A peer-led initiative targeting unhoused individuals in West Midlands, England, successfully established a rapid hepatitis C virus (HCV) test and treatment pathway. A trained peer worker collaborated with local healthcare providers to set up testing events at homeless shelters. They offered point-of-care HCV antibody and RNA testing, as well as peer education and support throughout the treatment process. Among 140 individuals tested, 72 (51.4%) were HCV antibody positive, and 42 (30.0%) were HCV RNA positive, with all participants having a history of injecting drug use. The majority were male, averaging 39 years old, and predominantly white. The program achieved a 100% treatment uptake, with 92.3% completing their treatment. Notably, 57.1% of participants began treatment within two weeks of testing. The findings indicate that this co-developed, peer-led HCV pathway effectively identifies and treats marginalized, unhoused populations, providing a promising model for addressing HCV in similar communities.