Medical evidence for housing applications, rehousing requests and adaptations.
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Housing allocation and transfer decisions are made on how your current housing affects your health — not on the diagnosis alone. Applications fail when the letter describes a condition without connecting it to the property.
This letter makes that connection explicitly: what about your home makes your health worse, and what would change if it were different.
Stairs, damp, heating, bathroom access, overcrowding, distance from support. The specifics matter more than the diagnosis.
How the housing affects your condition, and what adaptation or rehousing would address.
Send their medical assessment form if there is one — many authorities have their own.
Some councils will only accept their own form, completed by your registered GP. Where that is the case, a letter from us cannot be used at all. It takes two minutes to check on their housing pages, and it saves you the fee — we would rather you did that than pay us for something unusable.
This is what makes or breaks a medical housing application. Assessors award points for how your housing affects your health, not for having a diagnosis. A letter that describes a condition without connecting it to the property gives them nothing to score.
So be specific about the home:
Many authorities have a medical assessment form with their own bands and wording. The letter is written to that.
We describe your health, not your property. We can say that damp worsens your asthma, or that stairs are unmanageable with your hip. We cannot certify that a property is damp, unfit or overcrowded — those are findings for an environmental health officer or a housing surveyor, and a medical letter that strays into them weakens the application rather than strengthening it.
The decision is the local authority's. A well-evidenced letter improves an application; it does not decide it.
Some councils require their own form completed by your registered GP specifically. Check before booking.
Most councils run medical priority as a separate strand with its own form and its own assessor. A letter attached to a general housing application often never reaches them.
Our letter is the medical half. The other half is proof about the property, and applications fail for want of it:
If adapting the property would solve the problem, that route is often far faster than rehousing. Grants of up to £30,000 in England are available through the council for level-access showers, ramps, stairlifts and door widening, in rented as well as owned homes — means-tested for adults, and not means-tested for a disabled child.
The route in is an occupational therapy assessment through adult social care. Ask for one.
Medical priority decisions typically take several weeks. Rehousing itself can take months or years, depending on the band awarded and what stock exists locally.
That is a reason to pursue adaptations, disrepair enforcement and rehousing in parallel rather than in sequence.
Do not wait for a housing application. If you are at risk of domestic abuse, contact your council's homelessness team, who have a duty to respond, and the National Domestic Abuse Helpline free on 0808 2000 247, 24 hours a day.
Tell us as well. We can record and confirm what you disclosed and when, which does carry weight in a housing case — and we will point you to services that act far faster than any application.
We describe your health, not your property. We can say that damp worsens your asthma or that stairs are unmanageable with your hip. We cannot certify that a property is damp, unfit or overcrowded — those are findings for an environmental health officer or housing surveyor, and a letter that strays into them weakens rather than strengthens an application.
We will not overstate to make an application stronger. Medical evidence in housing cases is read by assessors who see a great many letters, and an exaggerated one is recognisable. A precise, moderate account of what you cannot do carries more weight than a dramatic one, and it survives challenge.
Some councils will only accept their own form from your registered GP. Check before booking. Where that is the case a letter from us cannot be used, and we would rather say so than take the fee.
If you are applying because of domestic abuse or because you are unsafe where you live, please tell us. We can record and confirm what you disclosed and when, which does carry weight. We will also point you to specialist housing and domestic abuse services, who can act faster than a housing application can — and if a child is at risk we will act on that, which we would tell you at the time.
No. It is evidence, not a decision. Allocation is entirely the local authority's, made against their published scheme and the housing that actually exists in the area.
A well-evidenced letter improves an application. Nothing guarantees one, and anyone suggesting otherwise is selling you something.
Because the letter describes a diagnosis instead of connecting it to the property. "Patient has COPD" scores nothing. "Cannot manage the fourteen stairs to the only bathroom, has fallen twice this year, and the bedroom's persistent mould has coincided with three courses of steroids since October" is evidence an assessor can band.
No, and a letter attempting it would weaken your case. Those are findings for an environmental health officer or a housing surveyor.
Request an environmental health inspection — it is free and it is the strongest document in these applications. We describe what the conditions do to your health; they establish what the conditions are.
No, and please check before booking. Where an authority requires its own form from your registered GP, a private letter cannot be substituted. We would rather say so than take the fee.
NHS practices frequently charge for this too, since it is not NHS work.
Very often yes, and it is much faster than rehousing. A Disabled Facilities Grant of up to £30,000 in England covers level-access showers, ramps, stairlifts and door widening — in rented homes as well as owned ones, means-tested for adults and not means-tested for a disabled child.
Ask adult social care for an occupational therapy assessment. That is the route in, it is free, and an OT report carries more weight for adaptations than any GP letter.
The medical assessment usually takes several weeks. Rehousing can take months or years, depending on your band and local supply.
Pursue adaptations, disrepair enforcement and rehousing in parallel, not one after another.
No — and it would work against you. Housing medical assessors read a great many of these letters and recognise an inflated one immediately.
A precise, moderate account of what you cannot do carries more weight than a dramatic one, and it holds up when the application is reviewed.
Yes, with a parent or guardian present. A child's asthma worsening in a damp bedroom, or a disabled child who cannot access an upstairs bathroom, is exactly the sort of link these applications turn on.
A disabled child also opens the non-means-tested Disabled Facilities Grant route, which is worth asking about.
Contact your council's homelessness team today — they owe you a duty from the point you are threatened with homelessness within 56 days, and that is a far faster route than a housing register application.
Shelter's free helpline is 0808 800 4444, and they are genuinely expert at this.
Yes, substantially — and it should not go through the ordinary housing register alone.
Contact the council's homelessness team, and the National Domestic Abuse Helpline free on 0808 2000 247, 24 hours a day. Men's Advice Line 0808 8010 327; Galop, for LGBT+ people, 0800 999 5428.
Tell us too. A contemporaneous medical record of what you disclosed and when carries real weight later — and if a child is at risk we have a duty to act, which we would tell you we were doing.
Clinically reviewed by Dr Mohammad Zubair Khan, GMC 7563469
Last reviewed
August 23, 2026
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