homeless Outreach Team (START) (Lambeth and Southwark)

Phone number:
Reception 020 3228 1800 or Duty 10am to 4pm 020 3228 5911
Hospital site:
Services at other sites
St Giles House
St Giles Road
Disabled access:
Directorate or department:
Southwark and addictions
Care pathway:
Service type:
Southwark Complex Care
Treatment mode:
This service is for people who live in:
Lambeth, Southwark, Croydon
Homeless Outreach (START) is a small multi-disciplinary assessment team for street homeless people in Lambeth, Southwark and Croydon. Our role is to engage and assess homeless people with severe mental health problems and to refer them on to local mainstream services.

We provide short-term care coordination. We do not have access to our own accommodation.

The service is for people who are:
  • Homeless (see below)
  • Over 18 years of age
  • Have a severe and enduring mental illness. This includes schizophrenia, affective disorders and personality disorders
  • Are unwilling or unable to engage with mainstream services
  • All four criteria must be met. We do not see people just because they are homeless
When should a client be considered as homeless?

If they are:
  • Rough sleeping
  • Sleeping in abandoned buildings, parks or on public transport
  • Using one of the hostels or day centres for homeless people listed below  

  • St Mungo’s Assessment Centre, Vauxhall
  • Missionaries of Charity, St Georges’s Road, Elephant and Castle
  • Waterloo Christian Centre, 6 -8 Webber Street, Waterloo
  • Spires, 8 Tooting Bec Gardens, St Leonard’s Church Hall, Streatham
  • Ace of Clubs, St Alphonsus Road, Clapham
  • Manna Centre, 6 Melior Street, London Bridge
  • Missionaries of Charity, St Georges’s Road, Elephant and Castle 
  • The Wellington Hostel
  • CRISIS day centre
  • Turning Point Drug service
  • Rainbow Health Centre 
Hospital referrals
The majority of our referrals come from outreach teams and day centres but we accept referrals from any source as long as they meet the above criteria.

Working hours
9am to 5pm, Monday to Friday. We do street outreach outside of these hours when required.

10am to 4pm, a duty service operates, which you can call:
  • For advice or information on homeless resources
  • To discuss a potential referral
  • To check whether a homeless client in contact with your service is known to START 
Disabled access
We have disabled access but usually see service users in voluntary sector hostels, day centres or when required on the street.

Making a referral
Referrals can be made by phone or fax using the referral form found here. We are not a crisis service and we work separately to the Pathway Homeless Team.

If a local mental health service has a homeless client with whom they are unable to maintain contact, we can provide advice and in some cases work jointly with that service to re-engage the client.

If accommodation has recently been lost while under the care of a SLAM team, we will not take the case.

Fran Busby is the Team Leader for START Team.
Further Information:

Spotted a mistake or need to update information?

If you’ve spotted a mistake or you are a member of staff who needs to update clinical service details please email us