ABSTRACT
Both primary and secondary health services often find it difficult to be sufficiently flexible to meet the varying needs of their users. This inflexibility affects people who are home-based as well as homeless and many of the issues raised in this discussion will have relevance for other people besides London people whose circumstances preclude them from easily fitting into the established systems of health care delivery. For instance, people who are illiterate or whose mother tongue is not English might well find it difficult to access the services they require.
