"Imagine being told you are approaching end-of-life but you don't have a fixed address or next of kin," says Annette Windmill.

Her talk focuses on people who are homeless and/or experiencing addiction, and delivering care within the requirements of the NHS ten year plan.

"We can't assume people have a stable environment with easy access to services", said Annette, and this can lead to unintentional exclusion from some healthcare services.

Homelessness doesn't just include those on the street, it's also people in hostels or sofa-surfing. This means extra challenges. Living in a hostel, for instance, is not necessarily set up for the delivery of palliative care.

You need to have two forms of ID to register at a GP surgery. There's also a perceived stigma, and fear of disclosure, all of which create barriers, she explains.

Her aim is to improve the quality of life for those who need palliative care. She said the people she works with experience similar frailty at the age of 50, compared to 80s year olds who are not homeless or dealing with substance abuse challenges.

Mountbatten has developed bespoke training, quarterly meetings and proactive community working, by attending drop-in sessions across large parts of Hampshire with CEV, the charity's bright yellow community engagement vehicle.

"Good end-of-life care doesn't look the same for everyone," said Annette.

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