Samantha Dorney-Smith has worked for the Three Boroughs Primary Health Care Team since 1994. She was previously a Nurse Practitioner in A&E, and is an Independent Nurse Prescriber. Whilst working with the Three Boroughs Team she initially piloted the idea of using the Community Matron model with homeless clients, and then went on to manage a formal year long pilot of Homeless Intermediate Care in a South London Homeless hostel. She has previously undertaken a systematic review of effective case management approaches with homeless clients.