QADAMLONDON

Life here

Settled in — sort out the things that are easy to put off

Five things to do this month: a doctor (GP), an HIV and STI test, PrEP, a therapist, housing. All free — no documents or status needed. Below: where to go and what to say.

£0GP registration, HIV testing, PrEP and STI treatment — for everyone, without status
42%of new HIV diagnoses in England in 2024 were made late
810new HIV diagnoses among gay and bisexual men in England in 2024
18,702hate crimes based on sexual orientation in the year to March 2025

The figures come from official UKHSA and Home Office publications. The crime statistics don't include data from London's police: they changed their recording system.

Step 1. Register with a GP — free and with no documents

A GP (general practitioner) is a family doctor — your way into the whole NHS. Registration is free; you don't need a passport, proof of address, status or an ARC card.

2

Walk in or register online

Use the online form on the practice's website — or walk in and say the phrase below at reception. If they ask for documents you don't have, you're still entitled to register.

3

Refused?

Call Doctors of the World on 0808 1647 686: they help migrants register with a GP. Until you have a GP, call NHS 111 if you're ill (24 hours).

At reception

“Hello. I would like to register with this GP practice as a new patient. I don’t have proof of address or ID with me — I understand that’s not required.”

Translation: “Hello. I'd like to register with this practice as a new patient. I don't have proof of address or ID with me — as far as I know, they're not required.”

If you need an interpreter: “I need a Russian interpreter, please.”

Step 2. Get tested for HIV and STIs

42% of new HIV diagnoses in England in 2024 were made late. If you start treatment in time, you live an ordinary life and can't pass the virus on. The test is free for everyone, including people without status.

Sexual health clinic

The fastest route. No referral or booking needed, nobody asks for a passport or address, and it's not linked to your GP. Find one: nhs.uk — Find a sexual health clinic.

Test by post — London

shl.uk: a free kit in a plain box, a finger-prick test at home, the result by text message.

Test by post — the rest of England

freetesting.hiv: enter your postcode — it shows whether your council funds a free home test.

What the test covers, how often to test and a table of infections — “STIs: tests and treatment”.

Step 3. Get PrEP — free and with no referral

Who and where

PrEP is a pill that protects you from HIV. It's for anyone who has sex with men without a condom — not just the “risk group” on paper. Free at a sexual health clinic; no referral needed, and GPs don't deal with it. Find a clinic via the link above, go in and say the phrase on the right.

At the clinic

“Hello. I’d like to start PrEP. I’m a man who has sex with men. Can I have an HIV test and a PrEP appointment, please?”

Translation: “Hello. I'd like to start PrEP. I'm a man who has sex with men. Can I have an HIV test and a PrEP appointment?”

More about PrEP: nhs.uk — HIV prevention.

Step 4. A therapist — sign up yourself, no doctor needed

NHS Talking Therapies

  • In England you can refer yourself (self-referral), without talking to a doctor and without a diagnosis.
  • Free, for adults aged 18 and over, in some areas from 16.
  • Open nhs.uk — NHS Talking Therapies, find the service for your postcode and fill in the form. The form will ask for the name of your GP practice — which is why it's best to do step 1 first.

If it's hard right now

  • Samaritans 116 123 — 24/7, free, whatever state you're in.
  • Switchboard 0800 0119 100 — LGBTQ+ helpline, daily 10:00–22:00: coming out, loneliness, fear.
  • Danger to life — 999.

Step 5. Housing: ask for help early

The council

You can apply if you could lose your home within the next 8 weeks — you don't have to wait until you're on the street. How and where, by postcode: gov.uk — Homelessness help from your council.

An important difference from the NHS: help from the council depends on your immigration status.

Shelter

Free housing advice: 0808 800 4444, Mon–Fri 8:00–17:00. Call before you go to the council — they'll explain what you're entitled to and which documents to bring.

If you're being threatened, blackmailed or abused

The questions people ask most often

I'm waiting for my asylum decision. Will the doctor or clinic tell the Home Office?
GP registration, HIV testing, PrEP and STI treatment are free for everyone regardless of status. A sexual health clinic is not linked to your GP, university or employer and passes nothing on to them.
Reception is demanding a passport or proof of address. What do I do?
Say: “NHS guidance says ID and proof of address are not required to register.” Show them the nhs.uk page. If they still refuse — Doctors of the World 0808 1647 686.
Can I get PrEP from my GP?
No, GPs don't deal with this. PrEP is given out at sexual health clinics, free, with no referral.

Official sources

Qadam London

How we can help

  • We'll find a sexual health clinic near you and tell you what to say at reception.
  • We'll explain what housing help you're entitled to with your status and where to go for it — before it becomes urgent.
  • We'll invite you to meet-ups and into the channel — that's how most members joined.
  • Want to help others? We'll tell you how to become a volunteer with the project.

Phone numbers

HIV and sexual health

0808 802 1221

THT Direct. Testing, treatment, PrEP, rights at work.

Mon–Fri 10:00–18:00

Blackmail, threats, violence

0800 999 5428

Galop. A helpline for LGBT+ people.

Mon–Tue 9:15–20:00, Wed–Fri 9:15–16:30

LGBTQ+ support line

0800 0119 100

Switchboard. Talk about anything: coming out, loneliness, fear.

Daily 10:00–22:00

Nowhere to live

0808 800 4444

Shelter. Free housing advice.

Mon–Fri 8:00–17:00

Struggling and no one to talk to

116 123

Samaritans. You can call in any state.

24 hours, free

A medical question, not urgent

111

NHS 111. They'll tell you where to go.

24 hours

We don't give immigration advice: only an IAA-registered adviser or an SRA or BSB lawyer can advise on your specific case.

Personal plan · free · 24 hours

Tie up the loose ends in one evening

GP, tests, vaccinations, PrEP, housing — addresses near you, what to say and in what order.

£0free — like everything at Qadam LondonGet a plan