Pediatrician Laura Neilson treated a family of seven from London relocated 220 miles north by Camden Council in the emergency room at North Manchester General Hospital. Family members had a rash diagnosed as scabies. The family arrived with bags and an address on paper, no acquaintances in the place, no welcome meeting and no place at school. The family was stunned by the situation. Neilson runs Hope Citadel, a general practice network in Greater Manchester, and is chief executive of the Shared Health Foundation, which campaigns against the impact of poverty on health. She described this case as an extreme example of a problem that general practitioners encounter more often. General practitioners point out the health damage and the strain on services caused by the resettlement of families hundreds of kilometers from home.